None listed
Conditions
Brief summary
The proposed study examines the impact of a specific telephone coaching intervention on HbA1C. HbA1C reflects average glucose concentration over ~3months. Secondary outcomes will include fasting glucose, lipids and blood pressure. Adherence to monitoring requirements will also be measured e.g. regular checks of HbA1C, lipids, feet & eyes. The intervention in question is currently in use in the cardiac population where its efficacy has been demonstrated by two Randomised Controlled Trials (RCTs).
Interventions
Intervention for this study is telephone coaching. Involves and Health Management Coach / Dietitian conducting telephone coaching sessions with patients every 4-6 weeks for a period of 6 months. Each telephone call will take 20 to 45 minutes. Telephone coaching will occur in addition to the patient's usual care. During coaching sessions, participants will be coached to understand : 1) what risk factor needs to be monitored - for example HbA1C should be checked 2) When each risk factor needs to
Intervention for this study is telephone coaching. Involves and Health Management Coach / Dietitian conducting telephone coaching sessions with patients every 4-6 weeks for a period of 6 months. Each telephone call will take 20 to 45 minutes. Telephone coaching will occur in addition to the patient's usual care. During coaching sessions, participants will be coached to understand : 1) what risk factor needs to be monitored - for example HbA1C should be checked 2) When each risk factor needs to be checked – in the case of HbA1C, every 3 months 3) And for risk factors not at target level – how to modify these through changes to diet, lifestyle and in consultation with their General Practitioner (GP), medications.
Sponsors
St Vincent's Hospital Melbourne
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
All patients attending Diabetes Clinic, aged 18 years or over with an HbA1C = 7.0% and eligible for Hospital Admission Risk Program(HARP) Services (i.e. defined as people with chronic diseases and complex needs who frequently use hospitals or who are at risk of hospitalisation)
Exclusion criteria
Patients unable to provide informed consent including those with insufficient English to adequately communicate; patients intoxicated with alcohol, or who are cognitively impaired. Also, those receiving palliative care and patients unable to easily or accurately communicate over the telephone due to severe hearing impairment or lack of telephone access
Outcome results
None listed