Addressing Uncontrolled Diabetes in Primary Care: A Lifestyle Redesign Approach

NCT ID: NCT03293914

Last Updated: 2020-03-24

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

NA

Total Enrollment

143 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-18

Study Completion Date

2019-11-30

Brief Summary

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This study is examining the feasibility of implementing an occupational therapy intervention addressing diabetes management in a primary care clinic within the Los Angeles County Department of Health Services (LAC-DHS), as well as the impact of this intervention approach on clinical outcomes, efficiency and patient-centeredness of care. This implementation science study is evaluating two emerging trends in healthcare delivery: (1) the integration of nontraditional providers into primary care medical home (PCMH) settings to facilitate the delivery of high-quality, comprehensive primary care while reducing the burden on physicians; and (2) the potential value of using occupational therapists to address chronic disease management in this setting

Detailed Description

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Conditions

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Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

This is an implementation trial being conducted in a real-world clinical setting in which masking is not appropriate.

Study Groups

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Intervention

Participants will be invited to enroll in an occupational therapy (OT) lifestyle redesign intervention focused on diabetes management. The intervention includes approximately 8 one-hour OT sessions over 4 months.

Group Type EXPERIMENTAL

Lifestyle Redesign

Intervention Type BEHAVIORAL

Individualized lifestyle intervention incorporating the following topics: Diabetes knowledge; access to healthcare; communication with healthcare providers; incorporation of diabetes self-care tasks within daily habits and routines; social support; and emotional well-being. Participants receive approximately 8 hours of intervention by a licensed occupational therapist with training in diabetes education, motivational interviewing and the intervention protocol.

Usual Care Control

Participants will not be contacted; outcome data will be extracted from medical records.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Lifestyle Redesign

Individualized lifestyle intervention incorporating the following topics: Diabetes knowledge; access to healthcare; communication with healthcare providers; incorporation of diabetes self-care tasks within daily habits and routines; social support; and emotional well-being. Participants receive approximately 8 hours of intervention by a licensed occupational therapist with training in diabetes education, motivational interviewing and the intervention protocol.

Intervention Type BEHAVIORAL

Other Intervention Names

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Resilient, Empowered, Active Living with Diabetes (REAL)

Eligibility Criteria

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Inclusion Criteria

* Current patient at Los Angeles County-USC Medical Center Adult West Primary Care clinic
* Diagnosed diabetes (type 1 or type 2) documented in EMR
* Most recent HbA1c level \>9.0% OR has not had an HbA1c measurement within past 12 months
* Per provider judgment, would be willing to make lifestyle changes related to diabetes self-care

Exclusion Criteria

* Active, untreated substance use or behavioral health disorder which interferes with participation in major life activities
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Los Angeles County Department of Health Services (DHS)

UNKNOWN

Sponsor Role collaborator

National Center for Advancing Translational Sciences (NCATS)

NIH

Sponsor Role collaborator

University of Southern California

OTHER

Sponsor Role lead

Responsible Party

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Beth Pyatak

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elizabeth Pyatak, PhD, OTR/L

Role: PRINCIPAL_INVESTIGATOR

University of Southern California

Locations

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LAC+USC Primary Care Adult West Clinic

Los Angeles, California, United States

Site Status

Countries

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United States

Other Identifiers

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UL1TR001855

Identifier Type: NIH

Identifier Source: secondary_id

View Link

SC CTSI Grant #UL1TR001855

Identifier Type: -

Identifier Source: org_study_id

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