Interprofessional Community-Based Diabetes Intervention for Older Adults

NCT01880476 | Completed

• 1 other identifier: Labarge-13-377
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

This study will examine the feasibility and acceptability of a 6-month interprofessional community-based health promotion program, and explore its effects on older adults' self-management of Type 2 Diabetes (T2DM). Recently enrolled clients of Diabetes Care Guelph (DCG), who are age 65+ and have at least two other chronic conditions, will be eligible to participate. Participants must be English speaking, community-dwelling, independent in activities of daily living, and mentally competent to give informed consent. The 6-month intervention will consist of: in-home visits by a Registered Nurse and Registered Dietitian from DCG; participation in a monthly Diabetes Wellness Day group program offered through the Guelph Wellington Seniors Association (GWSA) together with DCG; peer support from trained volunteers at the Diabetes Wellness Day group program; care coordination by the DCG Registered Nurse to help participants access necessary supports and services; and monthly team conferences between care providers at DCG and the GWSA to develop a client-centred plan of care. To evaluate the program, participants will complete interviewer-administered questionnaires before and after the intervention, and care providers and peer volunteers will take part in group interviews.

Conditions

Diabetes Mellitus, Type 2

Keywords

Diabetes Mellitus, Type 2; Comorbidity; Aged; Health Services

Outcome Measures

Primary Outcomes (1)

• Changes from baseline in the Summary of Diabetes Self-Care Activities questionnaire

  This questionnaire measures self-care activities including diet, exercise, blood glucose testing, foot care, and smoking.

  baseline and 6 months

Secondary Outcomes (7)

• Changes from baseline in health-related quality of life (SF-12v2 health survey)

  Baseline and 6 months

• Changes from baseline in depressive symptoms (Centre for Epidemiological Studies Depression Scale)

  Baseline and 6 months

• Changes from baseline in symptoms of anxiety (Generalized Anxiety Disorder Screener-7 Scale)

  Baseline and 6 months

• Changes from baseline in costs of use of health services (Health and Social Services Utilization Inventory)

  Baseline and 6 months

• Changes from baseline in fasting blood glucose (mmol/L)

  Baseline and 6 months

Other Outcomes (1)

• Partnership and collaboration questionnaire

  6 months

Study Arms (1)

Home visits and group program

EXPERIMENTAL

Other: Home visits and group program

Interventions

Home visits and group program OTHER

Participants will receive up to three home visits by a Registered Nurse and two home visits by a Registered Dietitian over the 6-month intervention period. Participants will also be invited to attend a monthly Diabetes Wellness Day group program which will include diabetes education, interaction with peer volunteers, group exercise, and a meal. The Registered Nurse will coordinate care to help participants access necessary community supports and services and lead monthly interprofessional case conferences to develop a client-centred plan of care for each study participant.

Home visits and group program

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Age 65+
• Referred to Diabetes Care Guelph within the past 12 months
• At least two chronic conditions in addition to Type 2 Diabetes Mellitus
• English speaking
• Community-dwelling, in the city of Guelph
• Independent in activities of daily living
• Mentally competent to provide informed consent

Sponsors & Collaborators

• McMaster University: lead
• Diabetes Care Guelph: collaborator
• Guelph Wellington Seniors Association: collaborator

Study Sites (1)

McMaster University

Hamilton, Ontario, L8S 4K1, Canada

Location

Related Publications (1)

• Markle-Reid M, Ploeg J, Fisher K, Reimer H, Kaasalainen S, Gafni A, Gruneir A, Kirkconnell R, Marzouk S, Akhtar-Danesh N, Thabane L, Rojas-Fernandez C, Upshur R. The Aging, Community and Health Research Unit-Community Partnership Program for older adults with type 2 diabetes and multiple chronic conditions: a feasibility study. Pilot Feasibility Stud. 2016 May 9;2:24. doi: 10.1186/s40814-016-0063-1. eCollection 2016.

  PMID: 27965843 DERIVED

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Interventions

House Calls

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Professional Practice; Organization and Administration; Health Services Administration

Study Officials

• Maureen Markle-Reid, PhD, RN

  McMaster University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 14, 2013
• First Posted: June 19, 2013
• Study Start: June 1, 2013
• Primary Completion: December 1, 2015
• Study Completion: December 1, 2015
• Last Updated: July 11, 2016

Record last verified: 2016-07

Locations

CA (1)