An EMR-based tool to support collaborative planning for medication use among adults with diabetes: design of a multi-site randomized control trial.
Patients with type II diabetes often struggle with self-care, including adhering to complex medication regimens and managing their blood glucose levels. Medication nonadherence in this population reflects many factors, including a gap between the demands of taking medication and the limited literacy and cognitive resources that many patients bring to this task. This gap is exacerbated by a lack of health system support, such as inadequate patient-provider collaboration. The goal of our project is to improve self-management of medications and related health outcomes by providing system support. The Medtable™ is an Electronic Medical Record (EMR)-integrated tool designed to support patient-provider collaboration needed for medication management. It helps providers and patients work together to create effective medication schedules that are easy to implement. We describe the development and initial evaluation of the tool, as well as the process of integrating it with an EMR system in general internal medicine clinics. A planned evaluation study will investigate whether an intervention centered on the Medtable™ improves medication knowledge, adherence, and health outcomes relative to a usual care control condition among type II diabetic patients struggling to manage multiple medications.
Beckman Institute, University of Illinois, Urbana, IL 61801, USA. dgm@illinois.edu
Daniel G
DG
Morrow
Thembi
T
Conner-Garcia
James F
JF
Graumlich
Michael S
MS
Wolf
Stacey
S
McKeever
Anna
A
Madison
Kathryn
K
Davis
Elizabeth A H
EA
Wilson
Vera
V
Liao
Chieh-Li
CL
Chin
Darren
D
Kaiser
D003299:Cooperative Behavior; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D057286:Electronic Health Records; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D015337:Multicenter Studies as Topic / Q000379:methods; D009723:Nurse-Patient Relations; D009726:Nurses; D016032:Randomized Controlled Trials as Topic / Q000379:methods; D012648:Self Care / Q000379:methods; D016903:Drug Monitoring
D007004:Hypoglycemic Agents