Multidisciplinary Team Approach: Working Together to Improve Glycemic Control in Hispanic Adults With Uncontrolled Type 2 Diabetes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 33
- 试验地点
- 2
- 主要终点
- Change in glucose level as indicated by HbA1c levels
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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.
研究组 & 干预措施
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.
干预措施: Specialized multidisciplinary diabetes team (SMDT) approach (Other)
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.
干预措施: Traditional model of care (Other)
结局指标
主要结局
Change in glucose level as indicated by HbA1c levels
时间窗: 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.
次要结局
- 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)
研究者
Mayra Judith Cantu
Family Nurse Practitioner
The University of Texas Health Science Center, Houston