ClinicalTrials.gov processed this data on March 28, 2024Link to the current ClinicalTrials.gov record.https://clinicaltrials.gov/ct2/show/NCT00142922DK 60115 (completed)DK 60115CHS00-34NCT00142922Breaking Down Barriers to Diabetes Self-CareBreaking Down Barriers to Diabetes Self-CareNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)NIHYes
Performance of self-care recommendations is key to the successful treatment of diabetes.
However, many patients have difficulty adhering to diabetes self-care recommendations. Recent
results from our own studies and others have identified specific barriers to diabetes
self-care. To evaluate the efficacy of a diabetes educator-led group intervention, the
Breaking Down Barriers Program, that addresses barriers and therefore leads to improved
adherence to diabetes self-care recommendations, we will randomize 222 (111 type 1 and 111
type 2) diabetes patients to one of three conditions: 1) the Breaking Down Barriers Program,
2) a cholesterol attention control condition, or 3) a 'usual care' control condition. We
hypothesize that those assigned to the Breaking Down Barriers group will improve self-care
behaviors and glycemic control more than those in the two control groups. We will follow
study subjects for one year to determine whether their self-care behaviors and glycemic
control improved and if the improvement was maintained over time.
CompletedOctober 2002October 2007N/AInterventionalNoRandomizedParallel AssignmentNone (Open Label)Self-Care BehaviorsGlycemic control (HbA1c)fitnessQuality of lifeDiabetes Related emaitonal distress3222Type 1 DiabetesType 2 Diabetes1ExperimentalAttended Breaking Down Barriers program2Active ComparatorAttention control group3Active ComparatorIndivdual attention control groupBehavioralBreaking Down Barrierscompleted123
Inclusion Criteria:
For Patients With Type 1 Diabetes
- Aged 18-65
- Presence of type 1 diabetes mellitus.
- 2-25 year duration.
For Patients With Type 2 Diabetes
- Aged 25-65 years
- presence of type 2 diabetes mellitus.
- 2 years since initial diagnosis.
Exclusion Criteria:
- Renal disease, microalbumin >300 ug/mg)
- Severe peripheral diabetic neuropathy and/or severe peripheral vascular disease
- Symptomatic severe autonomic neuropathy who may be at risk when increasing activity
levels.
- Women who are currently pregnant
- proliferative diabetic retinopathy based on dilated eye examination within one year of
study entry. Patients whose eye disease is successfully treated will be included.
- HbA1c levels less than 7.0% (normal range 4.0 - 6.0%).
- HbA1c levels greater than 14.0%
- patients who underwent intensive insulin treatment within one year
- a history of severe, unstable myocardial infarction, congestive heart failure or other
severe cardiac disease, severe hypertension (systolic more than 160 mmHg or diastolic
90 mmHg) who may be at risk when mildly increasing physical activity
- a DSMIV diagnosis of eating disorders including anorexia nervosa, bulimia, and severe
weight-related insulin omission.
- Patients with recent diagnosis (past 6 months) of bipolar disorder, schizophrenia,
mental retardation, organic mental disorder, and alcohol or drug abuse
- Patients whose diabetes diagnosed cannot be clearly classified as type 1 or type 2.
All18 Years75 YearsNoKatie Weinger, EdDPrincipal InvestigatorJoslin Diabetes Center/Harvard Medical SchoolJoslin Diabetes CenterBostonMassachusetts02215United StatesUnited StatesMarch 2010August 31, 2005August 31, 2005September 2, 2005March 1, 2010March 1, 2010March 2, 2010Adherenceself-careBehavioral interventionDiabetesDiabetes Mellitus