Interprofessional Community-Based Diabetes Intervention for Older Adults

Not Applicable

Completed

• Conditions: Diabetes Mellitus, Type 2
• Interventions: Other: Home visits and group program

• Registration Number: NCT01880476
• Lead Sponsor: McMaster University

Brief Summary

This study will examine the feasibility and acceptability of a 6-month interprofessional community-based health promotion program, and explore its effects on older adults' self-management of Type 2 Diabetes (T2DM). Recently enrolled clients of Diabetes Care Guelph (DCG), who are age 65+ and have at least two other chronic conditions, will be eligible to participate. Participants must be English speaking, community-dwelling, independent in activities of daily living, and mentally competent to give informed consent. The 6-month intervention will consist of: in-home visits by a Registered Nurse and Registered Dietitian from DCG; participation in a monthly Diabetes Wellness Day group program offered through the Guelph Wellington Seniors Association (GWSA) together with DCG; peer support from trained volunteers at the Diabetes Wellness Day group program; care coordination by the DCG Registered Nurse to help participants access necessary supports and services; and monthly team conferences between care providers at DCG and the GWSA to develop a client-centred plan of care. To evaluate the program, participants will complete interviewer-administered questionnaires before and after the intervention, and care providers and peer volunteers will take part in group interviews.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-06
• Study First Submitted: 2013-06-14
• Study First Submitted QC: 2013-06-14
• Study First Posted: 2013-06-19
• Primary Completion: 2015-12
• Study Completion: 2015-12
• Status Verified: 2016-07
• Last Update Submitted: 2016-07-06
• Last Update Posted: 2016-07-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 45

Inclusion Criteria

• Age 65+
• Referred to Diabetes Care Guelph within the past 12 months
• At least two chronic conditions in addition to Type 2 Diabetes Mellitus
• English speaking
• Community-dwelling, in the city of Guelph
• Independent in activities of daily living
• Mentally competent to provide informed consent

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Home visits and group program	Home visits and group program	-

Primary Outcome Measures

Name	Time	Method
Changes from baseline in the Summary of Diabetes Self-Care Activities questionnaire	baseline and 6 months	This questionnaire measures self-care activities including diet, exercise, blood glucose testing, foot care, and smoking.

Secondary Outcome Measures

Name	Time	Method
Changes from baseline in symptoms of anxiety (Generalized Anxiety Disorder Screener-7 Scale)	Baseline and 6 months
Changes from baseline in costs of use of health services (Health and Social Services Utilization Inventory)	Baseline and 6 months
Changes from baseline in health-related quality of life (SF-12v2 health survey)	Baseline and 6 months
Changes from baseline in depressive symptoms (Centre for Epidemiological Studies Depression Scale)	Baseline and 6 months
Changes from baseline in HbA1C (%)	Baseline and 6 months
Changes from baseline in number of hypoglycemic events per week (blood glucose <4.0 mmol/L)	Baseline and 6 months
Changes from baseline in fasting blood glucose (mmol/L)	Baseline and 6 months

Trial Locations

Locations (1)

McMaster University; 🇨🇦 Hamilton, Ontario, Canada