Telecoaching of People With Type 2 Diabetes in Primary Care

NCT01612520 | Completed DMC

• 1 other identifier: S53665
• Study Type: interventional
• Target: 574
• Locations: 0 countries
• Sites: N/A

Brief Summary

The objective of the study is to analyze the effectiveness and the cost-effectiveness of telecoching in improving glyceamic control and other modifiable risk factors in patients with type 2 diabetes compared to usual care only.

Conditions

Type 2 Diabetes Mellitus; Telenursing

Keywords

type 2 Diabetes Mellitus; telenursing; RCT; economic analysis

Outcome Measures

Primary Outcomes (1)

• the absolute change in HbA1c

  baseline; 6 months and 18 months

Study Arms (2)

telecoaching

ACTIVE COMPARATOR

Behavioral: telecoaching

control

NO INTERVENTION

Interventions

telecoaching BEHAVIORAL

The COACH program trains patients to 'drive' the process of achieving and maintaining the target levels for their risk factors while working in association with their GP. The telephone coaching is aimed at improving self-efficacy by adhering to the prescribed therapy and making relevant behavior changes. The coaching model is a continuous five-stage coaching cycle: Stage 1. Finding out what the patient knows; Stage 2. Telling the patient what they should know; Stage 3. Assertiveness training; Stage 4. Setting an action plan; Stage 5. Reassessment at the next coaching session (monitoring). The coach monitors and registers: the biomedical risk factors, the lifestyle/behavioral risk factors and use of the recommended medications. Coaching is focused on eliminating the knowledge gap and motivating the patient to apply the appropriate lifestyle and medical therapy.

telecoaching

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 with type 2 diabetes between 18 and 75 years old on the day of the selection

You may not qualify if:

• Debilitating coexisting medical condition (e.g. dialysis, mental illness, cancer)
• Residents of long term care facilities
• Pregnancy
• Incapable of telephone communication in Dutch

Sponsors & Collaborators

• KU Leuven: lead

Related Publications (3)

• Odnoletkova I, Buysse H, Nobels F, Goderis G, Aertgeerts B, Annemans L, Ramaekers D. Patient and provider acceptance of telecoaching in type 2 diabetes: a mixed-method study embedded in a randomised clinical trial. BMC Med Inform Decis Mak. 2016 Nov 9;16(1):142. doi: 10.1186/s12911-016-0383-3.

  PMID: 27825340 DERIVED

• Odnoletkova I, Ramaekers D, Nobels F, Goderis G, Aertgeerts B, Annemans L. Delivering Diabetes Education through Nurse-Led Telecoaching. Cost-Effectiveness Analysis. PLoS One. 2016 Oct 11;11(10):e0163997. doi: 10.1371/journal.pone.0163997. eCollection 2016.

  PMID: 27727281 DERIVED

• Odnoletkova I, Goderis G, Nobels F, Aertgeerts B, Annemans L, Ramaekers D. Nurse-led telecoaching of people with type 2 diabetes in primary care: rationale, design and baseline data of a randomized controlled trial. BMC Fam Pract. 2014 Feb 4;15:24. doi: 10.1186/1471-2296-15-24.

  PMID: 24495633 DERIVED

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Student in Biomedical sciences

Study Record Dates

• First Submitted: June 4, 2012
• First Posted: June 6, 2012
• Study Start: April 1, 2012
• Primary Completion: January 1, 2014
• Study Completion: January 1, 2015
• Last Updated: February 3, 2015

Record last verified: 2015-02