Multidisciplinary Team Approach: Working Together to Improve Glycemic Control in Hispanic Adults Diabetes

The University of Texas System (UT)

Status: Completed

Conditions: Type 2 Diabetes

Treatments: Other: Traditional model of care; Other: Specialized multidisciplinary diabetes team (SMDT) approach

Study type: Interventional

Funder types: Other

Identifiers

NCT03463629

HSC-SN-18-0075

Details and patient eligibility

About

This study seeks to determine if a specialized multidisciplinary diabetes team (SMDT) approach that incorporates the use of the chronic care model can be an effective method for improving glycemic control in Hispanic adults with uncontrolled type 2 diabetes residing in the Rio Grande Valley. The study will expand the current model of care used and focus on the multidimensional aspects that consist of physical, nutritional, educational and psychological needs of this underserved Hispanic population residing in the Rio Grande Valley.

Enrollment: 33 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Have physician-diagnosed type 2 diabetes
• Be self-identified as Hispanic or Latino
• An A1c value between 9-14% within the last three months
• English or Spanish speaking

Exclusion criteria

• Type 1 diabetes or gestational diabetes
• Cognitive impairment
• Prisoners or individuals under detention
• Unable to speak or understand English or Spanish
• Medical history of the end-stage renal disease or undergoing dialysis.

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

33 participants in 2 patient groups

Specialized multidisciplinary diabetes team (SMDT) approach

Experimental group

Description:

The implementation of the pilot study will consist of a specialized multidisciplinary diabetes team care (SMDT) that includes endocrinologists, a nurse practitioner, dieticians, pharmacists and a licensed professional counselors (LPCs) to collaborate and coordinate care. Subjects in the pilot study will follow a multidisciplinary team approach process with the following team members: pharmacist, LPC, and dietician. There will be 3 individualized visits: 1 visit with the counselor (LPC), 1 visit with the Pharmacist, and 1 visit with the Dietician. In addition, a follow up phone call post visit, that can range from 5 to 30 minutes, will be scheduled from each of the team members during the study. Also, throughout the pilot study participant's blood glucose readings will be monitored weekly via a transmittable wireless patient transmission monitor.

Treatment:

Other: Specialized multidisciplinary diabetes team (SMDT) approach

Traditional model of care

Active Comparator group

Description:

Receive the traditional model of care, but will not receive diabetes education by pharmacists or counseling services. Data for this arm will be collected through retrospective chart review.

Treatment:

Other: Traditional model of care