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

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

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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86 participants in 1 patient group

Diabetes-REM Program

Experimental group

Treatment:

Other: Diabetes-REM Program