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Patient and Provider Engagement and Empowerment Through Technology (P2E2T2) program to improve health in diabetes
Investigator (PI): Young, Heather
Performing Organization (PO): (Current): University of California, Davis, Betty Irene Moore School of Nursing / (916) 734-2145
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2014
Final Year: 2019
Record Source/Award ID: PCORI/IHS-1310-07894
Funding: Total Award Amount: $2,068,415
Award Type: Contract
Award Information: PCORI: More information and project results (when completed)
Abstract: This proposal addresses the growing public health problem of diabetes, a disease that affects the ability of the body to process sugars from foods. For the patient, diabetes and its complications such as reduced vision and pain can affect quality of life and ability to function on a day-to-day basis in a serious way. The course of diabetes can be changed dramatically with lifestyle changes, such as healthy eating and increasing physical activity. However, traditional approaches (face-to-face counseling in clinics, individual visits with a diabetes educator, or group classes) are not sufficient to improve health in patients with diabetes. The overall goal of this proposal is to enhance the supports and resources available to patients with diabetes to assist them to achieve their health goals. We will develop and evaluate an innovative program using nurse health coaching using motivational interviewing techniques, wireless sensor and mobile health (mHealth) technology based on input from patient, provider, and technology experts as to how best to address the health care needs of persons living with diabetes and improve their health and wellness. Specific aims: Aim 1 is to partner with stakeholders (patients and providers) to revise and finalize the proposed intervention elements (nurse coaching, wireless sensor technology and mHealth framework, relevant outcomes). Aim 2 is to evaluate the feasibility and usefulness of integrating patient-generated goals and sensor data into a mHealth dashboard linked back into primary care practice. Aim 3 is to evaluate the effectiveness of the P2E2T2 program on diabetes management as measured by the following outcomes prioritized by patients in preliminary studies: quality of life, self-efficacy, readiness to change, and clinically relevant indicators. Relevance: The focus of this proposal is to attend to patient voice regarding what is needed from the health care team and from technology to optimally support patients to succeed in reaching self-identified health goals to better manage their diabetes. Diabetes management is ultimately in the hands of the patient who is expert on their own circumstances, motivations, and beliefs. Together, health care providers and technology can provide support, education, and coaching to assist patients to meet their goals. We anticipate iterative design of the program as we regularly involve our patient, provider, and technical expert stakeholders throughout the project. Current electronic health record (EHR) structure is focused on recording medical problems and the prescriptions providers generate, with no place to capture health goals set by the patient. We believe a fundamental shift is needed to not only include the patient in their care plan, but to highlight to the health care team through the electronic integration of an mHealth dashboard those areas which the patient identifies as holding the highest level of importance.
MeSH Terms:
  • Diabetes Mellitus /*therapy
  • Electronic Health Records
  • Health Communication
  • Health Promotion /methods
  • Health Services Accessibility
  • Humans
  • Internet
  • Motivational Interviewing
  • Outcome Assessment (Health Care)
  • * Patient Participation
  • Primary Health Care /organization & administration
  • Quality of Life
  • Wireless Technology
Country: United States
State: California
Zip Code: 95817
UI: 20152233
CTgovId: NCT02672176
Project Status: Completed
Record History: ('2019: Project extended to 2019. 2017: Project extended to 2018.',)