Identifying and Overcoming Barriers to Diabetes Management in the Elderly: A Cost-effective Intervention Study
NCT ID: NCT01486290
Last Updated: 2014-03-28
Study Results
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Basic Information
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COMPLETED
NA
52 participants
INTERVENTIONAL
2007-07-31
2012-12-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Geriatric Diabetes Team Intervention
The subjects in this group underwent evaluation for barriers to self care by a diabetes educator well versed with age specific barriers. After consideration of patient clinical, function, and psychosocial background, a geriatric diabetes team devised strategy to help patients cope with respective barriers. An office based diabetes diabetes educator conveyed the strategy to patient and caregivers viz phone calls. the educator called study participants up wot eleven times over a sex month period.
Behavioral
the intervention included developing strategies to help patients cope with their barriers to self care. The intervention were implemented by an office based educator over a six month by phone calls. From six months to twelve months subjects did not have any contact with study staff.
Atention Control Arm
The subjects in the group received similar, in person contact, as the intervention group. an educator, separate from the one involved in the intervention team, called patients in this group for a total of eleven times within the first six months. The Phone calls were focused toward general discussion without any diabetes related advice.
No interventions assigned to this group
Interventions
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Behavioral
the intervention included developing strategies to help patients cope with their barriers to self care. The intervention were implemented by an office based educator over a six month by phone calls. From six months to twelve months subjects did not have any contact with study staff.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Diagnosis of type 1 or type 2 diabetes
* Seen at Joslin Clinic or Beth Israel Deaconess Medical Center for at least one year
* HbA1c 8% X 2 in past 6 months without fluctuation of more than 0.5% (i.e. stable poor control)
* No major change in medications in past 3 months, e.g. addition of insulin or another hypoglycemic agent
Exclusion Criteria
* Patients who live more than 25 miles from Joslin Clinic/Beth Israel Deaconess Medical Center
* Patients who live in an institutional setting (e.g. nursing home, group home, etc)
* Patients who are not able to complete outcome assessments, (e.g. poor vision, diminished mental capacity/severe cognitive decline, unable to speak/read/write English
69 Years
ALL
No
Sponsors
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American Diabetes Association
OTHER
Joslin Diabetes Center
OTHER
Responsible Party
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Medha Munshi
Director of Geriactric Diabetes Clinic
Principal Investigators
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Medha N Munshi, MD
Role: PRINCIPAL_INVESTIGATOR
Joslin Diabetes Center
Locations
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Joslin Diabetes Center
Boston, Massachusetts, United States
Countries
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References
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Other Identifiers
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07-03
Identifier Type: -
Identifier Source: org_study_id
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