Addressing Uncontrolled Diabetes in Primary Care: A Lifestyle Redesign Approach

University of Southern California

Status: Completed

Conditions: Diabetes Mellitus

Treatments: Behavioral: Lifestyle Redesign

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03293914

SC CTSI Grant #UL1TR001855

UL1TR001855 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study is examining the feasibility of implementing an occupational therapy intervention addressing diabetes management in a primary care clinic within the Los Angeles County Department of Health Services (LAC-DHS), as well as the impact of this intervention approach on clinical outcomes, efficiency and patient-centeredness of care. This implementation science study is evaluating two emerging trends in healthcare delivery: (1) the integration of nontraditional providers into primary care medical home (PCMH) settings to facilitate the delivery of high-quality, comprehensive primary care while reducing the burden on physicians; and (2) the potential value of using occupational therapists to address chronic disease management in this setting

Enrollment: 143 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Current patient at Los Angeles County-USC Medical Center Adult West Primary Care clinic
• Diagnosed diabetes (type 1 or type 2) documented in EMR
• Most recent HbA1c level >9.0% OR has not had an HbA1c measurement within past 12 months
• Per provider judgment, would be willing to make lifestyle changes related to diabetes self-care

Exclusion criteria

• Active, untreated substance use or behavioral health disorder which interferes with participation in major life activities

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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143 participants in 2 patient groups

Intervention

Experimental group

Description:

Participants will be invited to enroll in an occupational therapy (OT) lifestyle redesign intervention focused on diabetes management. The intervention includes approximately 8 one-hour OT sessions over 4 months.

Treatment:

Behavioral: Lifestyle Redesign

Usual Care Control

No Intervention group

Description:

Participants will not be contacted; outcome data will be extracted from medical records.