Managing Diabetes to Gain Opportunities for a More Active Life

The purpose of this novel patient-facing disease management intervention, My Diabetes GOAL, is to develop and test a system embedded within the electronic medical record to engage patients in personalized goal setting and chronic disease management by: 1) establishing personalized goals of care based on comorbidities and preferences, 2) tracking diabetes measures against personalized goals, and 3) selecting the route and intensity of care management to help patients achieve their goals (e.g., telephonic care management, in-person care management, and self-care resources). This application can be used to individualize care, increase engagement with patient portals, and improve patient self-efficacy, as they take a more active role in their care.

Inclusion criteria

• 65 years and older
• Diagnosis of Type 2 Diabetes
• Enrolled in MyChart (University of Chicago Patient Portal)
• Outpatient clinic visit in the prior year

Exclusion criteria

• Under 64 years of age
• No type 2 diabetes
• Not enrolled in MyChart
• No outpatient clinic visit in the prior year