An RCT Evaluation of a Diabetes Dashboard Team Model in Primary Care

Not Applicable

Completed

• Conditions: Diabetes

• Registration Number: NCT02156037
• Lead Sponsor: Baystate Medical Center

Brief Summary

To compare a comprehensive diabetes team care condition (IC) involving the diabetes team's use of a "diabetes dashboard" with a usual diabetes team care condition (UDC) that does not have access to the diabetes dashboard.

Detailed Description

To compare a usual diabetes care condition (UDC) to a comprehensive diabetes care intervention condition (IC) involving a "diabetes dashboard" clinical decision support tool used by the diabetes team in primary care. The investigators used a parallel-groups randomized design. The diabetes team (i.e., diabetes nurses, diabetes dietitians, and providers) delivered a 5-visit, 6-month intervention to n=199 poorly-controlled (HbA1c \>7.5%) Latino T2D patients (mean age=55 years, 60% female) seen at 2 urban community health centers. This intervention was compared to an established, in-house diabetes team care program (n=200) for its impact on blood glucose control and key psychosocial outcomes (diabetes distress, depression, social distress).

Study Timeline

• Study Start: 2009-07
• Primary Completion: 2013-07
• Study Completion: 2013-07
• Status Verified: 2014-06
• Study First Submitted: 2014-06-03
• Study First Submitted QC: 2014-06-04
• Last Update Submitted: 2014-06-04
• Study First Posted: 2014-06-05
• Last Update Posted: 2014-06-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 399

Inclusion Criteria

• age 18 years or older,
• self-identified Hispanic ethnicity,
• diagnosis of T2D,
• HbA1c >7.5%, and
• provider approval given for patient participation

Exclusion Criteria

• inability to consent,
• pregnant or planning to become pregnant in the next year,
• taking glucocorticoid therapy, or
• having serious psychiatric or medical complications (e.g., late stage diabetes complications, seizures, dementia, psychiatric hospitalization) that would prevent participation in study activities.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
HbA1c	6 months	Change in HbA1c over 6 months

Secondary Outcome Measures

Name	Time	Method
Diabetes distress	6 months	Patient reported diabetes distress associated with Type 2 diabetes and its treatment measured using the PAID scale
Depression	6 months	Patient-reported depression status based on the PHQ scale

Trial Locations

Locations (1)

Baystate Medical Center; 🇺🇸 Springfield, Massachusetts, United States