M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF...
11
M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF AARHUS 1 Patient addressed Internet based decision support in the treatment of type 2 diabetes M Jeppesen, P Vedsted, J K Kristensen, T Lauritzen Institute of Public Health, University of Aarhus
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Transcript of M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF...
M JEPPESEN, PH.D. STUDENT MAY 2009
DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTHUNIVERSITY OF AARHUS
1
Patient addressed Internet based decision support
in the treatment of type 2 diabetes
M Jeppesen, P Vedsted, J K Kristensen, T Lauritzen
Institute of Public Health, University of Aarhus
M JEPPESEN, PH.D. STUDENT MAY 2009
DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTHUNIVERSITY OF AARHUS
2
Aim:
1. To develop an Internet based interactive decision support tool
M JEPPESEN, PH.D. STUDENT MAY 2009
DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTHUNIVERSITY OF AARHUS
3
Aim:
1. To develop an Internet based interactive decision support tool
2. To study the usage and effect of interactive decision support in the treatment of type 2 diabetes in a randomised controlled trial
M JEPPESEN, PH.D. STUDENT MAY 2009
DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTHUNIVERSITY OF AARHUS
4
The interactive decision support includes facilities for
• Entry of personal data
• Goal setting
• Graphical and numerical presentation of data
• Individual advice about life style and pharmaceutical treatment
• General information with links
• Printing of data
M JEPPESEN, PH.D. STUDENT MAY 2009
DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTHUNIVERSITY OF AARHUS
5
M JEPPESEN, PH.D. STUDENT MAY 2009
DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTHUNIVERSITY OF AARHUS
M JEPPESEN, PH.D. STUDENT MAY 2009
DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTHUNIVERSITY OF AARHUS
7
Randomised controlled study
Aarhus Diabetes Database
Type 2 diabetes, 40-70 years
Intervention Control
Data analysisRegister dataQuestionnaire dataLog data
Questionnaire 2
Questionnaire 1
M JEPPESEN, PH.D. STUDENT MAY 2009
DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTHUNIVERSITY OF AARHUS
Implementation of the intervention
Inputs
Patients gain access to the interactive decision support
Activities
The interactive decision support provides individual results and advice
Outputs
Patients log on and use the interactive diabetes module
Cooperation with the GP
M JEPPESEN, PH.D. STUDENT MAY 2009
DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTHUNIVERSITY OF AARHUS
Outcomes
Initial
Patient activation (PAM)
Patient health knowledge
Problem Areas In Diabetes (PAID)
Intermediate
Adherence to individual goals and current guidelines
Lifestyle parameters
Longer-term
HbA1c
Cholesterol
M JEPPESEN, PH.D. STUDENT MAY 2009
DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTHUNIVERSITY OF AARHUS
10
Planned evaluation of the implementation
process
•User log data from the diabetes module•IT technical log data concerning the
performance of the diabetes module•Non participant / non user analysis
(questionnaire and register data)
M JEPPESEN, PH.D. STUDENT MAY 2009
DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTHUNIVERSITY OF AARHUS
11
Perspective
Outcome of the study will provide new knowledge on patients will and ability to use electronic decision support
Results from the evaluation of the
implementation process will contribute in the
future development of patient adressed
electronic decision support
