Trial Outcomes & Findings for My Diabetes, My Community (NCT NCT04970810)

NCT ID: NCT04970810

Last Updated: 2025-12-17

Results Overview

Mean change in percent of hemoglobin A1C from baseline to month 12.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

512 participants

Primary outcome timeframe

Baseline to 12 months

Results posted on

2025-12-17

Participant Flow

Participant milestones

Participant milestones
Measure
Attention Control
Subjects monthly calls similar in structure to the intervention arms, but without support. (attention placebo control)
My Diabetes Goal
My Diabetes Goal protocol My Diabetes Goal: Subjects enrolled in the MDG arm will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls.
My Diabetes Goal + Community Rx
My Diabetes Goal protocol + Community Rx protocol My Diabetes Goal + CommunityRx: Subjects enrolled in the MDG arm + CRx will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls. Participants will also receive a HealtheRx (personalized resource "prescriptions") for community organizations.
Overall Study
STARTED
170
173
169
Overall Study
Completed 6 Month Follow up Survey
156
152
149
Overall Study
Completed 12 Month Follow-up Survey
156
146
147
Overall Study
COMPLETED
167
173
165
Overall Study
NOT COMPLETED
3
0
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Attention Control
Subjects monthly calls similar in structure to the intervention arms, but without support. (attention placebo control)
My Diabetes Goal
My Diabetes Goal protocol My Diabetes Goal: Subjects enrolled in the MDG arm will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls.
My Diabetes Goal + Community Rx
My Diabetes Goal protocol + Community Rx protocol My Diabetes Goal + CommunityRx: Subjects enrolled in the MDG arm + CRx will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls. Participants will also receive a HealtheRx (personalized resource "prescriptions") for community organizations.
Overall Study
deemed ineligible after randomization
3
0
4

Baseline Characteristics

My Diabetes, My Community

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Attention Control
n=167 Participants
Subjects monthly calls similar in structure to the intervention arms, but without support. (attention placebo control)
My Diabetes Goal
n=173 Participants
My Diabetes Goal protocol My Diabetes Goal: Subjects enrolled in the MDG arm will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls.
My Diabetes Goal + Community Rx
n=165 Participants
My Diabetes Goal protocol + Community Rx protocol My Diabetes Goal + CommunityRx: Subjects enrolled in the MDG arm + CRx will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls. Participants will also receive a HealtheRx (personalized resource "prescriptions") for community organizations.
Total
n=505 Participants
Total of all reporting groups
Age, Continuous
68.9 years
STANDARD_DEVIATION 6.3 • n=6 Participants
68.8 years
STANDARD_DEVIATION 5.9 • n=5 Participants
69.2 years
STANDARD_DEVIATION 6.7 • n=5 Participants
69.0 years
STANDARD_DEVIATION 6.3 • n=122 Participants
Sex: Female, Male
Female
105 Participants
n=6 Participants
114 Participants
n=5 Participants
113 Participants
n=5 Participants
332 Participants
n=122 Participants
Sex: Female, Male
Male
62 Participants
n=6 Participants
59 Participants
n=5 Participants
52 Participants
n=5 Participants
173 Participants
n=122 Participants
Race/Ethnicity, Customized
Black or African American
123 Participants
n=6 Participants
126 Participants
n=5 Participants
129 Participants
n=5 Participants
378 Participants
n=122 Participants
Race/Ethnicity, Customized
White
28 Participants
n=6 Participants
33 Participants
n=5 Participants
25 Participants
n=5 Participants
86 Participants
n=122 Participants
Race/Ethnicity, Customized
Other
16 Participants
n=6 Participants
14 Participants
n=5 Participants
11 Participants
n=5 Participants
41 Participants
n=122 Participants
Region of Enrollment
United States
167 participants
n=6 Participants
173 participants
n=5 Participants
165 participants
n=5 Participants
505 participants
n=122 Participants
Most Recent A1C Value
9.0 % (percentage of A1C)
STANDARD_DEVIATION 1.5 • n=6 Participants
9.1 % (percentage of A1C)
STANDARD_DEVIATION 1.6 • n=5 Participants
9.0 % (percentage of A1C)
STANDARD_DEVIATION 1.5 • n=5 Participants
9.0 % (percentage of A1C)
STANDARD_DEVIATION 1.5 • n=122 Participants
Diabetes Empowerment Scale (DES)
4.2 units on a scale
STANDARD_DEVIATION 0.6 • n=6 Participants
4.3 units on a scale
STANDARD_DEVIATION 0.5 • n=5 Participants
4.1 units on a scale
STANDARD_DEVIATION 0.6 • n=5 Participants
4.2 units on a scale
STANDARD_DEVIATION 0.6 • n=122 Participants

PRIMARY outcome

Timeframe: Baseline to 12 months

Population: There are missing 12 month A1C values for all three study arms.

Mean change in percent of hemoglobin A1C from baseline to month 12.

Outcome measures

Outcome measures
Measure
Attention Control
n=138 Participants
Subjects monthly calls similar in structure to the intervention arms, but without support. (attention placebo control)
My Diabetes Goal
n=139 Participants
My Diabetes Goal protocol My Diabetes Goal: Subjects enrolled in the MDG arm will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls.
My Diabetes Goal + Community Rx
n=129 Participants
My Diabetes Goal protocol + Community Rx protocol My Diabetes Goal + CommunityRx: Subjects enrolled in the MDG arm + CRx will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls. Participants will also receive a HealtheRx (personalized resource "prescriptions") for community organizations.
Mean Change in Percent of Hemoglobin A1C
-1.1 percentage of hemoglobin A1C
Standard Deviation 1.79
-0.8 percentage of hemoglobin A1C
Standard Deviation 2.1
-0.8 percentage of hemoglobin A1C
Standard Deviation 1.5

SECONDARY outcome

Timeframe: Baseline to 12 months

Population: The number of analyzed A1C goal results is dependent on the number of survey respondents.

