Trial reportContemporary clinical trials2016
Pre-Visit Prioritization for complex patients with diabetes: Randomized trial design and implementation within an integrated health care system.
Trial report in Contemporary clinical trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02375932 (Pre-Visit Prioritization for Complex Primary Care Patients With Diabetes), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Pre-Visit Prioritization for Complex Primary Care Patients With Diabetes
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Applied techniques for putting pre-visit planning in clinical practice to empower patient-centered care in the pandemic era: a systematic review and framework suggestion.BMC health services research · 2021Pooled it
- Prompting Patients with Poorly Controlled Diabetes to Identify Visit Priorities Before Primary Care Visits: a Pragmatic Cluster Randomized Trial.Journal of general internal medicine · 2019Trial
- Trial
- Article
- Augmenting the Efficacy of the Initial Patient Visit to the Stroke Prevention Clinic: A Quality Improvement Project.Journal of clinical medicine · 2025Article
- Implementing a rapid-learning health system in early intervention services for psychosis: qualitative evaluation of its feasibility and acceptability.Health research policy and systems · 2025Article
- The Alliance for Healthier Communities as a Learning Health System for primary care: A qualitative analysis in Ontario, Canada.Journal of evaluation in clinical practice · 2022Article
- Establishing priorities for diabetes action goals according to key opinion leaders and health professionals.Israel journal of health policy research · 2022Article
- Clarifying the concept of a learning health system for healthcare delivery organizations: Implications from a qualitative analysis of the scientific literature.Learning health systems · 2022Article
- Learning health systems in primary care: a systematic scoping review.BMC family practice · 2021Article
- Visit Content Analysis: Doctor-Patient Communication in Patients with Type 2 Diabetes.The Permanente journal · 2021Article
- Study protocol: Using peer support to aid in prevention and treatment in prediabetes (UPSTART).Contemporary clinical trials · 2020Article
- Validation of a Novel Electronic Health Record Patient Portal Advance Care Planning Delivery System.Journal of medical Internet research · 2018Article
- Customized Care: An intervention to Improve Communication and health outcomes in multimorbidity.Contemporary clinical trials communications · 2016Article
- Technology-Enabled and Artificial Intelligence Support for Pre-Visit Planning in Ambulatory Care: Findings From an Environmental Scan.Annals of family medicineArticle
- Patient-Centered Goal Setting in Developmental Therapy: Discordance between Documented Goals and Caregiver-Perceived Goals.Pediatric quality & safetyArticle
- Pilot randomized controlled trial Protocol: Life context-informed pre-visit planning to improve care plans for primary care patients with multiple chronic conditions including diabetes.Journal of multimorbidity and comorbidityArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
BACKGROUND/
aimsDespite robust evidence to guide clinical care, most patients with diabetes do not meet all goals of risk factor control. Improved patient-provider communication during time-limited primary care visits may represent one strategy for improving diabetes care.
methodsWe designed a controlled, cluster-randomized, multi-site intervention (Pre-Visit Prioritization for Complex Patients with Diabetes) that enables patients with poorly controlled type 2 diabetes to identify their top priorities prior to a scheduled visit and sends these priorities to the primary care physician progress note in the electronic medical record. In this paper, we describe strategies to address challenges to implementing our health IT-based intervention study within a large health care system.
resultsThis study is being conducted in 30 primary care practices within a large integrated care delivery system in Northern California. Over a 12-week period (3/1/2015-6/6/2015), 146 primary care physicians consented to enroll in the study (90.1%) and approved contact with 2496 of their patients (97.6%). Implementation challenges included: (1) navigating research vs. quality improvement requirements; (2) addressing informed consent considerations; and (3) introducing a new clinical tool into a highly time-constrained workflow. Strategies for successfully initiating this study included engagement with institutional leaders, Institutional Review Board members, and clinical stakeholders at multiple stages both before and after notice of Federal funding; flexibility by the research team in study design; and strong support from institutional leadership for "self-learning health system" research.
conclusionsBy paying careful attention to identifying and collaborating with a wide range of key clinical stakeholders, we have shown that researchers embedded within a learning care system can successfully apply rigorous clinical trial methods to test new care innovations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.