Improving Diabetes Outcome: The Diabetes Support Project
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Type 2 Diabetes
- Sponsor
- State University of New York - Upstate Medical University
- Enrollment
- 268
- Locations
- 2
- Primary Endpoint
- Blood glucose control (hemoglobin AIc)
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
Research has shown that diabetes affects both the patient and family, and that support from family and partners helps diabetes patients manage their illness better. However, diabetes programs rarely involve the partner. The purpose of this study is to test an intervention that helps partners and patients who have type 2 diabetes better support each other. The intervention will be delivered over the telephone to reach more people. Our hypothesis is that an intervention that targets the couple has a greater effect on health and well-being of patients than one that targets the individual patient alone.
Detailed Description
Diabetes is a serious illness that affects an estimated 7% of the US population, and is associated with life-threatening and disabling complications. Research has shown that diabetes affects both the patient and family, and that support from one's spouse has been found to be the most important source of support during illness episodes. Research clearly shows that marital interaction, i.e., how the support is given and received, impacts both marital quality and health functioning. Despite the acknowledged importance of social support, the vast majority of chronic illness interventions target the individual patient. Telephone counseling has been effectively used to enhance feasibility and target patients with many illnesses, and has many benefits including low cost, decreased subject burden, and the ability to reach a broader population. This study proposes a study of a telephone-administered behavior change that promotes couples communication and collaboration.
Investigators
Paula Trief
Professor of Psychiatry and Medicine
State University of New York - Upstate Medical University
Eligibility Criteria
Inclusion Criteria
- •Diagnosis of type 2 diabetes
- •A1c level is \>=7.5%
- •Age of target subject and spouse/partner is 21 years or older
- •Married or together for \> 1 year
- •Able to speak, read, and hear English
- •Have a telephone
Exclusion Criteria
- •History of diabetes-related medical complications
- •History of active psychosis or dementia
Outcomes
Primary Outcomes
Blood glucose control (hemoglobin AIc)
Time Frame: Baseline, and 3 follow ups (mos 4, 8, 12)
Secondary Outcomes
- BMI/Waist circumference(Baseline and 3 follow-ups (mos 4, 8, and 12))
- Diabetes-related quality of life outcome (distress)(Baseline and 3 follow-ups (mos 4, 8, and 12))
- Measures of behavior change (diet, physical activity)(Baseline and 3 follow-ups (mos 4, 8, and 12))