Diabetes Support Project: Couples Intervention

NCT ID: NCT01017523

Last Updated: 2015-05-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

268 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2015-01-31

Brief Summary

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Research has shown that diabetes affects both the patient and family, and that support from family and partners helps diabetes patients manage their illness better. However, diabetes programs rarely involve the partner. The purpose of this study is to test an intervention that helps partners and patients who have type 2 diabetes better support each other. The intervention will be delivered over the telephone to reach more people. Our hypothesis is that an intervention that targets the couple has a greater effect on health and well-being of patients than one that targets the individual patient alone.

Detailed Description

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Diabetes is a serious illness that affects an estimated 7% of the US population, and is associated with life-threatening and disabling complications. Research has shown that diabetes affects both the patient and family, and that support from one's spouse has been found to be the most important source of support during illness episodes. Research clearly shows that marital interaction, i.e., how the support is given and received, impacts both marital quality and health functioning. Despite the acknowledged importance of social support, the vast majority of chronic illness interventions target the individual patient. Telephone counseling has been effectively used to enhance feasibility and target patients with many illnesses, and has many benefits including low cost, decreased subject burden, and the ability to reach a broader population. This study proposes a study of a telephone-administered behavior change that promotes couples communication and collaboration.

Conditions

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Type 2 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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1 (Couples)

Diabetes self-management education, telephone support and behavior change for couples.

Group Type EXPERIMENTAL

Telephone support and behavior change

Intervention Type BEHAVIORAL

Diabetes self-management education provided over the telephone either for individual or couples

2 (Individual)

Diabetes self-management education, telephone support and behavior change for individuals.

Group Type ACTIVE_COMPARATOR

Telephone support and behavior change

Intervention Type BEHAVIORAL

Diabetes self-management education provided over the telephone either for individual or couples

3 (Control)

Diabetes self-management education only.

Group Type PLACEBO_COMPARATOR

Diabetes self-management education

Intervention Type OTHER

Limited diabetes self-management education provided over the telephone, serves as an enhanced usual care control intervention

Interventions

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Telephone support and behavior change

Diabetes self-management education provided over the telephone either for individual or couples

Intervention Type BEHAVIORAL

Diabetes self-management education

Limited diabetes self-management education provided over the telephone, serves as an enhanced usual care control intervention

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of type 2 diabetes
* A1c level is \>=7.5%
* Age of target subject and spouse/partner is 21 years or older
* Married or together for \> 1 year
* Able to speak, read, and hear English
* Have a telephone

Exclusion Criteria

* History of diabetes-related medical complications
* History of active psychosis or dementia
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

State University of New York - Upstate Medical University

OTHER

Sponsor Role lead

Responsible Party

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Paula Trief

Professor of Psychiatry and Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Paula M Trief, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

State University of New York - Upstate Medical University

Locations

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University of California, San Francisco

San Francisco, California, United States

Site Status

SUNY Upstate Medical University, Dept. of Psychiatry

Syracuse, New York, United States

Site Status

Countries

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United States

References

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Fisher L, Chesla CA, Bartz RJ, Gilliss C, Skaff MA, Sabogal F, Kanter RA, Lutz CP. The family and type 2 diabetes: a framework for intervention. Diabetes Educ. 1998 Sep-Oct;24(5):599-607. doi: 10.1177/014572179802400504.

Reference Type BACKGROUND
PMID: 9830956 (View on PubMed)

Fisher L, Weihs KL. Can addressing family relationships improve outcomes in chronic disease? Report of the National Working Group on Family-Based Interventions in Chronic Disease. J Fam Pract. 2000 Jun;49(6):561-6.

Reference Type BACKGROUND
PMID: 10923558 (View on PubMed)

Trief PM, Grant W, Elbert K, Weinstock RS. Family environment, glycemic control, and the psychosocial adaptation of adults with diabetes. Diabetes Care. 1998 Feb;21(2):241-5. doi: 10.2337/diacare.21.2.241.

