Technology-enabled Collaborative Care for Diabetes (TECC-Diabetes) Management During COVID: A Feasibility Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 31
- Locations
- 1
- Primary Endpoint
- Feasibility - Delivery of Intervention (Time with coach)
Study Overview
Brief Summary
The overall goal of this research program is to evaluate the effectiveness of a Technology-Enabled Collaborative Care program. In this study, we examine the feasibility of such a program, called the Technology-Enabled Collaborative Care (TECC) for type 2 diabetes designed to support patients with diabetes and mental health concerns during COVID-19.
Detailed Description
There is growing concern regarding the impact of COVID-19 and social isolation on mental health and wellbeing, particularly adults living with type 2 diabetes (T2DM), who are at greater risk for mental health issues than the general population. Self-management education and support for healthy eating, physical activity, glucose monitoring, medication adherence and problem solving are vital components of diabetes care. Due to social distancing and limited care and resources, that are likely to persist in the post pandemic phase other innovative service models should be developed and adopted to improve service delivery. The overall goal of this research program is to evaluate the effectiveness of a Technology-Enabled Collaborative Care program. In this study, we examine the feasibility of such a program, called the Technology-Enabled Collaborative Care (TECC) for T2DM designed to support patients with diabetes and mental health concerns during COVID-19.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Age: 18 years and older
- •Clinician diagnosis of Type 2 diabetes for at least one year
- •A1C level of 7.5% or higher within the last 6 months (benchmark is 7%)
- •Access to telephone or internet through computer or mobile
- •Experiencing some distress, score of ** on Perceived Stress Scale
Exclusion Criteria
- •Unable to provide consent
- •Unable to understand English
- •Pregnant or planning to get pregnant during the course of the study
Arms & Interventions
Intervention for TECC Model
Intervention: Intervention for TECC Model (Behavioral)
Outcomes
Primary Outcomes
Feasibility - Delivery of Intervention (Time with coach)
Time Frame: up to 8-weeks
The primary outcome in this study is feasibility, specifically process outcomes. This includes the amount of time a coach spends per interaction
Feasibility - Recruitment Numbers
Time Frame: Through the study completion, an average of 4 months
The primary outcome in this study is feasibility, specifically process outcomes. This includes assessing recruitment number
Feasibility - Delivery of Intervention (Coach strategies)
Time Frame: up to 12-weeks
The primary outcome in this study is feasibility, specifically process outcomes. This includes what strategies are used by the coach (i.e., educational, psychosocial support, behaviour modifications, or case management/monitoring)
Feasibility - Participant characteristics
Time Frame: up to 8-weeks
The primary outcome in this study is feasibility, specifically process outcomes. This includes participant characteristics
Feasibility - Participant Engagement (retention rate)
Time Frame: up to 8-weeks
The primary outcome in this study is feasibility, specifically process outcomes. This includes participant retention rate (e.g., defined by time between first and last visit)
Feasibility - Delivery of Intervention (Mode of interaction)
Time Frame: up to 12-weeks
The primary outcome in this study is feasibility, specifically process outcomes. This includes the mode of the interaction (i.e., virtual, telephone or both)
Feasibility - Participant Engagement (intensity)
Time Frame: up to 8-weeks
The primary outcome in this study is feasibility, specifically process outcomes. This includes intensity (e.g., number of session participants attend)
Feasibility - Participant Engagement (drop out)
Time Frame: up to 8-weeks
The primary outcome in this study is feasibility, specifically process outcomes. This includes drop out (consented/enrolled but did not attend first one-on-one)
Secondary Outcomes
- Study Participant experience and satisfaction via semi-structured interview(up to 8-weeks)
- Virtual Care Team experience and satisfaction via semi-structured interview(up to 8-weeks)
- Care Coordinator experience and satisfaction via semi-structured interview(up to 8-weeks)
Investigators
Peter Selby
Clinician Scientist
Centre for Addiction and Mental Health