Identifying and Overcoming Barriers to Diabetes Management in the Elderly: A Cost-effective Intervention Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 52
- 试验地点
- 2
- 主要终点
- Hemoglobin A1c
研究概览
简要总结
The purpose of this study is to find ways to identify barriers that affect self care in older adult with diabetes and to provide cost effective coping strategies to improve clinical, functional and psychosocial measures.
详细描述
This is a study to evaluate whether short term focused intervention by a geriatric diabetes team to help overcome barriers to diabetes care in older adults will result in improved clinical, functional, and quality of life measures compared to usual care in a cost effective manner. In addition, we will assess whether the support network formed during intervention by the geriatric diabetes team will empower patients, resulting in long lasting improvement in parameters after intervention is completed.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 69 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 70 years and older
- •Diagnosis of type 1 or type 2 diabetes
- •Seen at Joslin Clinic or Beth Israel Deaconess Medical Center for at least one year
- •HbA1c 8% X 2 in past 6 months without fluctuation of more than 0.5% (i.e. stable poor control)
- •No major change in medications in past 3 months, e.g. addition of insulin or another hypoglycemic agent
排除标准
- •Patients with terminal diseases, e.g. malignancy with expected life expectancy of 12 months or less
- •Patients who live more than 25 miles from Joslin Clinic/Beth Israel Deaconess Medical Center
- •Patients who live in an institutional setting (e.g. nursing home, group home, etc)
- •Patients who are not able to complete outcome assessments, (e.g. poor vision, diminished mental capacity/severe cognitive decline, unable to speak/read/write English
结局指标
主要结局
Hemoglobin A1c
时间窗: 6 and 12 months
The primary outcomes of the study is to measure change in A1c before and after intervention.
次要结局
- Hypoglycemia(6 and 12 months)
- functionality(6 and 12 months)
- Cognitive function(6 and 12 months)
- Depression(6 and 12 months)
- Self care inventory - revised(6 and 12 months)
- Problem areas in diabetes(6 and 12 months)
- Economic impact(6 and 12 months)
研究者
Medha Munshi
Director of Geriactric Diabetes Clinic
Joslin Diabetes Center