ENCOURAGE: Evaluating Community Peer Advisors and Diabetes Outcomes in Rural Alabama

NCT02460718 | Completed

• 1 other identifier: T0808270039
• Study Type: interventional
• Target: 424
• Locations: 0 countries
• Sites: N/A

Brief Summary

It is unclear whether peer coaching is effective in minority populations living with diabetes in hard-to-reach, under resourced areas such as the rural South. We examined the effect of an innovative peer coaching intervention plus brief education vs. brief education alone on diabetes outcomes.

Conditions

Diabetes Mellitus

Keywords

diabetes mellitus; peer support; pragmatic clinical trial

Outcome Measures

Primary Outcomes (7)

• Glycated hemoglobin (A1c)

  fingerstick, point-of-care a1c test

  Change in A1c in 12 months

• Blood pressure

  Measured using digital automated blood pressure monitor

  Change in blood pressure measure in 12 months

• LDL cholesterol

  measured using finger stick, spectrophotometer to measure LDL cholesterol

  Change in LDL cholesterol in 12 month

• diabetes self-care behaviors questionnaire

  aspects of diabetes self-management such as taking medications as directed, self-report of exercise, and eating behaviors

  Change in diabetes self-care behaviors at 12 months

• depressive symptoms

  self-report using Patient Health Questionnaire 8 (PHQ8)

  change in depressive symptoms at 12 months

• quality of life

  self-report using Short form-1 (SF1), and Euroquol (EQ-5D)

  Change in quality of life measures at 12 months

• patient activation

  self-report using the 13 item Patient Activation Measure (PAM13)

  change in patient activation in 12 months

Secondary Outcomes (4)

• body mass index

  change in BMI in 12 months

• diabetes knowledge

  change in diabetes knowledge in 12 months

• trust in physicians

  change in trust in physicians in 12 months

• composite measure of healthcare utilization

  Change in health care utilization in 12 months

Study Arms (2)

control group

NO INTERVENTION

Participants received 1-hour group diabetes education class covering diabetes basics, healthy eating, stress reduction, physical activity, social support, and how to get the most out of their doctors visit. Participants also received a diabetes report card showing their Hba1c, blood pressure, ldl cholesterol, and body weight.

Encourage study

EXPERIMENTAL

Participants in the intervention arm were paired with a peer coach, interacting by telephone weekly for the first 8 weeks and then monthly for a total of 10 months. Participants also received 1-hour group diabetes education class covering diabetes basics, healthy eating, stress reduction, physical activity, social support, and how to get the most out of their doctors visit. Participants also received a diabetes report card showing their Hba1c, blood pressure, ldl cholesterol, and body weight.

Behavioral: ENCOURAGE Study

Interventions

ENCOURAGE Study BEHAVIORAL

This intervention tested the effects of a peer coaching program plus brief diabetes education versus brief diabetes education alone on diabetes outcomes.

Encourage study

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• or older in age, diagnosed with diabetes, under the care of a doctor

You may not qualify if:

• not community dwelling, less than 19 years old, pregnant, end-stage medical conditions with limited life expectancy, no access to telephone, does not speak english

Sponsors & Collaborators

• Weill Medical College of Cornell University: lead
• University of Alabama at Birmingham: collaborator

Related Publications (1)

• Cherrington AL, Khodneva Y, Richman JS, Andreae SJ, Gamboa C, Safford MM. Impact of Peer Support on Acute Care Visits and Hospitalizations for Individuals With Diabetes and Depressive Symptoms: A Cluster-Randomized Controlled Trial. Diabetes Care. 2018 Dec;41(12):2463-2470. doi: 10.2337/dc18-0550. Epub 2018 Oct 29.

  PMID: 30373734 DERIVED

MeSH Terms

Conditions

Diabetes Mellitus

Condition Hierarchy (Ancestors)

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: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: May 29, 2015
• First Posted: June 2, 2015
• Study Start: February 1, 2009
• Primary Completion: February 1, 2012
• Study Completion: February 1, 2012
• Last Updated: March 10, 2016

Record last verified: 2016-03

Data Sharing

• IPD Sharing: Will not share