Reference Type BACKGROUND
PMID: 9539989 (View on PubMed)

Trief PM, Ploutz-Snyder R, Britton KD, Weinstock RS. The relationship between marital quality and adherence to the diabetes care regimen. Ann Behav Med. 2004 Jun;27(3):148-54. doi: 10.1207/s15324796abm2703_2.

Reference Type BACKGROUND
PMID: 15184090 (View on PubMed)

Trief PM, Himes CL, Orendorff R, Weinstock RS. The marital relationship and psychosocial adaptation and glycemic control of individuals with diabetes. Diabetes Care. 2001 Aug;24(8):1384-9. doi: 10.2337/diacare.24.8.1384.

Reference Type BACKGROUND
PMID: 11473074 (View on PubMed)

Trief PM, Wade MJ, Britton KD, Weinstock RS. A prospective analysis of marital relationship factors and quality of life in diabetes. Diabetes Care. 2002 Jul;25(7):1154-8. doi: 10.2337/diacare.25.7.1154.

Reference Type BACKGROUND
PMID: 12087013 (View on PubMed)

Garfield SA, Malozowski S, Chin MH, Narayan KM, Glasgow RE, Green LW, Hiss RG, Krumholz HM; Diabetes Mellitus Interagency Coordinating Committee (DIMCC) Translation Conference Working Group. Considerations for diabetes translational research in real-world settings. Diabetes Care. 2003 Sep;26(9):2670-4. doi: 10.2337/diacare.26.9.2670. No abstract available.

Reference Type BACKGROUND
PMID: 12941736 (View on PubMed)

Delamater AM, Jacobson AM, Anderson B, Cox D, Fisher L, Lustman P, Rubin R, Wysocki T; Psychosocial Therapies Working Group. Psychosocial therapies in diabetes: report of the Psychosocial Therapies Working Group. Diabetes Care. 2001 Jul;24(7):1286-92. doi: 10.2337/diacare.24.7.1286.

Reference Type BACKGROUND
PMID: 11423517 (View on PubMed)

Kiecolt-Glaser JK, Newton TL. Marriage and health: his and hers. Psychol Bull. 2001 Jul;127(4):472-503. doi: 10.1037/0033-2909.127.4.472.

Reference Type BACKGROUND
PMID: 11439708 (View on PubMed)

Yorgason JB, Sandberg JG, Weinstock RS, Trief PM, Fisher L, Hessler D. The importance of relationship processes for lowering BMI over time in women with type 2 diabetes in a randomized controlled trial. Obes Res Clin Pract. 2019 Nov-Dec;13(6):599-601. doi: 10.1016/j.orcp.2019.08.003. Epub 2019 Oct 22.

Reference Type DERIVED
PMID: 31653476 (View on PubMed)

Trief PM, Fisher L, Sandberg J, Hessler DM, Cibula DA, Weinstock RS. Two for one? Effects of a couples intervention on partners of persons with Type 2 diabetes: a randomized controlled trial. Diabet Med. 2019 Apr;36(4):473-481. doi: 10.1111/dme.13871. Epub 2019 Jan 8.

Reference Type DERIVED
PMID: 30485516 (View on PubMed)

Trief PM, Fisher L, Sandberg J, Cibula DA, Dimmock J, Hessler DM, Forken P, Weinstock RS. Health and Psychosocial Outcomes of a Telephonic Couples Behavior Change Intervention in Patients With Poorly Controlled Type 2 Diabetes: A Randomized Clinical Trial. Diabetes Care. 2016 Dec;39(12):2165-2173. doi: 10.2337/dc16-0035. Epub 2016 Jul 25.

Reference Type DERIVED
PMID: 27456837 (View on PubMed)

Other Identifiers

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R18DK080867

Identifier Type: NIH

Identifier Source: secondary_id

View Link

5840

Identifier Type: -

Identifier Source: org_study_id

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