Status:
COMPLETED
Point-of-care Health Literacy and Activation Information to Improve Diabetes Care
Lead Sponsor:
VA Office of Research and Development
Conditions:
Diabetes Mellitus
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
This hybrid effectiveness/implementation trial will be conducted in two phases over four years. In Phase 1, the investigators will evaluate the process of implementing a collaborative, diabetes goal-s...
Detailed Description
Project Background: Diabetes mellitus is a highly prevalent chronic condition, affecting one in four Veterans who use the Veterans Affairs (VA) health care system. Self-management skills are critical ...
Eligibility Criteria
Inclusion
- Veterans receiving primary care at VA study sites who are enrolled in the panels of participating primary care teams
- Veterans with ICD-9-CM and/or ICD-10 codes indicating a diagnosis of diabetes
- Veterans with an average HbA1c level \> 8% in the prior 6 months
Exclusion
- The investigators will exclude Veterans with the following clinical conditions that would render participation in a group clinic inappropriate:
- metastatic cancer or receiving hospice care
- limited life expectancy
- clinician recommendations to not titrate therapy due to prior history of significant hypoglycemic events
- age \<18 years
- active bipolar or psychotic disorder
- The investigators will also exclude Veterans, who at the time of screening:
- cannot attend monthly group clinic sessions due to transportation or availability barriers
- have significant cognitive impairment
- have active substance-abuse disorders
- are not comfortable discussing their health and health care in a peer-group setting Patients will be secondarily excluded if their HbA1C level falls below 7.5% at baseline.
Key Trial Info
Start Date :
July 13 2015
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
February 9 2018
Estimated Enrollment :
280 Patients enrolled
Trial Details
Trial ID
NCT01876485
Start Date
July 13 2015
End Date
February 9 2018
Last Update
June 19 2019
Active Locations (3)
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1
Jesse Brown VA Medical Center, Chicago, IL
Chicago, Illinois, United States, 60612
2
Edward Hines Jr. VA Hospital, Hines, IL
Hines, Illinois, United States, 60141-5000
3
Michael E. DeBakey VA Medical Center, Houston, TX
Houston, Texas, United States, 77030