Preventing Diabetes: Impact of an EMR-Based Intervention for Enhanced Pre-Diabetes Management in Primary Care
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21-59
SponsorLynette Goh
About this trial
The goal of this study is to find out if adding electronic medical record (EMR) prompts helps prevent people with pre-diabetes from developing diabetes. It will also look at how these prompts affect doctor and patient behaviors.
The main questions are:
Does it improve follow-up care, such as blood tests, referrals, and medication? Does the EMR prompt reduce the number of patients who progress to diabetes within six months?
Researchers will compare clinics that use EMR prompts with clinics that do not.
Participants will:
Receive usual care for pre-diabetes at their polyclinic In some clinics, doctors will see EMR prompts suggesting tests, referrals, and medication Complete surveys about their health and lifestyle at different time points
Eligibility criteria
Qualifiers
All adults aged 21 to 59 years with prediabetes who attend any of the eight participating polyclinics during the study period will be included in the EMR-based analytic cohort.
Prediabetes is defined as impaired fasting glucose or impaired glucose tolerance according to standard clinical criteria, with either diagnosis documented in the EMR problem list or visit diagnosis.
Individuals with a prior diagnosis of diabetes will be excluded.
Adults aged 40-59 years
Disqualifiers
Prior diagnosis of diabetes mellitus or gestational diabetes
Severe acute or chronic liver or kidney disease
Pregnancy
Cognitive impairment
Trial design
Treatments tested in this trial
- Electronic Medical Record-Based Clinical Decision Support
Treatment groups
6,000 Participants
are divided into 2 treatment groupsSponsors and collaborators
Lynette Goh
Lead sponsor
National University Polyclinics, Singapore
Sponsor institution
National University Health System, Singapore
Collaborator
National University of Singapore
Collaborator
Source ClinicalTrials.gov