Improving Diabetes Control Through Peer Counseling and Incentives
NCT ID: NCT01125956
Last Updated: 2019-02-28
Study Results
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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COMPLETED
NA
160 participants
INTERVENTIONAL
2009-07-31
2010-12-31
Brief Summary
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1. Peer counseling is an effective means of reducing HbA1c (a measure of glucose control).
2. Financial incentives are an effective means of reducing HbA1c. This is a randomized controlled pilot study. There will be 3 arms: 1) a control group of poorly controlled diabetics getting usual care; 2) peer counseling with no incentives; and 3) financial incentives without peers. Ultimately, contingent on the success of this intervention, the researchers plan to apply for funding for a large scale intervention employing both peer counseling and incentives to improve DM control in low income and minority patients who are at high risk for premature morbidity and mortality.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Control
This group will receive usual diabetes care through their primary care clinicians.
No interventions assigned to this group
Peer counseling
A peer counselor will be assigned to each participant who currently has good diabetes control but had poor control in the past 3 years.
Assigned a peer counselor
Dyads will be given $20 per month if they have contact 4 or more times during a month.
Financial incentives
Patient participants in the financial incentive arm will be given $100 for reduction of HbA1c by 1 point in a 6 month period and $200 for reduction by 2 points.
Financial incentives
Participants will be given $100 for reduction of HbA1c by 1 point in a 6 month period and $200 for reduction by 2 points.
Interventions
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Assigned a peer counselor
Dyads will be given $20 per month if they have contact 4 or more times during a month.
Financial incentives
Participants will be given $100 for reduction of HbA1c by 1 point in a 6 month period and $200 for reduction by 2 points.
Eligibility Criteria
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Inclusion Criteria
* 50-70 years old
* ICD-9CM diagnosis code consistent with DM (any ICD-9CM code starting with 250)
* For patients: last two HbA1c greater than 8% with at least one measure being within 3 months of enrollment
* For peer counselors: HbA1c of greater than 8% in the past 3 years and an HbA1c less than or equal to 7.5% within 3 months of enrollment
Exclusion Criteria
* Patients enrolled in Telehealth will be excluded as such enrollment does not constitute usual care
50 Years
70 Years
ALL
No
Sponsors
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University of Pennsylvania
OTHER
Responsible Party
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Principal Investigators
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Judith Long, MD
Role: PRINCIPAL_INVESTIGATOR
University of Pennsylvania
Locations
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Philadelphia Veterans Affairs Medical Center
Philadelphia, Pennsylvania, United States
Countries
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References
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Long JA, Jahnle EC, Richardson DM, Loewenstein G, Volpp KG. Peer mentoring and financial incentives to improve glucose control in African American veterans: a randomized trial. Ann Intern Med. 2012 Mar 20;156(6):416-24. doi: 10.7326/0003-4819-156-6-201203200-00004.
Related Links
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LDI Center for Health Incentives
VA Center for Health Equity and Promotion (CHERP)
This research was supported by a grant from the National Institute on Aging, P30-AG036592. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute on Aging or the NIH
Other Identifiers
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01164
Identifier Type: -
Identifier Source: org_study_id
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