Community Paramedicine Program to Improve Diabetes Care Quality, Equity, and Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Mayo Clinic
- 入组人数
- 86
- 试验地点
- 2
- 主要终点
- Diabetes Distress (using DDS)
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- •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.
结局指标
主要结局
Diabetes Distress (using DDS)
时间窗: 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.)
次要结局
- 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)
研究者
Rozalina G. McCoy
Principal Investigator
Mayo Clinic