Shared Decision-Making for Prediabetes

(RISE Trial)

This trial aims to determine if understanding diabetes risk can motivate individuals with prediabetes to take preventive action. It tests two strategies: a meeting with a healthcare team to discuss diabetes risk, known as the Risk Informed Shared Decision-Making Strategy (RISE), and a simple message sent via a patient portal, called the Low Touch Messaging Strategy (LTM). Researchers seek to discover if these methods encourage more steps toward diabetes prevention compared to usual care. Individuals may be a good fit if they have been informed of having prediabetes and have an active patient portal account at Johns Hopkins Community Physicians in Frederick. As an unphased trial, this study offers a unique opportunity to contribute to innovative strategies for diabetes prevention.

The trial information does not specify whether you need to stop taking your current medications. It seems focused on discussing diabetes risk and prevention steps, so it's best to ask the trial organizers for more details.

Research has shown that both the Low Touch Messaging Strategy and the Risk Informed Shared Decision-Making Strategy are generally safe for participants.

For the Low Touch Messaging Strategy, studies have found that text message reminders are well-received. In one study, 84% of participants found the messages helpful and appreciated them as reminders. These messages also improved blood sugar control in people with diabetes.

For the Risk Informed Shared Decision-Making Strategy, research indicates it boosts patient involvement in preventing diabetes. Participants in these programs reported positive results, such as maintaining weight loss over time.

Researchers are excited about these strategies for prediabetes because they offer personalized approaches to risk management. The Risk Informed Shared Decision-Making Strategy (RISE) provides a one-on-one consultation with a healthcare professional to discuss an individual's diabetes risk and personalized prevention strategies, which could lead to more tailored and effective interventions. Meanwhile, the Low Touch Messaging Strategy (LTM) offers an innovative, low-effort way to inform patients of their risk and provide actionable tips through simple messages, making it easier for people to engage with their health without needing frequent clinic visits. These methods aim to enhance patient engagement and proactive health management, potentially leading to better outcomes compared to the usual care, which often lacks this personalized focus.

This trial will compare different strategies for managing prediabetes. Participants in one arm will receive a Low Touch Messaging Strategy, where simple messages sent through the patient portal describe their diabetes risk level and offer tips to lower it. Research has shown that text messaging can help people with prediabetes manage their condition, with studies finding slight improvements in blood sugar levels over a few months. Participants often find these messages helpful reminders to stay focused on their health goals.