Diabetes Mellitus, Type 2
Conditions
Keywords
Diabetes Mellitus, Type 2, Comorbidity, Aged, Health Services
Brief summary
This study will examine the feasibility and acceptability of a 6-month interprofessional community-based health promotion program, and explore its effects on older adults' self-management of Type 2 Diabetes (T2DM). Recently enrolled clients of Diabetes Care Guelph (DCG), who are age 65+ and have at least two other chronic conditions, will be eligible to participate. Participants must be English speaking, community-dwelling, independent in activities of daily living, and mentally competent to give informed consent. The 6-month intervention will consist of: in-home visits by a Registered Nurse and Registered Dietitian from DCG; participation in a monthly Diabetes Wellness Day group program offered through the Guelph Wellington Seniors Association (GWSA) together with DCG; peer support from trained volunteers at the Diabetes Wellness Day group program; care coordination by the DCG Registered Nurse to help participants access necessary supports and services; and monthly team conferences between care providers at DCG and the GWSA to develop a client-centred plan of care. To evaluate the program, participants will complete interviewer-administered questionnaires before and after the intervention, and care providers and peer volunteers will take part in group interviews.
Interventions
OTHERHome visits and group program
Participants will receive up to three home visits by a Registered Nurse and two home visits by a Registered Dietitian over the 6-month intervention period. Participants will also be invited to attend a monthly Diabetes Wellness Day group program which will include diabetes education, interaction with peer volunteers, group exercise, and a meal. The Registered Nurse will coordinate care to help participants access necessary community supports and services and lead monthly interprofessional case conferences to develop a client-centred plan of care for each study participant.
Sponsors
Diabetes Care Guelph
Guelph Wellington Seniors Association
McMaster University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 65+ * Referred to Diabetes Care Guelph within the past 12 months * At least two chronic conditions in addition to Type 2 Diabetes Mellitus * English speaking * Community-dwelling, in the city of Guelph * Independent in activities of daily living * Mentally competent to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes from baseline in the Summary of Diabetes Self-Care Activities questionnaire | baseline and 6 months | This questionnaire measures self-care activities including diet, exercise, blood glucose testing, foot care, and smoking. |
Secondary
| Measure | Time frame |
|---|---|
| Changes from baseline in health-related quality of life (SF-12v2 health survey) | Baseline and 6 months |
| Changes from baseline in depressive symptoms (Centre for Epidemiological Studies Depression Scale) | Baseline and 6 months |
| Changes from baseline in symptoms of anxiety (Generalized Anxiety Disorder Screener-7 Scale) | Baseline and 6 months |
| Changes from baseline in fasting blood glucose (mmol/L) | Baseline and 6 months |
| Changes from baseline in HbA1C (%) | Baseline and 6 months |
| Changes from baseline in number of hypoglycemic events per week (blood glucose <4.0 mmol/L) | Baseline and 6 months |
| Changes from baseline in costs of use of health services (Health and Social Services Utilization Inventory) | Baseline and 6 months |
Other
| Measure | Time frame | Description |
|---|---|---|
| Partnership and collaboration questionnaire | 6 months | This questionnaire will be completed by care providers who carry out the intervention. It will be used to help evaluate the feasibility and acceptability of the intervention. |
Countries
Canada
Outcome results
None listed