Improving Self Management Skills of Older Adults With Diabetes

Stanford University

Status: Completed

Conditions: Diabetes; Type 2 Diabetes

Treatments: Behavioral: Diabetes Self Management Program

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT01943357

109554 (Other Grant/Funding Number)

26679

Details and patient eligibility

About

The study will help determine if the Better Choices Better Health Diabetes program (community-based or online, also known as the Diabetes Self-Management Program) improves the hbA1C of people with Type-II diabetes. The investigators will also examine 1) symptoms (fatigue, sleep, low blood sugar symptoms, depression, shortness of breath), 2) healthy behaviors (blood sugar monitoring; taking medications as prescribed; getting eye, foot, kidney and cholesterol exams; and activity), 3) the use of health care services. This project is a translational study to demonstrate the effectiveness of the intervention in the context of a major insurer.

Full description

Self-report questionnaires and hbA1c capillary blood collection kits will be administered at baseline (prior to the intervention), six-months and twelve-months. Differences between baseline and followup scores will be used to determine if participants have benefited from the intervention, using intent-to-treat methodology. Subgroups and delivery method (small-group or on-line) will be compared using repeated measures and analyses of covariance.

Enrollment: 1,000 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• type 2 diabetes
• WellPoint insurance or medicare supplement plan participant
• 18 years or older

Exclusion criteria

• Treatment for cancer in past year
• Pregnant
• Under 18
• Previously taken a Stanford self-management program

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

1,000 participants in 1 patient group

Diabetes Self-Management Program

Experimental group

Description:

Behavioral: Diabetes Self Management Program. Consists of either a six-week small-group face-to-face program with two peer leaders or an six-week peer-facilitated Internet-based program.

Treatment:

Behavioral: Diabetes Self Management Program