Seed-alter Dyad Social Support Intervention for Rural Dwelling Older Adults With T2DM
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 90
- 试验地点
- 2
- 主要终点
- Hemoglobin A1c
研究概览
简要总结
This study seeks to describe and evaluate the impact of social support on self-care and clinical outcomes in rural-dwelling older adults with T2DM, test the feasibility and preliminary effectiveness of a 6-week intervention administered by community health workers targeting rural dwelling older adults with T2DM (seed) and an individual within their social support network (alter).
详细描述
A mixed-methods approach will be used to map social networks of older adults and assess their perceived social support from members of their social network and determine its influence on self-care and clinical outcomes. We will conduct semi-structured interviews with older rural-dwelling adults to map their social network structure, determine the types of social support provided by members of their SN, and identify key players within the older adults' personal network. For this aim, key players are those who can facilitate and promote T2DM self-care on an individual level. These older adults will form a dyad with their alter to participate in a multilevel intervention which includes: gauging the feasibility of using community health workers identified via social network analysis to conduct self-care sessions in rural communities, and the feasibility of seed-alter dyads to provide social support that improves self-care in older adults.
In addition, the seed-alter dyad will participate in 6 weekly sessions of a diabetes education program, led by the community health workers identified previously. Participants will be asked to complete surveys at baseline, 6, and 12 months to assess social support, participants' knowledge about diabetes, and how participants are managing their diabetes.
The preliminary data used for this K01 application was collected from the BRFSS where data is self-reported and its accuracy cannot be confirmed, and a dataset where social support was not the primary objective of the study and there was a small sample size all older adults. Yet, there remains a body of literature that substantiates the influence of social support on T2DM self-care and the disproportionate burden of T2DM in older adults. The proposed research will provide a comprehensive overview of the role of social support and how to leverage this support in a rural community.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •confirmed diagnosis of T2DM via electronic medical record
- •age 65 years or older
- •lives within Leslie County
- •able to provide consent
- •have had at least one clinic visit in the past year
排除标准
- •no diagnosis of T2DM via electronic medical record
- •under 65 years of age
- •unable to speak and understand English
- •unable to consent
- •"Alters" Inclusion Criteria
- •18 years of age or older
- •able to provide consent
- •has at least weekly contact with the seed
- •"Alters" Exclusion Criteria
- •under 18 years of age
- •unable to speak and understand English
- •unable to consent
结局指标
主要结局
Hemoglobin A1c
时间窗: 12 months
The change in participants' hemoglobin A1c measures will be abstracted from their medical records pre- and post-training with the DEEP program. Improved hemoglobin A1c figures suggest an overall success of the DEEP program and a better ability for patients to manage their diabetes.
次要结局
- Diastolic Blood Pressure(12 months)
- Systolic Blood Pressure(12 months)
- Lipids(6 weeks)
- Self-care(12 months)
- Medication Adherence(12 months)
- Health-related Quality of Life Measures(12 months)
研究者
Brittany L Smalls
Assistant Professor
University of Kentucky