Community Paramedicine Program to Improve Diabetes Care Quality, Equity, and Outcomes

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Mayo Clinic

Status

Completed

Conditions

Diabetes
Diabetes Mellitus

Treatments

Other: Diabetes-REM Program

Study type

Interventional

Funder types

Other

Identifiers

NCT04385758
20-001011

Details and patient eligibility

About

The purpose of this study is evaluate the effectiveness of Diabetes-REM (Rescue, Engagement, and Management), a comprehensive community paramedic (CP) program to support adults in Southeast Minnesota (Mower, Freeborn, and Olmsted counties) and Northwest Wisconsin (Barron, Rusk, and Dunn) who have uncontrolled diabetes (HbA1c ≥ 9%) and have experienced an emergency department (ED) visit or hospitalization for any cause in the prior 6 months.

Enrollment

86 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria (Patients):

  • Most recent hemoglobin A1c ≥ 9% within the last 2 years.
  • Age ≥ 18 years old.
  • Type 1 or type 2 diabetes.
  • Paneled to a Mayo Clinic or Mayo Clinic Health System practice.
  • Able to provide informed consent.
  • Proficient in English.
  • Community-dwelling.
  • Live in Southeast Minnesota (Mower, Freeborn, or Olmsted counties) or Northwest Wisconsin (Barron, Rusk, or Dunn counties).

Inclusion Criteria (Paramedics):

•Community Paramedics who delivered the Diabetes-REM intervention.

Exclusion Criteria:

  • Cognitive impairment precluding informed consent.
  • Lack of conversational English skills.
  • Resident of a long-term care facility.
  • Enrolled in hospice.
  • Enrolled in a care coordination or disease management program.
  • Advanced or terminal illness.

Trial design

86 participants in 1 patient group

Diabetes-REM Program
Experimental group
Treatment:
Other: Diabetes-REM Program

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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