Type 2 Diabetes
Conditions
Keywords
Multidisciplinary Team, Hispanic adults
Brief summary
This study seeks to determine if a specialized multidisciplinary diabetes team (SMDT) approach that incorporates the use of the chronic care model can be an effective method for improving glycemic control in Hispanic adults with uncontrolled type 2 diabetes residing in the Rio Grande Valley. The study will expand the current model of care used and focus on the multidimensional aspects that consist of physical, nutritional, educational and psychological needs of this underserved Hispanic population residing in the Rio Grande Valley.
Interventions
OTHERSpecialized multidisciplinary diabetes team (SMDT) approach
The implementation of the pilot study will consist of a specialized multidisciplinary diabetes team care (SMDT) that includes endocrinologists, a nurse practitioner, dieticians, pharmacists and a licensed professional counselors (LPCs) to collaborate and coordinate care. Subjects in the pilot study will follow a multidisciplinary team approach process with the following team members: pharmacist, LPC, and dietician. There will be 3 individualized visits: 1 visit with the counselor (LPC), 1 visit with the Pharmacist, and 1 visit with the Dietician. In addition, a follow up phone call post visit, that can range from 5 to 30 minutes, will be scheduled from each of the team members during the study. Also, throughout the pilot study participant's blood glucose readings will be monitored weekly via a transmittable wireless patient transmission monitor.
OTHERTraditional model of care
Receive the traditional model of care, but will not receive diabetes education by pharmacists or counseling services
Sponsors
DHR Health Institute for Research and Development
The University of Texas Health Science Center, Houston
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Have physician-diagnosed type 2 diabetes * Be self-identified as Hispanic or Latino * An A1c value between 9-14% within the last three months * English or Spanish speaking
Exclusion criteria
* Type 1 diabetes or gestational diabetes * Cognitive impairment * Prisoners or individuals under detention * Unable to speak or understand English or Spanish * Medical history of the end-stage renal disease or undergoing dialysis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in glucose level as indicated by HbA1c levels | baseline, 3 months | In this outcome, only the specialized multidisciplinary diabetes team (SMDT) arm (and not the traditional model of care arm) will be assessed. |
Secondary
| Measure | Time frame |
|---|---|
| Change in patient satisfaction with a multidisciplinary team approach management as indicated by a diabetes treatment satisfaction questionnaire (DTSQ) | baseline, 3 months |
| Level of diabetes problem areas as assessed by the Problem Areas in Diabetes Questionnaire (PAID) questionnaire | baseline, 3 months |
| Change in weight | baseline, 3 months |
| Change in blood pressure | baseline, 3 months |
| Change in body mass index (BMI) | baseline, 3 months |
Other
| Measure | Time frame | Description |
|---|---|---|
| Glucose level as indicated by HbA1c levels | 3 months | The objective of this outcome is to compare and evaluate HbA1c results from participants that received care through a multidisciplinary diabetes team with patients that have received only the traditional model of care. |
Countries
United States
Outcome results
None listed