Extension of a Computer Assisted Decision Support (CADS) Study to Improve Outcomes in Patients with Type 2 DM Treated by Primary Cary Providers (short title, CADS-X)

Abstract

Abstract : The overall aim of this proposal is to test the long-term, clinical effects of a Computer Assisted Decision Support (CADS) System for the management of Type 2 DM (T2DM) by primary care providers (PCPs). Moreover, the aims are to compare longitudinal patterns of change within and between patients who are managed with the CADS system for differing durations. This comparison will help us to understand the clinical utility of using the CADS system continuously or up to a certain threshold of patient improvement. To achieve these aims, we request a second year of funding (first year funded through United States Army Medical Research Acquisition Activity [USAMRAA], contract number W81XWH-09-2-0196, and is currently ongoing) for a prospective, cluster, randomized controlled trial (RCT). The ongoing project is a multi-site study including the Army (Walter Reed Health Care System or WHCS), the Air Force (Wilford Hall Medical Center or WHMC), and the University of Hawaii (UH). The proposal herein is not duplicative of any current study but rather an extension of the already funded one. A detailed, technical explanation of the software and hardware elements of this study are included in reports for the original CADS study and available upon request