1. M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF AARHUS 1 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

2. M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF AARHUS 2 Aim: 1. To develop an Internet based interactive decision support tool

3. M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF AARHUS 3 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

4. M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF AARHUS 4 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

5. M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF AARHUS 5

6. M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF AARHUS

7. M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF AARHUS 7 Randomised controlled study Aarhus Diabetes Database Type 2 diabetes, 40-70 years InterventionControl Data analysis Register data Questionnaire data Log data Questionnaire 2 Questionnaire 1

8. M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF AARHUS 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

9. M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF AARHUS 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

10. M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF AARHUS 10 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)

11. M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF AARHUS 11 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