Identifying and Overcoming Barriers to Diabetes Management in the Elderly: A Cost-effective Intervention Study (DISCO)
|ClinicalTrials.gov Identifier: NCT01486290|
Recruitment Status : Completed
First Posted : December 6, 2011
Last Update Posted : March 28, 2014
|Condition or disease||Intervention/treatment|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||52 participants|
|Intervention Model:||Parallel Assignment|
|Official Title:||Identifying and Overcoming Barriers to Diabetes Management in the Elderly: A Cost-effective Intervention Study|
|Study Start Date :||July 2007|
|Primary Completion Date :||December 2012|
|Study Completion Date :||December 2012|
Experimental: Geriatric Diabetes Team Intervention
The subjects in this group underwent evaluation for barriers to self care by a diabetes educator well versed with age specific barriers. After consideration of patient clinical, function, and psychosocial background, a geriatric diabetes team devised strategy to help patients cope with respective barriers. An office based diabetes diabetes educator conveyed the strategy to patient and caregivers viz phone calls. the educator called study participants up wot eleven times over a sex month period.
the intervention included developing strategies to help patients cope with their barriers to self care. The intervention were implemented by an office based educator over a six month by phone calls. From six months to twelve months subjects did not have any contact with study staff.
No Intervention: Atention Control Arm
The subjects in the group received similar, in person contact, as the intervention group. an educator, separate from the one involved in the intervention team, called patients in this group for a total of eleven times within the first six months. The Phone calls were focused toward general discussion without any diabetes related advice.
- Hemoglobin A1c [ Time Frame: 6 and 12 months ]The primary outcomes of the study is to measure change in A1c before and after intervention.
- Hypoglycemia [ Time Frame: 6 and 12 months ]Frequency of hypoglycemia by history and by hypoglycemia calendar
- functionality [ Time Frame: 6 and 12 months ]6-minute walk test, Tinetti test, number of falls and fear of falls, activities of daily living and instrumental activities of daily living
- Cognitive function [ Time Frame: 6 and 12 months ]cognitive function test by modified clock drawing test, verbal fluency and Trail-making tests A and B
- Depression [ Time Frame: 6 and 12 months ]Geriatric depression scale
- Self care inventory - revised [ Time Frame: 6 and 12 months ]frequency of self-care measures
- Problem areas in diabetes [ Time Frame: 6 and 12 months ]Measure of diabetes-related distress
- Economic impact [ Time Frame: 6 and 12 months ]number of emergency room visit, hospitalizations for diabetes-related illnesses, out-patient care utilization in the form of clinic visits
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01486290
|United States, Massachusetts|
|Joslin Diabetes Center|
|Boston, Massachusetts, United States, 02215|
|Principal Investigator:||Medha N Munshi, MD||Joslin Diabetes Center|