Diabetes Group Visits

Diabetes Medical Group Visits Pilot Study

This pilot study aims to increase access to diabetes education by delivering it in a culturally-appropriate community setting and by involving different members of the diabetes care team including physicians, diabetes educators, and health promoters/community health workers.

Diabetes medical group visits will be held at the Grady North DeKalb satellite clinic the third Thursday of the month starting in October 2009. There will be two cohorts of patients- English speaking patients and Spanish speaking patients. Each group will be scheduled for 4 2-hour group visits throughout a period of 9 months. These visits will be every 8 weeks for each group. During the visit, the patient will be seen by a physician, attend a diabetes education session, re-fill their diabetes medications and receive lab orders.

Study Overview

• Status: Completed
• Conditions: Diabetes

Detailed Description

Patients who participate in the diabetes group visits should achieve improvement in Clinical outcomes - better A1C levels, reduced blood pressure, reduced cholesterol levels ; adherence to evidence-based medicine - keeping appointments and scheduling eye exams, foot-checks, and/or taking medication as prescribed; behavioral outcomes- goal setting, achievement of goals, problem solving; access - attendance at educational sessions; ability to obtain affordable medications and devices; and satisfaction among patients and health professionals.

• Study Type: Observational
• Enrollment (Actual): 92

Contacts and Locations

Study Locations

• United States
  • Georgia
    • Chamblee, Georgia, United States, 30340
      • Grady North DeKalb Clinic

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 80 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

We plan to study a total of 40 patients with a known history of type 1 or type 2 diabetes, ages 18-80. Patients included within this study will be determined by the set of inclusion and exclusion criteria.

Description

Inclusion Criteria:

• Primary care at the Grady North DeKalb Health center
• Valid Grady card
• Age 18-80
• HbA1c>=8.0% - 11.0%
• Must speak English or Spanish

Exclusion Criteria:

• -Primary care provider excludes patient from study
• Patient is reluctant to participate in a group visit
• Reduced life expectancy as determined by any of the following:
• End-stage renal disease on dialysis
• Active congestive heart failure II and IV
• Lung disease requiring supplemental oxygen
• Current malignancy with any evidence of disease or currently undergoing chemotherapy or radiation therapy
• Cirrhosis of the liver
• AIDS
• Mayor mental health disorders

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort
Spanish speaking group; Diabetes medical group visits will be held at the Grady North DeKalb satellite clinic the third Thursday of the month starting in October 2009. There will be two cohorts of patients- English speaking patients and Spanish speaking patients. Each group will be scheduled for 4 2-hour group visits throughout a period of 9 months. These visits will be every 8 weeks for each group. During the visit, the patient will be seen by a physician, attend a diabetes education session, re-fill their diabetes medications, get orders for labs due, vaccinations and diabetes-related referrals.
English speaking group; Each group will be scheduled for 4 2-hour group visits throughout a period of 9 months. These visits will be every 8 weeks for each group. During the visit, the patient will be seen by a physician, attend a diabetes education session, re-fill their diabetes medications, get orders for labs due, vaccinations and diabetes-related referrals. This visit will only focus on the patient's diabetes care. Each patient will continue to see their regular physician for their health care. All of the services that will be provided at the medical group visit are standard of care and are the same that the patient will receive in a one-on-one visit. However, this format will allow the patient to been seen by the physician and receive diabetes education in one visit.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Patients who participate in the diabetes group visits should achieve improvement in Clinical outcomes - better A1C levels, reduced blood pressure, reduced cholesterol levels	1 year

Secondary Outcome Measures

Outcome Measure	Time Frame
keeping appointments and scheduling eye exams, foot checks	1 year
goal setting, achievement of goals, problem solving; access	1 year
attendance at educational sessions; and satisfaction among patients and health professionals	1 year
behavioral outcomes	1 year

Collaborators and Investigators

• Sponsor: Emory University
• Collaborators: Johnson & Johnson; American Association of Diabetes Educators
• Investigators: Principal Investigator: Guillermo Umpierrez, MD, EUSOM

Study record dates

Study Major Dates

• Study Start: November 1, 2009
• Primary Completion (Actual): December 1, 2013
• Study Completion (Actual): December 1, 2013

Study Registration Dates

• First Submitted: October 22, 2009
• First Submitted That Met QC Criteria: October 22, 2009
• First Posted (Estimate): October 23, 2009

Study Record Updates

• Last Update Posted (Estimate): July 9, 2014
• Last Update Submitted That Met QC Criteria: July 7, 2014
• Last Verified: July 1, 2013

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Glucose Metabolism Disorders; Metabolic Diseases; Endocrine System Diseases; Diabetes Mellitus
• Other Study ID Numbers: IRB00029165