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Improving Health Outcomes of Diabetic Veterans: A Diabetic Self-Management Program

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ClinicalTrials.gov Identifier: NCT00013052
Recruitment Status : Completed
First Posted : March 16, 2001
Last Update Posted : April 7, 2015
Sponsor:
Information provided by (Responsible Party):
VA Office of Research and Development

Brief Summary:
Control of the blood sugar prevents complications and results in extra years of life in patients with diabetes. Practice Guidelines delineating specific ways physicians manage diabetes have been outlined. Missing are guidelines for health care providers to encourage patients to take responsibility for their diabetes. Traditional patient education models have been ineffective in managing diabetic persons because they have relied upon information given alone and are disease centered rather than patient centered. This study will explore the role of self-efficacy in helping veterans move toward healthy behaviors.

Condition or disease Intervention/treatment Phase
Diabetes Behavioral: Peer led classes. Led by trained veterans with a chronic disease. Not Applicable

Detailed Description:

Background:

Control of the blood sugar prevents complications and results in extra years of life in patients with diabetes. Practice Guidelines delineating specific ways physicians manage diabetes have been outlined. Missing are guidelines for health care providers to encourage patients to take responsibility for their diabetes. Traditional patient education models have been ineffective in managing diabetic persons because they have relied upon information given alone and are disease centered rather than patient centered. This study will explore the role of self-efficacy in helping veterans move toward healthy behaviors.

Objectives:

The long-term objectives are to: 1) increase recognition of veteran�s responsibility for health; 2) develop more effective skills in managing chronic conditions; and 3) explore the role of self-efficacy in facilitating improvements in health behaviors and health care utilization.

Methods:

This is a prospective, randomized controlled clinical trial of 2,068 cognitively intact, diabetic veterans. The outcome measures (health behaviors, self-efficacy, health status and health care utilization) will be measured using self-rated scales developed and tested by Lorig and colleagues from Stanford University. Glucose levels and BMI changes will be evaluated using information documented in the medical record.

Status:

Enrollment (a total of 326 patients) is closed. All necessary data have been received and are being analyzed.


Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 2068 participants
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)
Official Title: Improving Health Outcomes of Diabetic Veterans: A Diabetic Self-Management Program
Actual Study Completion Date : September 2002

Arm Intervention/treatment
Arm 1 Behavioral: Peer led classes. Led by trained veterans with a chronic disease.




Information from the National Library of Medicine

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Ages Eligible for Study:   40 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Cognitively intact diabetic veterans.

Exclusion Criteria:


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00013052


Locations
United States, Florida
Miami VA Healthcare System, Miami, FL
Miami, Florida, United States, 33125
James A. Haley Veterans' Hospital, Tampa, FL
Tampa, Florida, United States, 33612
West Palm Beach VA Medical Center, West Palm Beach, FL
West Palm Beach, Florida, United States, 33410
Sponsors and Collaborators
VA Office of Research and Development
Investigators
Principal Investigator: Virginia Nodhturft, EdD RN James A. Haley Veterans' Hospital, Tampa, FL
Principal Investigator: Carolee A. DeVito, PhD MPH Miami VA Healthcare System, Miami, FL

Publications of Results:
Responsible Party: VA Office of Research and Development
ClinicalTrials.gov Identifier: NCT00013052     History of Changes
Other Study ID Numbers: DII 99-097
First Posted: March 16, 2001    Key Record Dates
Last Update Posted: April 7, 2015
Last Verified: February 2007