HOPE Pilot for Veterans With Complex Diabetes
Recruitment status was Not yet recruiting
The purpose of this study is to determine if behavioral health coaching for rural veterans with diabetes and depression will improve self-management behaviors and lead to improvement in diabetes care outcomes (e.g., HA1C) and improvement in reported depressive symptoms.
|Study Design:||Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Behavioral Health Coaching for Rural Veterans With Diabetes and Depression|
- Change in PHQ-9 scores, and change in HbA1c levels [ Time Frame: 3-6 months ] [ Designated as safety issue: No ]The coaching sessions take place over approximately 3 months -- outcomes are measured at 3 months and again at 6 months.
|Study Start Date:||January 2011|
|Estimated Study Completion Date:||September 2011|
|Estimated Primary Completion Date:||July 2011 (Final data collection date for primary outcome measure)|
Behavioral: behavioral health coaching
The co-occurence of diabetes and depression is highly prevalent and has dramatic consequences for quality of life and health. Due to the complex interrelation between diabetes and depression, patients often experience both psychological and physiological difficulties. These comorbid problems demand focused interventions that blend physical and emotional health treatments with self-management strategies.Rural-dwelling veterans with diabetes and depression are typically treated in community-based outpatient clinics (CBOCs). Patients with diabetes in rural areas tend to have more problems controlling their blood sugar, blood pressure and cholesterol compared to urban patients; thereby increasing their risk of diabetic complications. Similarly, rural patients with depression have similar barriers to care that increase their risk of poorer health outcomes as well. Using behavioral health coaches (BHCs)to deliver telephone-mediated therapies may enhance the reach of treatments for co-occurring diabetes and depression. The implementation of such treatments requires the development and testing of therapeutic manuals and BHC training protocols to ensure standardization and effictiveness. The BHC intervention has been labeled Health Outcomes through Patient Empowerment (HOPE) and will be offered to eligible patients receiving care through MEDVAMC and its CBOCs. Preliminary data obtained through this pilot grant is to support a larger VA grant.
|Contact: Aanand D Naik, MDfirstname.lastname@example.org|
|Contact: Jeffrey A Cully, PhDemail@example.com|
|United States, Texas|
|MEDVAMC||Not yet recruiting|
|Houston, Texas, United States, 77030|
|Principal Investigator: Aanand D Naik, MD|
|Principal Investigator: Jeffrey A Cully, PhD|
|Principal Investigator:||Aanand D Naik, MD||Michael Debakey Veterans Affairs Medical Center|
|Principal Investigator:||Jeffrey A Cully, PhD||Michael Debakey Veterans Affairs Medical Center|