N/A
Completed N=290
Technologically Enhanced Coaching: A Program to Improve Diabetes Outcomes
Source: ClinicalTrials.gov NCT01855399 ↗Enrolled (actual)
290
Serious AEs
0.0%
Results posted
Jul 2019
Primary outcomePrimary: Percent Glycosylated Hemoglobin — 8.38; 8.39 Percent glycosylated hemoglobin
Summary
Peer support programs have been demonstrated to improve glycemic control among Veterans with poor control. This program will expand on this success by putting innovative tools in the hands of Veteran diabetes patients. Veteran coaches who have demonstrated effective control of their own diabetes will be trained to use communication skills to guide their peers through a diabetes education and decision aid. This tool, which is an iPad application, draws the patient in by showing them their personal risk and medication information derived from baseline labs and self-reported survey data. The tool encourages interaction by providing choices of materials to view, using audio-visual elements and incorporating a goal-setting process for developing self-management action steps and questions to discuss with their doctor at their next clinic visit. Ongoing weekly contact between the Veterans is supported by a confidential phone system.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percent Glycosylated Hemoglobin |
8.38; 8.39 | — |
Eligibility Criteria
Inclusion Criteria
- one hospitalization with a diabetes-related ICD-9 code
- two outpatient visits with a diabetes-related ICD-9 code
- at least one prescription for a glucose control medication (insulin or oral agents) or monitoring supplies.
- [70] Potential participants must also have their most recent A1c in the prior 6 months be at least 8.0% if age < 70 or at least 8.5% if age 70+).
Exclusion Criteria
- Using ICD-9 diagnostic codes, the investigators will exclude patients if they have an active substance abuse disorder or serious psychiatric illness:
- PTSD
- bipolar disorder
- dementia
- schizophrenia
- or personality disorders
- We will then send names of the patients to their primary care providers to identify any patients who they do not recommend inviting to participate in the program.
Data sourced from ClinicalTrials.gov (NCT01855399). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.