Understanding and Improving Diabetes Care for Ethnic Minorities (R2D2C2)

University of California Irvine (UCI)

Status: Completed

Conditions: Diabetes Mellitus, Type 2

Treatments: Behavioral: Standard Diabetes Education; Behavioral: Coached Care

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01123239

HS# 2004-4025

K01DK078939 (U.S. NIH Grant/Contract)

R18DK069846 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

In this study, we are testing the effectiveness of an intervention known as "Coached Care" to improve health outcomes and quality of care of patients being treated for type 2 diabetes, particularly patients in underserved populations. The intervention involves training members of minority communities who have diabetes to be "coaches", teaching minority patients the skills needed to participate effectively in care during office visits, as they present for those visits. Coaches follow patients for 9 routine consecutive visits, reinforcing participation skills before and between their routine office visits.

Enrollment: 540 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• diagnosis of type 2 diabetes
• At least one Hemoglobin A1c value greater than 7.5% in the year prior to recruitment.

Exclusion criteria

• Age above 80 years
• patients with dementia or other serious mental health problems that would prevent them from participating in the intervention.
• patients with other serious medical problems that would prevent them from participating in the intervention.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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540 participants in 2 patient groups

Coached Care

Experimental group

Description:

Coached Care pairs patients with linguistically and ethnically matched peer "coaches" who have been trained to promote patient participation in the medical visit. The coaches, who themselves have diabetes, meet with patients immediately before each of their regularly scheduled medical visits to encourage active involvement in information seeking and decision-making.

Treatment:

Behavioral: Coached Care

Standard Diabetes Education

Active Comparator group

Description:

Patients receive one-on-one diabetes education sessions before each medical visit. These sessions are purely informational, and do not include the specific patient activation components of the coached care intervention.

Treatment:

Behavioral: Standard Diabetes Education