Trial Outcomes & Findings for Racial/Ethnic Differences in Trust/Mistrust and Its Effect on Diabetes Outcomes (NCT NCT00383110)

NCT ID: NCT00383110

Last Updated: 2015-04-28

Results Overview

The GTIPS is a valid and reliable 11-item measure of general trust in physicians in the domains of dependability, confidence, and confidentiality of information. All items are fashioned in a 5-point Likert format with a minimum score of 11 and maximum of 55. Higher scores indicate more trust in physicians.

Recruitment status

COMPLETED

Target enrollment

300 participants

Primary outcome timeframe

12 months following enrollment

Results posted on

2015-04-28

Participant Flow

Patients were recruited from the Charleston VAMC. Veterans with Type 2 Diabetes identified through the VA electronic medical resources system (CPRS) were consented and enrolled between November 2004 and February 2006.

Participant milestones

Participant milestones
Measure
White American Veterans
White American adult Veterans (age 18 or older) with type 2 diabetes
Black American Veterans
Black American adult Veterans (age 18 or older) with type 2 diabetes
Overall Study
STARTED
150
150
Overall Study
COMPLETED
150
150
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Racial/Ethnic Differences in Trust/Mistrust and Its Effect on Diabetes Outcomes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
White American Veterans
n=150 Participants
White American adult Veterans (age 18 or older) with type 2 diabetes
Black American Veterans
n=150 Participants
Black American adult Veterans (age 18 or older) with type 2 diabetes
Total
n=300 Participants
Total of all reporting groups
Age, Continuous
68.11 years
STANDARD_DEVIATION 9.49 • n=5 Participants
63.78 years
STANDARD_DEVIATION 10.84 • n=7 Participants
65.93 years
STANDARD_DEVIATION 10.41 • n=5 Participants
Gender
Female
2 participants
n=5 Participants
4 participants
n=7 Participants
6 participants
n=5 Participants
Gender
Male
143 participants
n=5 Participants
142 participants
n=7 Participants
285 participants
n=5 Participants
Marital Status
Married
101 participants
n=5 Participants
84 participants
n=7 Participants
185 participants
n=5 Participants
Marital Status
Not Married
44 participants
n=5 Participants
64 participants
n=7 Participants
108 participants
n=5 Participants
Diabetes Duration
11.6 years
STANDARD_DEVIATION 11.1 • n=5 Participants
10.0 years
STANDARD_DEVIATION 8.0 • n=7 Participants
10.8 years
STANDARD_DEVIATION 9.7 • n=5 Participants
Education
13.4 years
STANDARD_DEVIATION 2.9 • n=5 Participants
12.3 years
STANDARD_DEVIATION 3.2 • n=7 Participants
12.8 years
STANDARD_DEVIATION 3.1 • n=5 Participants
Work Status
Working
39 participants
n=5 Participants
34 participants
n=7 Participants
73 participants
n=5 Participants
Work Status
Retired
71 participants
n=5 Participants
50 participants
n=7 Participants
121 participants
n=5 Participants
Work Status
Disabled
29 participants
n=5 Participants
48 participants
n=7 Participants
77 participants
n=5 Participants
Work Status
Other
4 participants
n=5 Participants
7 participants
n=7 Participants
11 participants
n=5 Participants
Income
< $20,000
46 participants
n=5 Participants
73 participants
n=7 Participants
119 participants
n=5 Participants
Income
$20,000-$34,999
49 participants
n=5 Participants
32 participants
n=7 Participants
81 participants
n=5 Participants
Income
$35,000-$49,999
20 participants
n=5 Participants
18 participants
n=7 Participants
38 participants
n=5 Participants
Income
$50,000-$74,999
14 participants
n=5 Participants
13 participants
n=7 Participants
27 participants
n=5 Participants
Income
> $75,000
12 participants
n=5 Participants
1 participants
n=7 Participants
13 participants
n=5 Participants
Comorbidity Index
1.8 units on a scale
STANDARD_DEVIATION 1.3 • n=5 Participants
2.0 units on a scale
STANDARD_DEVIATION 2.4 • n=7 Participants
1.9 units on a scale
STANDARD_DEVIATION 1.9 • n=5 Participants

PRIMARY outcome

Timeframe: 12 months following enrollment

Population: Discrepancies in number of participants analyzed is due to some participants choosing not to answer all questions.

