An EMR-based tool to support collaborative planning for medication use among adults with diabetes: Design of a multi-site randomized control trial

Daniel G. Morrow*, Thembi Conner-Garcia, James F. Graumlich, Michael S. Wolf, Stacey McKeever, Anna Madison, Kathryn Davis, Elizabeth A.H. Wilson, Vera Liao, Chieh Li Chin, Darren Kaiser

*Corresponding author for this work

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Patients with type II diabetes often struggle with self-care, including adhering to complex medication regimens and managing their blood glucose levels. Medication nonadherence in this population reflects many factors, including a gap between the demands of taking medication and the limited literacy and cognitive resources that many patients bring to this task. This gap is exacerbated by a lack of health system support, such as inadequate patient-provider collaboration. The goal of our project is to improve self-management of medications and related health outcomes by providing system support. The Medtable is an Electronic Medical Record (EMR)-integrated tool designed to support patient-provider collaboration needed for medication management. It helps providers and patients work together to create effective medication schedules that are easy to implement. We describe the development and initial evaluation of the tool, as well as the process of integrating it with an EMR system in general internal medicine clinics. A planned evaluation study will investigate whether an intervention centered on the Medtable improves medication knowledge, adherence, and health outcomes relative to a usual care control condition among type II diabetic patients struggling to manage multiple medications.

Original languageEnglish (US)
Pages (from-to)1023-1032
Number of pages10
JournalContemporary Clinical Trials
Volume33
Issue number5
DOIs
StatePublished - Sep 2012

Keywords

  • Cognition
  • Electronic medical record
  • Health literacy
  • Illness self-management
  • Medication adherence
  • Patient/provider collaboration

ASJC Scopus subject areas

  • Pharmacology (medical)

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    Morrow, D. G., Conner-Garcia, T., Graumlich, J. F., Wolf, M. S., McKeever, S., Madison, A., Davis, K., Wilson, E. A. H., Liao, V., Chin, C. L., & Kaiser, D. (2012). An EMR-based tool to support collaborative planning for medication use among adults with diabetes: Design of a multi-site randomized control trial. Contemporary Clinical Trials, 33(5), 1023-1032. https://doi.org/10.1016/j.cct.2012.05.010