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Technology-enabled Collaborative Care for Diabetes Management During COVID-19

Not Applicable
Completed
Conditions
Type 2 Diabetes
Interventions
Behavioral: Intervention for TECC Model
Registration Number
NCT04607915
Lead Sponsor
Centre for Addiction and Mental Health
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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
31
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

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Intervention for TECC ModelIntervention for TECC Model-
Primary Outcome Measures
NameTimeMethod
Feasibility - Delivery of Intervention (Time with coach)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 NumbersThrough 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)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 characteristicsup to 8-weeks

The primary outcome in this study is feasibility, specifically process outcomes. This includes participant characteristics

Feasibility - Participant Engagement (retention rate)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)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)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)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 Outcome Measures
NameTimeMethod
Study Participant experience and satisfaction via semi-structured interviewup to 8-weeks

The secondary outcome consists of study participant experience/satisfaction.

Virtual Care Team experience and satisfaction via semi-structured interviewup to 8-weeks

The secondary outcome consists of Virtual Care Team experience and satisfaction.

Care Coordinator experience and satisfaction via semi-structured interviewup to 8-weeks

The secondary outcome consists of Care Coordinator experience and satisfaction.

Trial Locations

Locations (1)

CAMH

🇨🇦

Toronto, Ontario, Canada

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