Community Paramedicine Program to Improve Diabetes Care Quality, Equity, and Outcomes
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diabetes
- Sponsor
- Mayo Clinic
- Enrollment
- 86
- Locations
- 1
- Primary Endpoint
- Diabetes Distress (using DDS)
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The purpose of this study is evaluate the effectiveness of Diabetes-REM (Rescue, Engagement, and Management), a comprehensive community paramedic (CP) program to support adults in Southeast Minnesota (Mower, Freeborn, and Olmsted counties) and Northwest Wisconsin (Barron, Rusk, and Dunn) who have uncontrolled diabetes (HbA1c ≥ 9%) and have experienced an emergency department (ED) visit or hospitalization for any cause in the prior 6 months.
Investigators
Rozalina G. McCoy
Principal Investigator
Mayo Clinic
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- •Cognitive impairment precluding informed consent.
- •Lack of conversational English skills.
- •Resident of a long-term care facility.
- •Enrolled in hospice.
- •Enrolled in a care coordination or disease management program.
- •Advanced or terminal illness.
Outcomes
Primary Outcomes
Diabetes Distress (using DDS)
Time Frame: 1 month
The level of diabetes-related distress that is expressed by patient participants using the Diabetes Distress Scale (the DDS contains 17 questions, with responses ranging from "Not a Problem" (1) to "A Very Serious Problem" (6). Total scores use the sum of all responses divided by 17, with a mean item score of 3 or higher (moderate distress) indicating distress worthy of clinical attention.)
Secondary Outcomes
- Health-Related Quality of Life (using EQ-5D)(1 and 4 months)
- Diabetes Distress (using DDS)(4 months)
- Self-Reported Hypoglycemia and Hyperglycemia(1 and 4 months)
- Confidence in Diabetes Self-Management (using DSMQ)(1 and 4 months)