Multidisciplinary Team Approach: Working Together to Improve Glycemic Control in Hispanic Adults Diabetes

Not Applicable

Completed

• Conditions: Type 2 Diabetes
• Interventions: Other: Specialized multidisciplinary diabetes team (SMDT) approach; Other: Traditional model of care

• Registration Number: NCT03463629
• Lead Sponsor: The University of Texas Health Science Center, Houston

Brief Summary

This study seeks to determine if a specialized multidisciplinary diabetes team (SMDT) approach that incorporates the use of the chronic care model can be an effective method for improving glycemic control in Hispanic adults with uncontrolled type 2 diabetes residing in the Rio Grande Valley. The study will expand the current model of care used and focus on the multidimensional aspects that consist of physical, nutritional, educational and psychological needs of this underserved Hispanic population residing in the Rio Grande Valley.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-03-06
• Study First Submitted QC: 2018-03-06
• Study First Posted: 2018-03-13
• Study Start: 2018-03-21
• Primary Completion: 2018-08-14
• Study Completion: 2018-08-14
• Status Verified: 2018-09
• Last Update Submitted: 2018-09-18
• Last Update Posted: 2018-09-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 33

Inclusion Criteria

• Have physician-diagnosed type 2 diabetes
• Be self-identified as Hispanic or Latino
• An A1c value between 9-14% within the last three months
• English or Spanish speaking

Exclusion Criteria

• Type 1 diabetes or gestational diabetes
• Cognitive impairment
• Prisoners or individuals under detention
• Unable to speak or understand English or Spanish
• Medical history of the end-stage renal disease or undergoing dialysis.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Specialized multidisciplinary diabetes team (SMDT) approach	Specialized multidisciplinary diabetes team (SMDT) approach	The implementation of the pilot study will consist of a specialized multidisciplinary diabetes team care (SMDT) that includes endocrinologists, a nurse practitioner, dieticians, pharmacists and a licensed professional counselors (LPCs) to collaborate and coordinate care. Subjects in the pilot study will follow a multidisciplinary team approach process with the following team members: pharmacist, LPC, and dietician. There will be 3 individualized visits: 1 visit with the counselor (LPC), 1 visit with the Pharmacist, and 1 visit with the Dietician. In addition, a follow up phone call post visit, that can range from 5 to 30 minutes, will be scheduled from each of the team members during the study. Also, throughout the pilot study participant's blood glucose readings will be monitored weekly via a transmittable wireless patient transmission monitor.
Traditional model of care	Traditional model of care	Receive the traditional model of care, but will not receive diabetes education by pharmacists or counseling services. Data for this arm will be collected through retrospective chart review.

Primary Outcome Measures

Name	Time	Method
Change in glucose level as indicated by HbA1c levels	baseline, 3 months	In this outcome, only the specialized multidisciplinary diabetes team (SMDT) arm (and not the traditional model of care arm) will be assessed.

Secondary Outcome Measures

Name	Time	Method
Change in weight	baseline, 3 months
Change in patient satisfaction with a multidisciplinary team approach management as indicated by a diabetes treatment satisfaction questionnaire (DTSQ)	baseline, 3 months
Level of diabetes problem areas as assessed by the Problem Areas in Diabetes Questionnaire (PAID) questionnaire	baseline, 3 months
Change in blood pressure	baseline, 3 months
Change in body mass index (BMI)	baseline, 3 months

Trial Locations

Locations (1)

The University of Texas Health Science Center at Houston; 🇺🇸 Houston, Texas, United States