Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2009 Feb;32(2):234-9.
doi: 10.2337/dc08-1220. Epub 2008 Nov 18.

Web-based collaborative care for type 2 diabetes: a pilot randomized trial

James D Ralston  1 , Irl B Hirsch, James Hoath, Mary Mullen, Allen Cheadle, Harold I Goldberg
Affiliations
Randomized Controlled Trial

Web-based collaborative care for type 2 diabetes: a pilot randomized trial

James D Ralston et al. Diabetes Care. 2009 Feb.

Abstract

Objective: To test Web-based care management of glycemic control using a shared electronic medical record with patients who have type 2 diabetes.

Research design and methods: We conducted a trial of 83 adults with type 2 diabetes randomized to receive usual care plus Web-based care management or usual care alone between August 2002 and May 2004. All patients had GHb > or =7.0%, had Web access from home, and could use a computer with English language-based programs. Intervention patients received 12 months of Web-based care management. The Web-based program included patient access to electronic medical records, secure e-mail with providers, feedback on blood glucose readings, an educational Web site, and an interactive online diary for entering information about exercise, diet, and medication. The primary outcome was change in GHb.

Results: GHb levels declined by 0.7% (95% CI 0.2-1.3) on average among intervention patients compared with usual-care patients. Systolic blood pressure, diastolic blood pressure, total cholesterol levels, and use of in-person health care services did not differ between the two groups.

Conclusions: Care management delivered through secure patient Web communications improved glycemic control in type 2 diabetes.

Trial registration: ClinicalTrials.gov NCT00194506.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Study flow diagram.
See this image and copyright information in PMC

Comment in

References

    1. Ralston JD, Revere D, Robins LS, Goldberg HI: Patients’ experience with a diabetes support programme based on an interactive electronic medical record: qualitative study. BMJ 328:1159, 2004 - PMC - PubMed
    1. Institute of Medicine: Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, D.C., National Academy Press, 2001 - PubMed
    1. Aubert RE, Herman WH, Waters J, Moore W, Sutton D, Peterson BL, Bailey CM, Koplan JP: Nurse case management to improve glycemic control in diabetic patients in a health maintenance organization: a randomized, controlled trial. Ann Intern Med 129:605–612, 1998 - PubMed
    1. Bodenheimer T, Wagner EH, Grumbach K: Improving primary care for patients with chronic illness. JAMA 288:1775–1779, 2002 - PubMed
    1. Goldberg HI, Ralston JD, Hirsch IB, Hoath JI, Ahmed KI: Using an Internet comanagement module to improve the quality of chronic disease care. Jt Comm J Qual Saf. 29:443–451, 2003 - PubMed

Publication types

Associated data