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Medical Assistant Health Coaching for Diabetes in Diverse Primary Care Settings

Phase 3
Completed
Conditions
Type 2 Diabetes Mellitus (T2DM)
Interventions
Behavioral: Medical Assistant Health Coaching
Registration Number
NCT02643797
Lead Sponsor
Scripps Whittier Diabetes Institute
Brief Summary

This study is a cluster (clinic level) randomized pragmatic trial to compare the effectiveness of MA Health Coaching (MAC) delivered by non-clinician primary care staff (i.e., MAs) versus usual care (UC) in improving diabetes clinical control among individuals with poorly controlled type 2 diabetes mellitus (T2DM).

Detailed Description

The study will be conducted in the primary care environments of two distinct, yet representative healthcare systems in San Diego County: Neighborhood Healthcare (a San Diego County FQHC system and designated Patient-Centered Medical Home, serving predominantly ethnic minority, low income patients) and Scripps (a large, non-profit, private insurance-based health system, serving predominantly Caucasian, middle-to-higher income patients). Six hundred patients at intervention (n=2; patient N=300) and control (n=2; patient N=300) clinics, aged 18 and older, with T2DM, and glycosylated hemoglobin (HbA1c) ≥ 8.0%, and/or low-density lipoprotein cholesterol (LDL-C) ≥ 100 mg/dL, and/or systolic blood pressure (SBP) ≥ 140 within the last 60 days, will be identified and enrolled using electronic health records (EHRs). Primary clinical outcomes of HbA1c, LDL-C, and SBP assessed as part of quarterly (or annual, for LDL-C), standard-of-care medical visits will be extracted from EHRs over 12 months. Changes in patient-reported behavioral (diabetes self-care) and psychosocial (quality of life, patient activation) outcomes will be evaluated via telephone assessment in a subset of intervention and control (N=300 total) participants at baseline, month 6, and month 12. A thorough process evaluation will be conducted to establish reach, acceptability/feasibility, adoption/maintenance, and fidelity of the intervention and will integrate patient, MA, and primary care provider perspectives. Cost-effectiveness will also be examined from the health system perspective. Principles of community engaged research were incorporated in intervention and study planning and will be sustained throughout the research period.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
602
Inclusion Criteria
  1. Must be a patient at selected Scripps or Neighborhood Healthcare clinic,
  2. Must be age 18 years or older,
  3. Must have a T2DM diagnosis,
  4. Must show evidence of poor clinical control, defined as HbA1c ≥ 8% and/or LDL-C ≥ 100 mg/dL, and/or SBP ≥ 140 mmHg.
Exclusion Criteria

None as this is a pragmatic trial.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intervention Group: MA Health CoachingMedical Assistant Health CoachingPatients in the intervention group will receive the "MA Health Coaching" intervention during their primary care visits, as well a follow-up calls to encourage/monitor progress and offer support.
Primary Outcome Measures
NameTimeMethod
Glycosylated Hemoglobin (Hba1c); % units12 months
Systolic blood pressure (SBP); mmHg units12 months
Low-density lipoprotein-cholesterol (LDL-c); mg/dL units12 months
Secondary Outcome Measures
NameTimeMethod
Summary of Diabetes Self-Care Activities (SDSCA) - patient-reported outcome12 months
Patient Reported Outcomes Measurement Information System (PROMIS) General Health Scale - patient-reported outcome12 months
Patient Activation Measure (PAM) - patient-reported outcome12 months
Patient Assessment of Care for Chronic Conditions (PACIC) - patient-reported outcome12 months
Morisky Medication Adherence Scale (MMAS) - patient-reported outcome12 months

Trial Locations

Locations (1)

Scripps Whittier Diabetes Institute

🇺🇸

La Jolla, California, United States

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