Trial Outcomes & Findings for mHealth Skill Enhancement Plus Phone CBT for Type 2 Diabetes Distress Medication Nonadherence: Pilot Study (NCT NCT02081586)

NCT ID: NCT02081586

Last Updated: 2017-06-14

Results Overview

The CSUQ measures feasibility and acceptability of the phone application. Adapted from Lewis JR.: IBM Computer Usability Satisfaction Questionnaires: Psychometric Evaluation and Instructions for Use. International Journal of Human-Computer Interaction 1995; 7 (1):67-78. Scale is scored as a mean value, range is from 1 to 7. In this adaptation lower scores are better usability.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

13 participants

Primary outcome timeframe

16 weeks

Results posted on

2017-06-14

Participant Flow

Participant milestones

Participant milestones
Measure
6 Weeks Phone CBT Plus Smartphone App
Following baseline, six 30-minute sessions of phone CBT to address any beliefs, assumptions, attitudes, or perceptions that are not constructive to diabetes self-management. CBT phone app will assist patients to practice skills related to improving self-management via more constructive ways of thinking. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
8 Weeks Phone CBT Plus Smartphone App
Following baseline, patients will receive 8 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
12 Weeks Phone CBT Plus Smartphone App
Following baseline, patients will receive 12 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Treatment as Usual
Patients will remain in usual care and not receive study intervention. Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Overall Study
STARTED
3
3
4
3
Overall Study
COMPLETED
3
2
3
2
Overall Study
NOT COMPLETED
0
1
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
6 Weeks Phone CBT Plus Smartphone App
Following baseline, six 30-minute sessions of phone CBT to address any beliefs, assumptions, attitudes, or perceptions that are not constructive to diabetes self-management. CBT phone app will assist patients to practice skills related to improving self-management via more constructive ways of thinking. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
8 Weeks Phone CBT Plus Smartphone App
Following baseline, patients will receive 8 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
12 Weeks Phone CBT Plus Smartphone App
Following baseline, patients will receive 12 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Treatment as Usual
Patients will remain in usual care and not receive study intervention. Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Overall Study
Lost to Follow-up
0
1
0
1
Overall Study
Head injury not related to study
0
0
1
0

Baseline Characteristics

mHealth Skill Enhancement Plus Phone CBT for Type 2 Diabetes Distress Medication Nonadherence: Pilot Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
6 Weeks Phone CBT Plus Smartphone App
n=3 Participants
Following baseline, six 30-minute sessions of phone CBT to address any beliefs, assumptions, attitudes, or perceptions that are not constructive to diabetes self-management. CBT phone app will assist patients to practice skills related to improving self-management via more constructive ways of thinking. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
8 Weeks Phone CBT Plus Smartphone App
n=3 Participants
Following baseline, patients will receive 8 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
12 Weeks Phone CBT Plus Smartphone App
n=4 Participants
Following baseline, patients will receive 12 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Treatment as Usual
n=3 Participants
Patients will remain in usual care and not receive study intervention. Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Total
n=13 Participants
Total of all reporting groups
Age, Continuous
58.0 years
STANDARD_DEVIATION 1.0 • n=5 Participants
50.67 years
STANDARD_DEVIATION 12.34 • n=7 Participants
59.50 years
STANDARD_DEVIATION 3.42 • n=5 Participants
60.67 years
STANDARD_DEVIATION .58 • n=4 Participants
57.38 years
STANDARD_DEVIATION 6.64 • n=21 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
9 Participants
n=21 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
4 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
7 Participants
n=21 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
2 Participants
n=4 Participants
6 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
3 participants
n=7 Participants
4 participants
n=5 Participants
3 participants
n=4 Participants
13 participants
n=21 Participants

