Evaluating the Effectiveness of Social Relationships on Psychological Distress and Disease Progression in Patients With Diabetes: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diabetes Mellitus, Type 2
- Sponsor
- BCDiabetes.Ca
- Enrollment
- 48
- Primary Endpoint
- Diabetes distress
- Last Updated
- 9 years ago
Overview
Brief Summary
This study will determine the feasibility and effectiveness of a monthly social support group along with a weekly peer-to-peer meeting in improving perceived level of social support, diabetes distress, and A1c profiles in patients with Type II diabetes mellitus, compared with standard care offered at British Columbia Diabetes (BC Diabetes).
Detailed Description
This is a prospective, randomized, non-blinded comparative group clinical trial of 48 participants receiving social interaction in addition to standard diabetes care or standard diabetes care alone. All participants will have a baseline and 6 month follow-up visit where assessment of their A1C, diabetes distress, and social support will be performed. Participants randomized to the social interaction cohort will meet on a monthly basis for a two hour group session designed to build social connections. In addition, participants will be paired with another study participant in this group, and will be asked to meet on a monthly basis for a minimum of 45 minutes. All participants in the social support cohort will continue to receive best standard diabetes management. Participants in the control group will be treated with standard diabetes care. At the end of the 6-month study, they will have the opportunity to engage in the same social interventions offered to the social interaction group.
Investigators
Tom Elliott
Medical Director at BC Diabetes
BCDiabetes.Ca
Eligibility Criteria
Inclusion Criteria
- •Willingly provide your full informed consent to participate;
- •Are at least 19 years of age;
- •Have an established diagnosis of Type 2 diabetes mellitus;
- •Have a Diabetes Distress Screening Scale (a score of 2-3 is considered moderate distress, 3-4 is considered high)
- •Have a Social Provisions Scale score less than 60 (a score of 80-90 is considered high, 60-80 moderate and less than 60 sub-optimal)
- •Have an A1c greater than 8.5% in the last 2 months (a score of 6-7 is considered optimal, 7-8 sub-optimal and \>8.0 inadequate)
Exclusion Criteria
- •Are unable to easily communicate in oral and written English.
- •Have a physical disability or psychiatric diagnosis which would limit the ability to participate in the study;
- •Are a prisoner, or in pre-trial;
- •Do not have a fixed address;
Outcomes
Primary Outcomes
Diabetes distress
Time Frame: 6 months post randomization
Score on Diabetes Distress Screening Scale
A1C
Time Frame: 6 months post randomization
Hemoglobin A1C blood test
Self-reported social support
Time Frame: 6 months post randomization
Score on Social Provisions Scale
Secondary Outcomes
- Weight(6 months post randomization)
- Medical adherence(6 months post randomization)
- Statin refusal(6 months post randomization)
- Exercise(6 months post randomization)
- Diet(6 months post randomization)
- Blood pressure(6 months post randomization)