Table 2.
Patient engagement and outcomes measures.
| Outcomes, means | Assessment completeda
(n=24) |
No assessment completedb
(n=24) |
Overall total (n=96) |
Overall P c | ||
| Physiological |
|
|
|
|
||
|
|
HbA1c |
|
|
|
|
|
|
|
|
Pre | 8.71 | 8.82 | 8.79 | .29 |
|
|
|
Post | 8.66 | 8.96 | 8.88 |
|
|
|
LDL |
|
|
|
|
|
|
|
|
Pre | 100.55 | 93.95 | 95.61 | .06 |
|
|
|
Post | 100.71 | 109.29 | 107.27 |
|
|
|
Body mass index |
|
|
|
|
|
|
|
|
Pre | 40.41 | 39.71 | 39.87 | .29 |
|
|
|
Post | 44.43 | 37.97 | 39.46 |
|
| Utilization |
|
|
|
|
||
|
|
PCP visits |
|
|
|
|
|
|
|
|
Pre | 5.46 | 5.44 | 5.45 | <.001 |
|
|
|
Post | 1.75 | 2.42 | 2.25 |
|
|
|
ED visits |
|
|
|
|
|
|
|
|
Pre | 1.00 | 1.03 | 1.02 | .001 |
|
|
|
Post | 0.46 | 0.64 | 0.59 |
|
| Diabetes drug classes, PDC % |
|
|
|
|||
|
|
PDC for biguanides (n=38) |
|
|
|
|
|
|
|
|
Pre | 72 | 74 | 74 | <.001 |
|
|
|
Post | 88 | 89 | 89 |
|
|
|
PDC for thiazolidinediones (n=8) |
|
|
|
|
|
|
|
|
Pre | 88 | 69 | 77 | .004 |
|
|
|
Post | 96 | 91 | 93 |
|
|
|
PDC for sulfonylureas (n=26) |
|
|
|
|
|
|
|
|
Pre | 71 | 74 | 73 | <.001 |
|
|
|
Post | 88 | 96 | 93 |
|
| Cardiovascular drug classes, PDC % |
|
|
|
|||
|
|
PDC for ACE inhibitors (n=45) |
|
|
|
|
|
|
|
Pre | 90 | 85 | 85 | .04 | |
|
|
Post | 83 | 85 | 91 |
|
|
| PDC for angiotensin II receptor |
|
|
|
|
|
|
|
|
Antagonists (ARB) (n=14) |
|
|
|
|
|
|
|
|
Pre | 87 | 78 | 80 | .02 |
|
|
|
Post | 96 | 92 | 93 |
|
|
|
PDC for calcium channel blockers (n=18) |
|
|
|
|
|
|
|
|
Pre | 92 | 85 | 87 | .03 |
|
|
|
Post | 96 | 94 | 95 |
|
|
|
PDC for beta blockers (n=30) |
|
|
|
|
|
|
|
|
Pre | 86 | 73 | 75 | <.001 |
|
|
|
Post | 94 | 90 | 91 |
|
| PDC for 3-hydroxy-3-methyl-glutaryl CoA reductase |
|
|
|
|
||
|
|
Inhibitors (statins) (n=13) |
|
|
|
|
|
|
|
|
Pre | 80 | 80 | 80 | .02 |
|
|
|
Post | 99 | 91 | 94 |
|
aPatients who completed at least one Web-based assessment
bPatients who never logged in to complete an assessment
cPaired t test P value, overall