Diabetes Mellitus, Hypertension, Maternal Health
Conditions
Keywords
hypertension, diabetes, maternal health, digital health
Brief summary
The purpose of this study is to examine the intervention effectiveness and dissemination of digital health care delivery models for improving selected health outcomes in the Medicaid population.
Detailed description
The investigators will conduct a mixed method study that includes a controlled interrupted times series (CITS) design to study hypertension (HTN) and diabetes, a cohort to study pregnancy, and longitudinal patient and provider interviews to study experiences. This approach is appropriate when randomization is not desirable or feasible and is frequently utilized for evaluation of public health interventions (Lopez Bernal et al., 2018; Hategeka et al., 2020).
Interventions
BEHAVIORALdigital health delivered multicomponent intervention
The MIC program will have set minimum levels of connectivity for each of the three defined conditions under study.
Sponsors
OSF Healthcare System
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient of one of four medically qualified health care centers and/or OSF HealthCare as defined by insurance type * Insured by Medicaid or dually eligible for Medicare or Medicaid * Has one or more of the three following conditions: Hypertension, Diabetes Mellitus, or Pregnancy * Able to read and understand English or read translated materials in language provided (e.g. Spanish) * Minors who are pregnant and less 18 years of age who are enrolled in the MIC Program
Exclusion criteria
* Not enrolled in the MIC Program * No one will be excluded on basis of sex or race
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in participant's blood pressure control at three points in time | 3 months, 6 months, 12 months | Decrease in the average systolic and/or diastolic blood pressure |
| Change in participant's glycemic control at three points in time | 3 months, 6 months, 12 months | Defined as a reduction \>1% in glycosylated hemoglobin (hemoglobin A1C) |
| Change in Patient Assessment of Chronic Illness Care scale (PACIC) from baseline to exit from program | baseline, end of program, on average of 1 year | Measure of patient's perception of care management for chronic disease - 20 items on a 5-point scale 1=no or never to 5=Always, with higher score indicating better care |
| Change in Patient Perception of Health Care Management (adapted form of PACIC to reflect pre/postnatal care) from baseline to exit from program | baseline, end of program, on average 6 months | Measure of patient-centered care and self-management - 20 items on a 5-point scale 1=no or never to 5=Always, with higher score indicating better care |
| Patient satisfaction, 1-item researcher generated question | at exit from program, on average 1 year | Measure of patient's satisfaction, Participant's recommendation of program to others (Yes/No) |
Countries
United States
Contacts
Primary ContactColleen J. Klein, PhD, APRN
Backup ContactMelinda B Cooling, DNP, APRN
Outcome results
None listed