TAPESTRY With Health Connnectors for Diabetes Management

Summary

The TAPESTRY-HC-DM approach is designed to support self-management of chronic disease by strengthening connections between patients and the primary healthcare system through "health connectors" -both volunteers and technology including the TAPESTRY Healthy Lifestyle App and McMaster Personal Health Record (PHR). It will explore whether strengthening primary care connections across patients, providers, and community organizations through TAPESTRY-HC-DM - i.e., the deployment of volunteer health connectors coordinated by a community organization, the use of the TAPESTRY Healthy Lifestyle e-Application by patients, and care coordination processes by the interprofessional primary healthcare team - can increase self-efficacy in managing chronic conditions.

Conditions

• Type 2 Diabetes Mellitus
• Hypertension

Interventions

BEHAVIORAL

TAP-HC-DM

Patients randomized to the intervention group will complete the Healthy Lifestyle App modules. Their results will create a report with a suggested list of tip sheets that patients, volunteers, and clinics will see. Patients will also be encouraged to access the McMaster PHR in order to track their health, and communicate with volunteers or the clinic. Volunteer health connectors will connect with patients at least weekly, by phone, McMaster PHR message, or in person (depending on patient preference). They will be motivating, providing tip sheets or other education, doing tech support, providing community resources, and building a volunteer-patient relationship with the client. Clinicians will see and triage the reports, and may follow up on various aspects identified.

OTHER

Usual Care

Patients randomized to the control group will receive usual care and upon the end of the intervention arm of the study will receive the TAPESTRY-HC-DM intervention as detailed in the intervention group.

Sponsors & Collaborators

• Ontario Ministry of Health and Long Term Care

  collaborator OTHER_GOV

• Health Canada

  collaborator OTHER_GOV

• McMaster Family Health Team

  collaborator UNKNOWN

• Volunteer Hamilton

  collaborator UNKNOWN

• INSPIRE-PHC

  collaborator UNKNOWN

• McMaster University

  lead OTHER

Principal Investigators

• David Price, MD, CCFP · Professor and Chair, McMaster Department of Family Medicine

• Lisa Dolovich, PharmD, MSc · Co-Principal Investigator, McMaster Department of Family Medicine

Study Design

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2016-02-29

Primary Completion

2016-12-31

Completion

2017-09-26

Countries

• Canada

Study Locations