- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05263310
Prepare for Your Diabetes Care
Clinical Trial of Expanded Advance Care Planning to Address Regimen Intensity in Older Patients at High Risk for Treatment-Induced Hypoglycemia
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Ilana Peterson, MPH
- Phone Number: 877-220-3022
- Email: prepareresearchstudy@kp.org
Study Contact Backup
- Name: Richard W Grant, MD MPH
- Email: Richard.W.Grant@kp.org
Study Locations
-
-
California
-
Oakland, California, United States, 94577
- Recruiting
- Kaiser Permanente - Oakland Medical Center
-
Contact:
- Project Coordinator
-
Contact:
- Phone Number: 877-220-3022
- Email: prepareresearchstudy@kp.org
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 75 years
- Type 2 diabetes with last measured HbA1c ≤ 8.0%
- Currently prescribed insulin and/or SUs
- Kaiser Permanente Northern California member
Exclusion Criteria:
- Unable to communicate in English
- Unable to provide informed consent and/or participate in informed decision making due to cognitive or communication-related deficits
- Excluded by their primary care provider
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Educational Video and Action Plan handout
Patients in the intervention arm will be given access to an educational video (Prepare for Your Diabetes Care) and will be supported in viewing the video and the Action Plan handout. This program will provide brief education about changing risks and benefits of diabetes treatment as patients age, elicit values and preferences regarding treatment, and help direct next conversation steps with the participant's primary care provider. |
Educational video and Action Plan handout
|
Active Comparator: Usual Care
Patients in the control arm will continue with usual care and also complete baseline, 6-month, and 12-month surveys
|
Control arm patients will continue with usual care
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Any incidence of hypoglycemia
Time Frame: 12 months after baseline date
|
Any one of the following hypoglycemia event measures:
|
12 months after baseline date
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient-Reported Outcome: Incidence of Severe Self-Reported Hypoglycemia
Time Frame: Preceding 6-month period (asked 6 and 12 months after first study-related visit)]
|
Patient report of any self-reported severe hypoglycemia episodes in past 6 months that resulted in passing out or needing active help from someone else
|
Preceding 6-month period (asked 6 and 12 months after first study-related visit)]
|
Patient-Reported Outcome: Incidence of Symptomatic Self-Reported Hypoglycemia
Time Frame: Preceding 1-month period (asked 6 and 12 months after first study-related visit)
|
Patient report of three or more self-reported symptomatic episodes in past 4 weeks (measured at 6- and 12-months)
|
Preceding 1-month period (asked 6 and 12 months after first study-related visit)
|
Patient-Reported Outcome: Problem Areas in Diabetes
Time Frame: 6 and 12 months following the first study-related visit
|
5-item Problem Areas in Diabetes (PAID-5) + Worry about Hypoglycemia
|
6 and 12 months following the first study-related visit
|
Clinical Utilization Outcome: Hypoglycemic-related admissions to Emergency Department or Hospital
Time Frame: 6 and 12 months following the first study-related visit
|
Hypoglycemic-related admissions in the 6 months and 12 months following the first study-related visit
|
6 and 12 months following the first study-related visit
|
Patient-Centered Outcome: RAND Patient Satisfaction Questionnaire
Time Frame: 6 and 12 months following the first study-related visit
|
5-item RAND Patient Satisfaction Questionnaire (PSQ III)
|
6 and 12 months following the first study-related visit
|
Patient-Centered Outcome: Perceived Efficacy in Patient - Physician Interactions
Time Frame: 6 and 12 months following the first study-related visit
|
5-item Perceived Efficacy in Patient - Physician Interactions (PEPPI) Survey Instrument
|
6 and 12 months following the first study-related visit
|
Patient-Centered Outcome: Active Patient Participation during primary care visits
Time Frame: 6 - 12 months following the first study-related visit
|
In a subset of patients (n = 40 in each arm, total n = 80), we will audio-record a selected primary care visit.
Visit transcripts will be analyzed using the Active Patient Participation Coding Scheme [Coding Instrument] and utterances per unit time [Outcome Measure] demonstrating active patient participation related to diabetes management will be compared between arms.
|
6 - 12 months following the first study-related visit
|
Medication-Related Outcome: Aggregate measure of diabetes medication deprescribing
Time Frame: 12 months following the first study-related visit
|
Aggregate measure of diabetes medication deprescribing between baseline and 12-month follow-up, defined as any combination of:
|
12 months following the first study-related visit
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Richard W Grant, MD MPH, Kaiser Permanente Northern California - Division of Research
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB-1635322
- R01AG068133 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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