NCT01125956已完成不适用
Improving Diabetes Control Through Peer Counseling and Incentives
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 160
- 试验地点
- 1
- 主要终点
- Hemoglobin A1c
研究概览
简要总结
The specific aims of this study are to test whether in a cohort of low-income minority veterans with poor diabetes mellitus (DM) control:
- Peer counseling is an effective means of reducing HbA1c (a measure of glucose control).
- Financial incentives are an effective means of reducing HbA1c. This is a randomized controlled pilot study. There will be 3 arms: 1) a control group of poorly controlled diabetics getting usual care; 2) peer counseling with no incentives; and 3) financial incentives without peers. Ultimately, contingent on the success of this intervention, the researchers plan to apply for funding for a large scale intervention employing both peer counseling and incentives to improve DM control in low income and minority patients who are at high risk for premature morbidity and mortality.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •African American veteran
- •50-70 years old
- •ICD-9CM diagnosis code consistent with DM (any ICD-9CM code starting with 250)
- •For patients: last two HbA1c greater than 8% with at least one measure being within 3 months of enrollment
- •For peer counselors: HbA1c of greater than 8% in the past 3 years and an HbA1c less than or equal to 7.5% within 3 months of enrollment
排除标准
- •Unstable medical condition that would likely prevent the subject from completing the study
- •Patients enrolled in Telehealth will be excluded as such enrollment does not constitute usual care
研究组 & 干预措施
Control
No Intervention
This group will receive usual diabetes care through their primary care clinicians.
Peer counseling
Experimental
A peer counselor will be assigned to each participant who currently has good diabetes control but had poor control in the past 3 years.
干预措施: Assigned a peer counselor (Behavioral)
Financial incentives
Experimental
Patient participants in the financial incentive arm will be given $100 for reduction of HbA1c by 1 point in a 6 month period and $200 for reduction by 2 points.
干预措施: Financial incentives (Behavioral)
结局指标
主要结局
Hemoglobin A1c
时间窗: Baseline, 6 months
Change in HbA1c from baseline will be the primary outcome measure.
次要结局
- Counts of the number of hypoglycemic events(6 months)
- Experience of peer counseling(6 months)
- Number of peer encounters(6 months)
研究者
研究点 (1)
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