N/A
Completed N=225
Tailored Approaches to Reduce Distress and Improve Self-Management for Veterans With Diabetes
Diabetes · Diabetes Distress · Self-Management · Veteran
Source: ClinicalTrials.gov NCT04587336 ↗
Enrolled (actual)
225
Serious AEs
0.0%
Results posted
May 2025
Primary outcomePrimary: Aim 1: Differences in Diabetes Distress Scale Score by HbA1c Level (HbA1c < 9 and HbA1c ≥ 9) — 1.907; 2.054 score on a scale
Summary
Veterans with diabetes may become overwhelmed with the self-management behaviors needed to maintain optimal health. Veterans may experience diabetes distress (DD), a concept distinct from depression, due the amount and frequency of these behaviors. DD negatively influences the Veteran's engagement in self-management and subsequent HbA1c levels. Previous interventions do not tailor T2D self-management information to a Veteran's DD, which may be one reason interventions are ineffective at reducing DD. This proposal examines the impact of correlating factors (e.g., sociodemographic, psychosocial, and environmental) on DD using surveys and semi-structured interviews. This proposal will prepare Allison Lewinski, PhD, MPH, RN for a career as a scientist at VHA focused on developing methods to improve health outcomes among Veterans.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Aim 1: Differences in Diabetes Distress Scale Score by HbA1c Level (HbA1c < 9 and HbA1c ≥ 9) |
1.907; 2.054 | — |
| PRIMARY Aim 1: Differences in Diabetes Distress Scale Score by Medication Regimen (no Insulin, Insulin). |
2.102; 1.824 | — |
Eligibility Criteria
Inclusion Criteria
- Diagnosis of type 2 diabetes (ICD-10 codes: E11.9, E11.8)
- Documentation of HbA1c drawn within the past 180 days
- Able to speak and read English
- Be able to provide informed consent to participate in the study
Exclusion Criteria
- New diagnosis of T2D within the last 60 days
- Hospitalization for mental illness within the past 30 days
- Receiving active chemotherapy and/or radiation treatment
- Diagnosis for Metastatic Cancer
- Recent hospitalization within the past 60 days that would influence their diabetes medication regimen (e.g., myocardial infarction, cerebrovascular accident, coronary artery bypass grafting, etc.)
- Currently receiving Kidney Dialysis
- Limited hearing or speech difficulties that influence the Veteran's ability to complete the survey
- Dementia, delirium, or other cognition issues that influence the Veteran's ability to provide consent and complete the survey
Data sourced from ClinicalTrials.gov (NCT04587336). 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.