Diabetes Screening, Risk Management and Disease Management in a High-Risk Mental Health Population Part II

NCT00377117 | Completed

• 1 other identifier: R-05-470
• Study Type: observational
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to learn more about the relationship between serious mental illness and the detection and management of diabetes and pre-diabetic conditions. Patients who have been diagnosed with schizophrenia are at an increased risk for developing diabetes and pre-diabetic conditions such as impaired glucose tolerance and impaired fasting glucose. In addition, novel antipsychotics have also been linked to impaired glucose metabolism and increased incidence of diabetes. The medical management of these patients may be difficult ot achieve through standard family practice. The objectives of this project are to: screen a sample of this high-risk population using an Oral Glucose Tolerance Test (OGTT), and to provide multidisciplinary team support to those identified as having diabetes or a pre-diabetic condition.

Conditions

Diabetes Mellitus; Schizophrenia; Psychotic Disorders

Interventions

Management PROCEDURE

Screening PROCEDURE

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients active in current Regional Mental Health Care London, Specialized Adult London Ambulatory Care and Assertive Community Treatment programs with known diagnosis of a Psychotic Disorder and/or use of Novel Antipsychotics.
• Must have family physician contact and ability to consent to medical care.

You may not qualify if:

• Any patient with declaration on file stating incapable of consenting to medical treatment.

Sponsors & Collaborators

• London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's: lead
• Eli Lilly and Company: collaborator
• St. Joseph's Health Care London: collaborator

Study Sites (1)

Regional Mental Health Care London

London, Ontario, N6A 4H1, Canada

Location

Related Publications (3)

• Crews C, Batal H, Elasy T, Casper E, Mehler PS. Primary care for those with severe and persistent mental illness. West J Med. 1998 Oct;169(4):245-50.

  PMID: 9795595 BACKGROUND

• Brown JB, Lent B, Stirling A, Takhar J, Bishop J. Caring for seriously mentally ill patients. Qualitative study of family physicians' experiences. Can Fam Physician. 2002 May;48:915-20.

  PMID: 12053636 BACKGROUND

• Kushner K, Diamond R, Beasley JW, Mundt M, Plane MB, Robbins K. Primary care physicians' experience with mental health consultation. Psychiatr Serv. 2001 Jun;52(6):838-40. doi: 10.1176/appi.ps.52.6.838.

  PMID: 11376238 BACKGROUND

MeSH Terms

Conditions

Diabetes Mellitus; Schizophrenia; Psychotic Disorders

Interventions

Therapeutics; Mass Screening

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Diagnostic Techniques and Procedures; Diagnosis; Health Surveys; Surveys and Questionnaires; Data Collection; Epidemiologic Methods; Investigative Techniques; Diagnostic Services; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health; Public Health Practice

Study Officials

• Stewart B Harris, MD MPH CCFP FACPM

  Centre for Studies in Family Medicine

  PRINCIPAL INVESTIGATOR

• David RS Haslam, MSc MD FRCPC

  St. Joseph's Health Care London

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 14, 2006
• First Posted: September 15, 2006
• Study Start: May 1, 2006
• Study Completion: July 1, 2007
• Last Updated: November 6, 2018

Record last verified: 2018-11

Locations

CA (1)