Combined Behavioral and Pharmacological Intervention for Cardiovascular Risk Reduction in Diabetic Patients

Providence VA Medical Center

Status: Completed

Conditions: Hypertension; Diabetes; Coronary Arteriosclerosis; Dyslipidemia

Treatments: Behavioral: Interactive Education; Procedure: Pharmacologic case management; Behavioral: Behavioral counseling and peer support; Behavioral: Role modeling

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT00357955

12733

Details and patient eligibility

About

The purpose of this research is to study whether a multidisciplinary education in Diabetes and intervention for cardiac risk reduction in a group setting to modify patient behavior and adjust medications can achieve diabetes guideline goals for glycemia, blood pressure and lipid control.

Enrollment: 118 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All diabetic veterans with a Hb-A1c between 7.0- 9.0 % within the last 6 months will be eligible for the study

Exclusion criteria

• Patients without an Hb-A1c checked within the last 6 months.
• Patients who are unable to attend the group sessions, either because of lack of transportation, psychiatric instability (suicidal, psychotic), or organic brain injury that preclude them from diabetes self-care.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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118 participants in 2 patient groups

MEDIC

Experimental group

Description:

Multidisciplinary education and diabetes intervention for cardiac risk reduction

Treatment:

Behavioral: Role modeling

Behavioral: Behavioral counseling and peer support

Procedure: Pharmacologic case management

Behavioral: Interactive Education

usual care

No Intervention group

Description:

usual care