Empowering Patients to Better Manage Diabetes Through Self-Care
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Purpose
This study will look at the impact of health insurance benefits on self management of diabetes for people with this condition. Studies have shown that when people with diabetes manage their disease better, they stay healthier. Our goal in this study is to help those with diabetes better manage their disease (self-care). We will compare two types of health insurance benefits in this study. We want to see if one set of benefits improves self-care more than the other one.
| Condition | Intervention |
|---|---|
|
Type I or Type II Diabetes (Excludes Gestational Diabetes) |
Behavioral: Regularly-scheduled consulting session with pharmacists |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) |
| Official Title: | Empowering Patients to Better Manage Diabetes Through Self-Care |
- Change4 in Hemoglobin A-1C from baseline [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Cholesterol subfractions (LDL, HDL, triglycerides) [ Time Frame: unknown ] [ Designated as safety issue: No ]
- Economic outcomes (total cost of care, cost of diabetes-related care, presenteeism and absenteeism, medication adherence) [ Time Frame: unknown ] [ Designated as safety issue: No ]
- Diabetes knowledge and empowerment (patient self-efficacy) [ Time Frame: unknown ] [ Designated as safety issue: No ]
- Pharmacist time spent with program [ Time Frame: 12 months ] [ Designated as safety issue: No ]
| Enrollment: | 0 |
| Study Start Date: | November 2005 |
| Study Completion Date: | June 2011 |
| Primary Completion Date: | June 2011 (Final data collection date for primary outcome measure) |
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Behavioral: Regularly-scheduled consulting session with pharmacists
The objective of this particular study is to determine if the addition of regular pharmacist visits to usual care can improve clinical outcomes in patients with diabetes. The central hypothesis is that a program overseen by community pharmacists that empowers patients to self-manage their diabetes will lead to improved clinical and humanistic outcomes and will be cost-effective. Strong preliminary data collected from other sites suggests that patient empowerment programs are effective at reducing hemoglobin A1C after 12 months and in reducing the total cost of care. This hypothesis will be tested by pursuing three specific aims to evaluate the impact of a pharmacist-administered diabetes patient empowerment program on:
- clinical markers for diabetes and related metabolic disorders;
- the cost of care and resource utilization; and
- patient knowledge and perceived ability to manage diabetes. There is an additional specific aim to assess the pharmacists with respect to satisfaction with the training program and the overall project, the activities conducted in patient sessions, and the time taken to complete the visits in this study.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- diabetes (Type I or Type II)
- enrolled in health plan with participating employer
- age 18 or older
- willing and able to provide informed consent
Exclusion Criteria:
- gestational diabetes
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Oregon State University |
| ClinicalTrials.gov Identifier: | NCT00254501 History of Changes |
| Other Study ID Numbers: | OSU_COP_PP_0105, IRB Application 2979 |
| Study First Received: | November 14, 2005 |
| Last Updated: | October 18, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Oregon State University:
|
diabetes |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Diabetes, Gestational Glucose Metabolism Disorders |
Metabolic Diseases Endocrine System Diseases Pregnancy Complications |
ClinicalTrials.gov processed this record on May 16, 2013