Reducing Racial Disparities in Diabetes Care - The Coached Care Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 540
- 试验地点
- 3
- 主要终点
- Hemoglobin A1c
研究概览
简要总结
In this study, we are testing the effectiveness of an intervention known as "Coached Care" to improve health outcomes and quality of care of patients being treated for type 2 diabetes, particularly patients in underserved populations. The intervention involves training members of minority communities who have diabetes to be "coaches", teaching minority patients the skills needed to participate effectively in care during office visits, as they present for those visits. Coaches follow patients for 9 routine consecutive visits, reinforcing participation skills before and between their routine office visits.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •diagnosis of type 2 diabetes
- •At least one Hemoglobin A1c value greater than 7.5% in the year prior to recruitment.
排除标准
- •Age above 80 years
- •patients with dementia or other serious mental health problems that would prevent them from participating in the intervention.
- •patients with other serious medical problems that would prevent them from participating in the intervention.
研究组 & 干预措施
Coached Care
Coached Care pairs patients with linguistically and ethnically matched peer "coaches" who have been trained to promote patient participation in the medical visit. The coaches, who themselves have diabetes, meet with patients immediately before each of their regularly scheduled medical visits to encourage active involvement in information seeking and decision-making.
干预措施: Coached Care (Behavioral)
Standard Diabetes Education
Patients receive one-on-one diabetes education sessions before each medical visit. These sessions are purely informational, and do not include the specific patient activation components of the coached care intervention.
干预措施: Standard Diabetes Education (Behavioral)
结局指标
主要结局
Hemoglobin A1c
时间窗: 1 year and 2 year follow-up
A laboratory measure of blood sugar control
次要结局
- Health-related quality of life(1 year and 2 year follow-up)
研究者
Sheldon Greenfield
Professor
University of California, Irvine