Diabetes
Conditions
Keywords
Hispanic, clinical decision support, diabetes, Hba1c, psychosocial
Brief summary
To compare a comprehensive diabetes team care condition (IC) involving the diabetes team's use of a diabetes dashboard with a usual diabetes team care condition (UDC) that does not have access to the diabetes dashboard.
Detailed description
To compare a usual diabetes care condition (UDC) to a comprehensive diabetes care intervention condition (IC) involving a diabetes dashboard clinical decision support tool used by the diabetes team in primary care. The investigators used a parallel-groups randomized design. The diabetes team (i.e., diabetes nurses, diabetes dietitians, and providers) delivered a 5-visit, 6-month intervention to n=199 poorly-controlled (HbA1c \>7.5%) Latino T2D patients (mean age=55 years, 60% female) seen at 2 urban community health centers. This intervention was compared to an established, in-house diabetes team care program (n=200) for its impact on blood glucose control and key psychosocial outcomes (diabetes distress, depression, social distress).
Interventions
BEHAVIORALDiabetes Dashboard Intervention
The Diabetes Dashboard Intervention Condition involved a program of five, in-person, one-on-one diabetes education and behavior change visits with a diabetes nurse or diabetes dietician, scheduled at baseline, two weeks, one month, three months, and six months post-enrollment.
BEHAVIORALUsual Diabetes Care
The UDC condition was delivered by four bicultural, bilingual diabetes nurses and diabetes dietitians who comprised the clinical site's long-standing, in-house diabetes program.
Sponsors
Baystate Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age 18 years or older, * self-identified Hispanic ethnicity, * diagnosis of T2D, * HbA1c \>7.5%, and * provider approval given for patient participation
Exclusion criteria
* inability to consent, * pregnant or planning to become pregnant in the next year, * taking glucocorticoid therapy, or * having serious psychiatric or medical complications (e.g., late stage diabetes complications, seizures, dementia, psychiatric hospitalization) that would prevent participation in study activities.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HbA1c | 6 months | Change in HbA1c over 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diabetes distress | 6 months | Patient reported diabetes distress associated with Type 2 diabetes and its treatment measured using the PAID scale |
| Depression | 6 months | Patient-reported depression status based on the PHQ scale |
Countries
United States
Outcome results
None listed