PRIMARY outcome

Timeframe: baseline to 16 weeks

Population: per protocol

Change from baseline HbA1c level to post intervention

Outcome measures

Outcome measures
Measure
6 Weeks Phone CBT Plus Smartphone App
n=3 Participants
Following baseline, six 30-minute sessions of phone CBT to address any beliefs, assumptions, attitudes, or perceptions that are not constructive to diabetes self-management. CBT phone app will assist patients to practice skills related to improving self-management via more constructive ways of thinking. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
8 Weeks Phone CBT Plus Smartphone App
n=2 Participants
Following baseline, patients will receive 8 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
12 Weeks Phone CBT Plus Smartphone App
n=3 Participants
Following baseline, patients will receive 12 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Treatment as Usual
n=2 Participants
Patients will remain in usual care and not receive study intervention. Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Participants Administered Phone CBT
This includes the 3 treatment arms who received Phone CBT, whether CBT treatment was 6, 8, or 12 weeks long.
HbA1c Level Change Scores From Baseline to 16 Weeks
-0.60 percent
Standard Deviation .26
-2.30 percent
Standard Deviation .00
-2.33 percent
Standard Deviation .50
-2.15 percent
Standard Deviation 1.63

PRIMARY outcome

Timeframe: 16 weeks

Population: As per protocol, usability was analyzed for participants administered phone CBT, regardless of duration. Six subjects completed the CSUQ. Of ten initially assigned treatment, one was withdrawn prior to treatment, one missed the CSUQ, and two dropped out. Treatment as usual Arm did not use the phone.

The CSUQ measures feasibility and acceptability of the phone application. Adapted from Lewis JR.: IBM Computer Usability Satisfaction Questionnaires: Psychometric Evaluation and Instructions for Use. International Journal of Human-Computer Interaction 1995; 7 (1):67-78. Scale is scored as a mean value, range is from 1 to 7. In this adaptation lower scores are better usability.

Outcome measures

Outcome measures
Measure
6 Weeks Phone CBT Plus Smartphone App
Following baseline, six 30-minute sessions of phone CBT to address any beliefs, assumptions, attitudes, or perceptions that are not constructive to diabetes self-management. CBT phone app will assist patients to practice skills related to improving self-management via more constructive ways of thinking. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
8 Weeks Phone CBT Plus Smartphone App
Following baseline, patients will receive 8 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
12 Weeks Phone CBT Plus Smartphone App
Following baseline, patients will receive 12 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Treatment as Usual
Patients will remain in usual care and not receive study intervention. Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Participants Administered Phone CBT
n=6 Participants
This includes the 3 treatment arms who received Phone CBT, whether CBT treatment was 6, 8, or 12 weeks long.
Computer System Usability Questionnaire (CSUQ)
3.0 units on a scale (1-7)
Standard Deviation 2.1

SECONDARY outcome

Timeframe: 16 weeks

Electronically measured medication adherence, percent adherence over entire study phase. Change score was not evaluated, this measure is to determine feasability of use over time. Percent adherence is measured by the number of correct doses per day divided by the number of prescribed doses per day X 100. Percent adherence was calculated as the percentage of the prescribed doses of the medication actually taken by the patient over 16 weeks

Outcome measures

Outcome measures
Measure
6 Weeks Phone CBT Plus Smartphone App
n=3 Participants
Following baseline, six 30-minute sessions of phone CBT to address any beliefs, assumptions, attitudes, or perceptions that are not constructive to diabetes self-management. CBT phone app will assist patients to practice skills related to improving self-management via more constructive ways of thinking. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
8 Weeks Phone CBT Plus Smartphone App
n=2 Participants
Following baseline, patients will receive 8 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
12 Weeks Phone CBT Plus Smartphone App
n=3 Participants
Following baseline, patients will receive 12 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Treatment as Usual
n=2 Participants
Patients will remain in usual care and not receive study intervention. Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Participants Administered Phone CBT
This includes the 3 treatment arms who received Phone CBT, whether CBT treatment was 6, 8, or 12 weeks long.
MEMS (Medication Electronic Monitoring System) Cap Electronic Pill Bottle Adherence
37.7 percent adherent
Interval 20.2 to 56.2
35.7 percent adherent
Interval 15.8 to 55.7
88.69 percent adherent
Interval 79.0 to 96.1
84.06 percent adherent
Interval 77.9 to 90.2

SECONDARY outcome

Timeframe: baseline to 16 weeks

Population: Of thirteen initially randomized, one was withdrawn prior to treatment, one is missing data, and two dropped out. Therefore we do not have change scores for these pariticipants.

Levels of diabetes distress per standardized questionnaire will be measured before intervention and after intervention. Percent change of mean score between baseline and 16 weeks is reported. Adapted from Fisher, L., Glasgow, R.E., Mullan, J.T., Skaff, M.M., Polonsky, W.H. (2008) Development of a Brief Diabetes Screening Instrument. Annals of Family Medicine; 6:246-252.

