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Patient satisfaction with Internet-based diabetes management in Native American communities

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Patient satisfaction with Internet-based diabetes management in Native American communities

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    1. Patient satisfaction with Internet-based diabetes management in Native American communities Betty A. Levine Pam Angelus, Jackie McCormack, Donna Johnson, Ming-Jye Hu, Seong K. Mun

    2. Diabetes in AI/AN 14.9% of AI/AN aged 20 or older and receiving care from IHS have diabetes AI/AN are 2.3% times as likely to have diabetes than non-Hispanic whites From 1990-1998 number of young AI/AN with diabetes increased 71% Most common in Southeastern US (27.8%)

    3. MyCareTeamTM

    4. MyCareTeamTM Internet based diabetes management application Electronic capture of clinical data Automated analysis of clinical data Simple user interface presents patients and providers with clinical information Efficient & secure communications between patients and providers Disease specific Personal Health Record (PHR)

    5. MyCareTeamTM Features: Automated capture of BG values Automatic analysis and multi-formatted presentation of BG values Tracking of other information – meds, lab results, exercise, blood pressure Secure communications with provider

    6. MyCareTeamTM

    7. Native American Sites Poarch Band of Creek Indians, AL Nez Perce, ID Tlingit and Haida Tribes, AK Mandan Hidatsa & Arikara Nation, ND Native Hawaiians, HI Phoenix Indian Medical Center, AZ

    8. Outcome Measures Clinical outcomes HbA1c – laboratory blood test that measures long-term glycemic control American Diabetes Association recommends a value of under 7.0 Satisfaction Surveys

    9. Results – Clinical Outcomes

    10. Satisfaction Survey Educational level 77% had some college or more Where they use the computer most 33% @ home; 42% @ work; 25% @ other Features they use most often Log Book – 70% @ baseline; 48% @ follow-up Line chart – 16% @ baseline; 44% @ follow-up TOD Pie chart – 14% @ baseline; 41% @ follow-up Internet use 57.1% find Health Information

    11. Satisfaction Survey Satisfaction measures Experience using MyCareTeamTM Experience learning about diabetes through MyCareTeamTM Communicating with their provider over MyCareTeamTM

    12. Results - Satisfaction Older participants more apt to state a positive experience using MyCareTeamTM (p<.05) Older participants were more positive about talking with a provider via MyCareTeamTM (n/s) Those reporting a positive experience using MyCareTeamTM, also report positively that they use it to learn about diabetes (p<.001) Those reporting positive experiences at baseline also reported positive experiences at follow-up for: using MyCareTeamTM (p<.02) Learning about diabetes (n/s but in the correct direction) communicating with their provider (p<.005)

    13. Future Work Continue collecting data at existing sites Enroll new sites Expand to include the Diabetes Center at National Naval Medical Center Integrate into existing Health Information Systems

    14. Acknowledgement Thank you U.S. Army Medical Research and Materiel Command for their support under contract #W81XWH-04-2-0002 Partners at Nez Perce and Poarch Band of Creek Indians Tribes Alan Neustadtl, PhD and Jim Grigsby, PhD for their statistical support

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