The GTIPS is a valid and reliable 11-item measure of general trust in physicians in the domains of dependability, confidence, and confidentiality of information. All items are fashioned in a 5-point Likert format with a minimum score of 11 and maximum of 55. Higher scores indicate more trust in physicians.

Outcome measures

Outcome measures
Measure
White American Veterans
n=144 Participants
White American adult Veterans (age 18 or older) with type 2 diabetes
Black American Veterans
n=145 Participants
Black American adult Veterans (age 18 or older) with type 2 diabetes
General Trust in Physicians Scale (GTIPS)
39.0 units on a scale
Standard Deviation 9.7
39.5 units on a scale
Standard Deviation 7.6

PRIMARY outcome

Timeframe: 12 months after enrollment

Population: Discrepancies in number of participants analyzed is due to some participants choosing not to answer all questions.

Health Care System Distrust Scale is a valid and reliable 10-item measure of distrust of the health care system, measuring honesty confidentiality and confidence. All questions are measured on a Likert scale, with scores ranging from a minimum of 10 to a maximum of 50. Higher scores indicate more distrust in the health care system.

Outcome measures

Outcome measures
Measure
White American Veterans
n=143 Participants
White American adult Veterans (age 18 or older) with type 2 diabetes
Black American Veterans
n=144 Participants
Black American adult Veterans (age 18 or older) with type 2 diabetes
Health Care System Distrust Scale
26.6 units on a scale
Standard Deviation 7.4
26.3 units on a scale
Standard Deviation 7.1

SECONDARY outcome

Timeframe: 12 months after enrollment

Population: Discrepancies in number of participants analyzed is due to some participants having no data in their medical record for this measure.

Outcome measures

Outcome measures
Measure
White American Veterans
n=141 Participants
White American adult Veterans (age 18 or older) with type 2 diabetes
Black American Veterans
n=146 Participants
Black American adult Veterans (age 18 or older) with type 2 diabetes
Hemoglobin A1c
6.8 % HbA1c
Standard Deviation 1.2
7.1 % HbA1c
Standard Deviation 1.4

SECONDARY outcome

Timeframe: 12-months after enrollment

Population: Discrepancies in number of participants analyzed is due to some participants having no data in their medical record for this measure.

Outcome measures

Outcome measures
Measure
White American Veterans
n=141 Participants
White American adult Veterans (age 18 or older) with type 2 diabetes
Black American Veterans
n=146 Participants
Black American adult Veterans (age 18 or older) with type 2 diabetes
Systolic Blood Pressure
131.9 mmHg
Standard Deviation 14.6
135.7 mmHg
Standard Deviation 14.6

SECONDARY outcome

Timeframe: 12-months after enrollment

Population: Discrepancies in number of participants analyzed is due to some participants having no data in their medical record for this measure.

Outcome measures

Outcome measures
Measure
White American Veterans
n=141 Participants
White American adult Veterans (age 18 or older) with type 2 diabetes
Black American Veterans
n=146 Participants
Black American adult Veterans (age 18 or older) with type 2 diabetes
Diastolic Blood Pressure
71.1 mmHg
Standard Deviation 8.9
75.9 mmHg
Standard Deviation 8.8

SECONDARY outcome

Timeframe: 12-months after enrollment

Population: Discrepancies in number of participants analyzed is due to some participants having no data in their medical record for this measure.

Outcome measures

Outcome measures
Measure
White American Veterans
n=138 Participants
White American adult Veterans (age 18 or older) with type 2 diabetes
Black American Veterans
n=146 Participants
Black American adult Veterans (age 18 or older) with type 2 diabetes
LDL-cholesterol
86.4 mg/dL
Standard Deviation 22.5
101.2 mg/dL
Standard Deviation 27.5

Adverse Events

White American Veterans

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Black American Veterans

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Leonard Egede, MD, MS

Ralph H. Johnson VAMC

Phone: 843-789-6670

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place