Impact of Nurse Case Management on Diabetes-related Health Outcomes in a Specialty Care Setting: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Type 2 Diabetes
- Sponsor
- BCDiabetes.Ca
- Enrollment
- 140
- Locations
- 1
- Primary Endpoint
- A1c
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
This study will examine whether patients with diabetes who are either 1) newly discharged from hospital or 2) referred to an endocrinologist for management will have better diabetes outcomes when their care is managed primarily by a dedicated case manager (intervention) than by an endocrinologist (standard care) after 6 months of treatment.
Detailed Description
The study will be a randomized-control trial recruiting patients with type 2 diabetes in a specialty care setting from two sources: 1. referred by family physicians with inadequate glycemic control likely requiring exogenous insulin therapy 2. referred by medical staff at Vancouver General Hospital or St. Paul's Hospital during in-patient care \& about to be discharged (Appendix 1). Patients who meet the inclusion criteria will be randomly assigned into either the NCM group or SC group.
Investigators
Tom Elliott
PI
BCDiabetes.Ca
Eligibility Criteria
Inclusion Criteria
- •Type 2 diabetes
- •A1c \> 8.0 or
- •BP \> 140/90 or
- •LDL cholesterol \> 2.0 (72 mg/dl)
Exclusion Criteria
- •inability to speak English or to be assisted by somebody fluent in English
Outcomes
Primary Outcomes
A1c
Time Frame: 6 months
changes in A1C between NCM vs. SC
diabetes distress (DDS)
Time Frame: 6 months
changes in diabetes distress between NCM vs. SC. Diabetes Distress (DDS) will be assessed using the 17-item Diabetes Distress Scale (DDS) developed by Polonsky and colleagues. The DDS measures emotional distress and functioning as it relates to living with diabetes. Responses are scored on a 6-point Likert scale (1=no problem to 6=serious problem). A total score is derived by taking the mean of all items. A score of \< 2 indicate low/no distress, 2 - 2.9 indicates moderate distress, and score of ≥ 3 indicates high distress.
Secondary Outcomes
- Medication adherence(6 months)
- blood pressure(6 months)
- BMI(6 months)
- Self-management behaviours(6 months)
- Patient motivation(6 months)
- Diabetes-specific Social Support(6 months)
- Depressive Symptoms Severity(6 months)