Improving Diabetes Control Through Peer Counseling and Incentives
|ClinicalTrials.gov Identifier: NCT01125956|
Recruitment Status : Completed
First Posted : May 19, 2010
Last Update Posted : August 15, 2012
The specific aims of this study are to test whether in a cohort of low-income minority veterans with poor diabetes mellitus (DM) control:
- Peer counseling is an effective means of reducing HbA1c (a measure of glucose control).
- Financial incentives are an effective means of reducing HbA1c. This is a randomized controlled pilot study. There will be 3 arms: 1) a control group of poorly controlled diabetics getting usual care; 2) peer counseling with no incentives; and 3) financial incentives without peers. Ultimately, contingent on the success of this intervention, the researchers plan to apply for funding for a large scale intervention employing both peer counseling and incentives to improve DM control in low income and minority patients who are at high risk for premature morbidity and mortality.
|Condition or disease||Intervention/treatment||Phase|
|Diabetes Mellitus||Behavioral: Assigned a peer counselor Behavioral: Financial incentives||Phase 2|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||160 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Official Title:||Improving Diabetes Control Through Peer Counseling and Incentives|
|Study Start Date :||July 2009|
|Primary Completion Date :||December 2010|
|Study Completion Date :||December 2010|
No Intervention: Control
This group will receive usual diabetes care through their primary care clinicians.
Experimental: Peer counseling
A peer counselor will be assigned to each participant who currently has good diabetes control but had poor control in the past 3 years.
Behavioral: Assigned a peer counselor
Dyads will be given $20 per month if they have contact 4 or more times during a month.
Experimental: Financial incentives
Patient participants in the financial incentive arm will be given $100 for reduction of HbA1c by 1 point in a 6 month period and $200 for reduction by 2 points.
Behavioral: Financial incentives
Participants will be given $100 for reduction of HbA1c by 1 point in a 6 month period and $200 for reduction by 2 points.
- Hemoglobin A1c [ Time Frame: Baseline, 6 months ]Change in HbA1c from baseline will be the primary outcome measure.
- Counts of the number of hypoglycemic events [ Time Frame: 6 months ]All events and serious events related to hypoglycemia will be counted over the 6 month intervention period, including emergency room visits and hospitalizations.
- Number of peer encounters [ Time Frame: 6 months ]The number of peer encounters by arm will be described.
- Experience of peer counseling [ Time Frame: 6 months ]The experience of peer counseling from both poorly controlled diabetics and counselors will be described.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01125956
|United States, Pennsylvania|
|Philadelphia Veterans Affairs Medical Center|
|Philadelphia, Pennsylvania, United States, 19104|
|Principal Investigator:||Judith Long, MD||University of Pennsylvania|