Interprofessional Community-Based Diabetes Intervention for Older Adults
2016年7月6日 更新者：McMaster University
Feasibility, Acceptability and Effects of an Interprofessional Community-Based Health Promotion Intervention on Self-Management in Older Adults With Type 2 Diabetes and Comorbid Chronic Conditions: A Pilot Study
This study will examine the feasibility and acceptability of a 6-month interprofessional community-based health promotion program, and explore its effects on older adults' self-management of Type 2 Diabetes (T2DM).
Recently enrolled clients of Diabetes Care Guelph (DCG), who are age 65+ and have at least two other chronic conditions, will be eligible to participate.
Participants must be English speaking, community-dwelling, independent in activities of daily living, and mentally competent to give informed consent.
The 6-month intervention will consist of: in-home visits by a Registered Nurse and Registered Dietitian from DCG; participation in a monthly Diabetes Wellness Day group program offered through the Guelph Wellington Seniors Association (GWSA) together with DCG; peer support from trained volunteers at the Diabetes Wellness Day group program; care coordination by the DCG Registered Nurse to help participants access necessary supports and services; and monthly team conferences between care providers at DCG and the GWSA to develop a client-centred plan of care.
To evaluate the program, participants will complete interviewer-administered questionnaires before and after the intervention, and care providers and peer volunteers will take part in group interviews.
研究概览
研究类型
介入性
注册 (实际的)
45
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
-
Ontario
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Hamilton、Ontario、加拿大、L8S 4K1
- McMaster University
-
-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
65年 及以上 (年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- Age 65+
- Referred to Diabetes Care Guelph within the past 12 months
- At least two chronic conditions in addition to Type 2 Diabetes Mellitus
- English speaking
- Community-dwelling, in the city of Guelph
- Independent in activities of daily living
- Mentally competent to provide informed consent
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：卫生服务研究
- 分配：不适用
- 介入模型：单组作业
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Home visits and group program
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Participants will receive up to three home visits by a Registered Nurse and two home visits by a Registered Dietitian over the 6-month intervention period.
Participants will also be invited to attend a monthly Diabetes Wellness Day group program which will include diabetes education, interaction with peer volunteers, group exercise, and a meal.
The Registered Nurse will coordinate care to help participants access necessary community supports and services and lead monthly interprofessional case conferences to develop a client-centred plan of care for each study participant.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Changes from baseline in the Summary of Diabetes Self-Care Activities questionnaire
大体时间：baseline and 6 months
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This questionnaire measures self-care activities including diet, exercise, blood glucose testing, foot care, and smoking.
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baseline and 6 months
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次要结果测量
结果测量 |
大体时间 |
|---|---|
|
Changes from baseline in health-related quality of life (SF-12v2 health survey)
大体时间：Baseline and 6 months
|
Baseline and 6 months
|
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Changes from baseline in depressive symptoms (Centre for Epidemiological Studies Depression Scale)
大体时间：Baseline and 6 months
|
Baseline and 6 months
|
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Changes from baseline in symptoms of anxiety (Generalized Anxiety Disorder Screener-7 Scale)
大体时间：Baseline and 6 months
|
Baseline and 6 months
|
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Changes from baseline in costs of use of health services (Health and Social Services Utilization Inventory)
大体时间：Baseline and 6 months
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Baseline and 6 months
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Changes from baseline in fasting blood glucose (mmol/L)
大体时间：Baseline and 6 months
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Baseline and 6 months
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Changes from baseline in HbA1C (%)
大体时间：Baseline and 6 months
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Baseline and 6 months
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Changes from baseline in number of hypoglycemic events per week (blood glucose <4.0 mmol/L)
大体时间：Baseline and 6 months
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Baseline and 6 months
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其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Partnership and collaboration questionnaire
大体时间：6 months
|
This questionnaire will be completed by care providers who carry out the intervention.
It will be used to help evaluate the feasibility and acceptability of the intervention.
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6 months
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Maureen Markle-Reid, PhD, RN、McMaster University
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2013年6月1日
初级完成 (实际的)
2015年12月1日
研究完成 (实际的)
2015年12月1日
研究注册日期
首次提交
2013年6月14日
首先提交符合 QC 标准的
2013年6月14日
首次发布 (估计)
2013年6月19日
研究记录更新
最后更新发布 (估计)
2016年7月11日
上次提交的符合 QC 标准的更新
2016年7月6日
最后验证
2016年7月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.