Outcome measures

Outcome measures
Measure
6 Weeks Phone CBT Plus Smartphone App
n=2 Participants
Following baseline, six 30-minute sessions of phone CBT to address any beliefs, assumptions, attitudes, or perceptions that are not constructive to diabetes self-management. CBT phone app will assist patients to practice skills related to improving self-management via more constructive ways of thinking. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
8 Weeks Phone CBT Plus Smartphone App
n=2 Participants
Following baseline, patients will receive 8 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
12 Weeks Phone CBT Plus Smartphone App
n=3 Participants
Following baseline, patients will receive 12 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Treatment as Usual
n=2 Participants
Patients will remain in usual care and not receive study intervention. Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Participants Administered Phone CBT
This includes the 3 treatment arms who received Phone CBT, whether CBT treatment was 6, 8, or 12 weeks long.
Diabetes Distress Scale- Change Score
-17.98 percent change
Interval -20.4 to -15.58
-8.33 percent change
Interval -37.7 to 21.1
-40.92 percent change
Interval -65.3 to -1.3
-36.22 percent change
Interval -39.6 to -32.8

SECONDARY outcome

Timeframe: baseline to 16 weeks

Population: Of 13 initially randomized, there were 2 dropouts and one was withdrawn from the study.

Change in Body Mass Index from baseline to post intervention

Outcome measures

Outcome measures
Measure
6 Weeks Phone CBT Plus Smartphone App
n=3 Participants
Following baseline, six 30-minute sessions of phone CBT to address any beliefs, assumptions, attitudes, or perceptions that are not constructive to diabetes self-management. CBT phone app will assist patients to practice skills related to improving self-management via more constructive ways of thinking. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
8 Weeks Phone CBT Plus Smartphone App
n=2 Participants
Following baseline, patients will receive 8 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
12 Weeks Phone CBT Plus Smartphone App
n=3 Participants
Following baseline, patients will receive 12 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Treatment as Usual
n=2 Participants
Patients will remain in usual care and not receive study intervention. Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Participants Administered Phone CBT
This includes the 3 treatment arms who received Phone CBT, whether CBT treatment was 6, 8, or 12 weeks long.
Body Mass Index Change
.23 kg/m^2
Interval 0.1 to 0.3
-1.2 kg/m^2
Interval -1.3 to -1.1
.53 kg/m^2
Interval -2.2 to 2.1
.35 kg/m^2
Interval 0.1 to 0.6

Adverse Events

6 Weeks Phone CBT Plus Smartphone App

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

8 Weeks Phone CBT Plus Smartphone App

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

12 Weeks Phone CBT Plus Smartphone App

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Treatment as Usual

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
6 Weeks Phone CBT Plus Smartphone App
n=3 participants at risk
Following baseline, six 30-minute sessions of phone CBT to address any beliefs, assumptions, attitudes, or perceptions that are not constructive to diabetes self-management. CBT phone app will assist patients to practice skills related to improving self-management via more constructive ways of thinking. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
8 Weeks Phone CBT Plus Smartphone App
n=3 participants at risk
Following baseline, patients will receive 8 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
12 Weeks Phone CBT Plus Smartphone App
n=4 participants at risk
Following baseline, patients will receive 12 weeks of phone CBT to address non-constructive beliefs, assumptions, attitudes or perceptions related to diabetes self-management. They will have a smartphone apps to practice CBT skills between sessions. CBT: Therapists will work with patients to identify non-constructive thinking patterns that are serving as barriers to adequate self-management of Type 2 Diabetes. Smartphone app: Smartphone app developed to assist patients practice CBT skills throughout the week Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Treatment as Usual
n=3 participants at risk
Patients will remain in usual care and not receive study intervention. Standard Diabetes Care at PCP: Patients receive ADA standard of Care with physician at PCP office
Nervous system disorders
concussion
0.00%
0/3
0.00%
0/3
25.0%
1/4 • Number of events 1
0.00%
0/3

Additional Information

Dr. Judith A. Callan PhD, RN

University of Pittsburgh School of Nursing

Phone: 412-383-5321

Results disclosure agreements

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