Cardio-metabolic Care-Team Intervention (CMC-TI)
Conditions
Brief summary
A pragmatic, quasi-experimental (non-randomized) design was used to evaluate clinical and cost outcomes among patients with type 1 or 2 diabetes (T1D or T2D) at two primary care clinics (n=1 intervention, n=1 usual care) between March 2012 and September 2014. At the intervention clinic, the 12-month Cardio-metabolic Care-Team Intervention (CMC-TI) was delivered to all qualifying patients; surveys were administered to evaluate relevant patient-reported outcomes over 12 months, and a process evaluation gauged CMC-TI feasibility and satisfaction.
Interventions
BEHAVIORALCardometabolic Team Intervention
The CMC-TI team included a registered nurse/certified diabetes educator (RN/CDE) Care Manager, medical assistant (MA) Health Coach, and RN Depression Care Manager. Decision support tools guided therapy for glucose, BP, low-density lipoprotein cholesterol (LDL-c), and depression. At the intervention clinic, the 12-month CMC-TI was delivered to all qualifying patients; surveys were administered to evaluate relevant patient-reported outcomes over 12 months.
Sponsors
Scripps Whittier Diabetes Institute
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All patients with type 1 and type 2 diabetes
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HbA1c | 12 months | Change in HbA1c between Intervention and Comparator sites |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospital/ER costs | 12 months | — |
| LDL | 12 months | Change in LDL between Intervention and Comparator sites |
| Blood pressure | 12 months | Change in blood pressure between Intervention and Comparator sites |
Outcome results
None listed