We reviewed the electronic health records (EHR) to assess how many participants had a documented goal in the EHR at baseline and at 12 months. The possible values will be yes or no goals documented in the EHR.

Outcome measures

Outcome measures
Measure
Attention Control
n=167 Participants
Subjects monthly calls similar in structure to the intervention arms, but without support. (attention placebo control)
My Diabetes Goal
n=173 Participants
My Diabetes Goal protocol My Diabetes Goal: Subjects enrolled in the MDG arm will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls.
My Diabetes Goal + Community Rx
n=165 Participants
My Diabetes Goal protocol + Community Rx protocol My Diabetes Goal + CommunityRx: Subjects enrolled in the MDG arm + CRx will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls. Participants will also receive a HealtheRx (personalized resource "prescriptions") for community organizations.
Number of Participants With Documentation of Diabetes Goal at Baseline and Month 12
Documented Goals at Baseline
52 Participants
60 Participants
43 Participants
Number of Participants With Documentation of Diabetes Goal at Baseline and Month 12
Documented Goals After Baseline
43 Participants
165 Participants
156 Participants

SECONDARY outcome

Timeframe: Baseline to Month 1 Call

Population: The number of analyzed A1C goal results is dependent on the number of survey respondents in the two intervention arms. The Attention Control arm did not include a goal setting conversation with a nurse.

The A1C goal outcome is based on a survey response and is distinct from the measured A1C from laboratory testing. Goal setting conversation with nurse occurred during Month 1 call.

Outcome measures

Outcome measures
Measure
Attention Control
n=173 Participants
Subjects monthly calls similar in structure to the intervention arms, but without support. (attention placebo control)
My Diabetes Goal
n=165 Participants
My Diabetes Goal protocol My Diabetes Goal: Subjects enrolled in the MDG arm will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls.
My Diabetes Goal + Community Rx
My Diabetes Goal protocol + Community Rx protocol My Diabetes Goal + CommunityRx: Subjects enrolled in the MDG arm + CRx will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls. Participants will also receive a HealtheRx (personalized resource "prescriptions") for community organizations.
Personalized A1C Goals
Initial Goal
6.6 % (percentage A1c)
Standard Deviation 0.9
6.7 % (percentage A1c)
Standard Deviation 0.7
Personalized A1C Goals
Modified Goal
7.1 % (percentage A1c)
Standard Deviation 0.8
7.1 % (percentage A1c)
Standard Deviation 0.7

SECONDARY outcome

Timeframe: Baseline to 12 months

Population: The number of analyzed A1C goal results is dependent on the number of survey respondents in the two intervention arms. The Attention Control arm did not include a goal setting exercise.

Investigators will measure whether or not patients are reaching the modified goals they have documented in the survey, among those who have set up their personalized goals. The possible values will be yes or no reaching personalized goals.

Outcome measures

Outcome measures
Measure
Attention Control
n=170 Participants
Subjects monthly calls similar in structure to the intervention arms, but without support. (attention placebo control)
My Diabetes Goal
n=160 Participants
My Diabetes Goal protocol My Diabetes Goal: Subjects enrolled in the MDG arm will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls.
My Diabetes Goal + Community Rx
My Diabetes Goal protocol + Community Rx protocol My Diabetes Goal + CommunityRx: Subjects enrolled in the MDG arm + CRx will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls. Participants will also receive a HealtheRx (personalized resource "prescriptions") for community organizations.
Number of Participants Who Achieved Personalized A1C Goals
Achieved Goal at Baseline
5 Participants
1 Participants
Number of Participants Who Achieved Personalized A1C Goals
Achieved Goal at 12 Months
38 Participants
34 Participants

SECONDARY outcome

Timeframe: Baseline to 12 months

Population: Number analyzed is dependent on survey respondents.

Evaluate subject self-efficacy through the Diabetes Empowerment Scale (DES). DES is a standardized questionnaire including 28 questions with response categories of 'strongly disagree', 'somewhat disagree', 'neutral', 'somewhat agree', and 'strongly agree'. A total score for the DES is calculated by summing all of the item scores and dividing by 28 for a possible score range of 1-5 where a higher score indicates a higher level of empowerment.

Outcome measures

Outcome measures
Measure
Attention Control
n=156 Participants
Subjects monthly calls similar in structure to the intervention arms, but without support. (attention placebo control)
My Diabetes Goal
n=146 Participants
My Diabetes Goal protocol My Diabetes Goal: Subjects enrolled in the MDG arm will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls.
My Diabetes Goal + Community Rx
n=148 Participants
My Diabetes Goal protocol + Community Rx protocol My Diabetes Goal + CommunityRx: Subjects enrolled in the MDG arm + CRx will receive surveys at baseline, 6 months and 12 months, followed by monthly diabetes care management phone calls. Participants will also receive a HealtheRx (personalized resource "prescriptions") for community organizations.
Diabetes Empowerment Scale (DES)
-0.1 score on a scale
Standard Deviation 1.0
-0.2 score on a scale
Standard Deviation 1.2
0.03 score on a scale
Standard Deviation 1.1

Adverse Events

Attention Control

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

My Diabetes Goal

Serious events: 0 serious events
Other events: 0 other events
Deaths: 3 deaths

My Diabetes Goal + Community Rx

Serious events: 0 serious events
Other events: 0 other events
Deaths: 4 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jacqueline Kanoon

University of Chicago

Phone: 773-834-3419

Results disclosure agreements

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