TEAMcare for Diabetes in Mental Health Centers

Not Applicable

Completed

• Conditions: Diabetes
• Interventions: Other: TEAMcare treatment of diabetes

• Registration Number: NCT02011529
• Lead Sponsor: University of Washington

Brief Summary

This proposal aims to demonstrate the feasibility and acceptability of adapting TEAMcare for patients with schizophrenia. The aim of this innovative mental health center-based team intervention is to improve diabetes, cardiovascular and psychiatric outcomes among patients with poorly controlled type 2 diabetes. The study will be conducted in two phases over the 2-year grant period.

Phase 1. Development of the adapted TEAMcare intervention and training of team members.

Phase 2. During year 2, we will implement the intervention on the caseload of 40 outpatients at Harborview Mental Health Services with schizophrenia and poorly controlled type 2 diabetes. The intervention involves the management of subjects' diabetes, hypertension, and hyperlipidemia by a CMHC diabetes team for 6 months (advanced nurse specialist on-site at supervised in weekly meetings by a psychiatrist and a UW Diabetes Center endocrinologist).

The primary aim of this pilot research grant is to evaluate the feasibility of implementing this complex intervention, in order to guide the design of a larger scale efficacy study (R01). Both process and outcome measures will be evaluated at baseline, and at 3- and 6-month follow-up visits for the 40 subjects enrolled in this feasibility trial.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-11
• Study First Submitted: 2013-12-09
• Study First Submitted QC: 2013-12-09
• Study First Posted: 2013-12-13
• Primary Completion: 2015-09
• Study Completion: 2015-09
• Status Verified: 2015-10
• Last Update Submitted: 2015-10-01
• Last Update Posted: 2015-10-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 35

Inclusion Criteria

• adult (18-70 years);
• enrolled to receive mental health treatment at Harborview Mental Health Services or Downtown Emergency Services Mental Health center
• a diagnosis of type 2 diabetes mellitus or cardiovascular disease
• Hemoglobin A1c >8 or BP > 140/90

Exclusion Criteria

• cognitive, hearing, or language impairment that would preclude a subject from providing informed consent;
• current suicidality, homicidality, or grave disability that requires psychiatric hospitalization;
• current substance abuse or dependence, as defined by SCID.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
TEAMcare treatment of diabetes	TEAMcare treatment of diabetes	-

Primary Outcome Measures

Name	Time	Method
Hemoglobin A1c	6 months

Secondary Outcome Measures

Name	Time	Method
LDL cholesterol	6 months
Blood Pressure	6 months

Trial Locations

Locations (1)

Harborview Medical Center; 🇺🇸 Seattle, Washington, United States