Feasibility, Acceptability and Effects of an Interprofessional Community-Based Health Promotion Intervention on Self-Management in Older Adults With Type 2 Diabetes and Comorbid Chronic Conditions: A Pilot Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- McMaster University
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- Changes from baseline in the Summary of Diabetes Self-Care Activities questionnaire
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •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
Exclusion Criteria
- Not provided
Arms & Interventions
Home visits and group program
Intervention: Home visits and group program (Other)
Outcomes
Primary Outcomes
Changes from baseline in the Summary of Diabetes Self-Care Activities questionnaire
Time Frame: baseline and 6 months
This questionnaire measures self-care activities including diet, exercise, blood glucose testing, foot care, and smoking.
Secondary Outcomes
- Changes from baseline in HbA1C (%)(Baseline and 6 months)
- 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 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)