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Patient addressed Internet based decision support
in the treatment of type 2 diabetes
M Jeppesen, P Vedsted, J K Kristensen, T
Lauritzen Institute of Public Health, University
of Aarhus
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• Aim
• 1. To develop an Internet based interactive
  decision support tool

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• Aim
• 1. To develop an Internet based interactive
  decision support tool
• 2. To study the usage and effect of interactive
  decision support in the treatment of type 2
  diabetes in a randomised controlled trial

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• The interactive decision support includes
  facilities for
• Entry of personal data
• Goal setting
• Graphical and numerical presentation of data
• Individual advice about life style and
  pharmaceutical treatment
• General information with links
• Printing of data

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(No Transcript)
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Randomised controlled study
Aarhus Diabetes Database Type 2 diabetes, 40-70
years
Questionnaire 1
Intervention
Control
Questionnaire 2
Data analysis Register data Questionnaire
data Log data
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Implementation of the intervention
Inputs Patients gain access to the interactive
decision support
Activities The interactive decision support
provides individual results and advice
Outputs Patients log on and use the interactive
diabetes module Cooperation with the GP
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Outcomes
Initial Patient activation (PAM) Patient health
knowledge Problem Areas In Diabetes (PAID)
Intermediate Adherence to individual goals and
current guidelines Lifestyle parameters
Longer-term HbA1c Cholesterol
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• Planned evaluation of the implementation process
• User log data from the diabetes module
• IT technical log data concerning the performance
  of the diabetes module
• Non participant / non user analysis
  (questionnaire and register data)

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• Perspective
• Outcome of the study will provide new knowledge
  on patients will and ability to use electronic
  decision support
• Results from the evaluation of the implementation
  process will contribute in the future development
  of patient adressed electronic decision support

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