Actively Recruiting

Phase Not Applicable
Age: 21Years - 64Years
All Genders
NCT06444074

The PACT (Patient Activation Through Conversations) Study

Led by National Healthcare Group Polyclinics · Updated on 2024-06-13

432

Participants Needed

3

Research Sites

208 weeks

Total Duration

On this page

Sponsors

N

National Healthcare Group Polyclinics

Lead Sponsor

N

National Healthcare Group, Singapore

Collaborating Sponsor

AI-Summary

What this Trial Is About

The PACT Study is a cluster randomised trial of a health coach-led patient activation program in type 2 diabetes. The goal of this clinical trial is to evaluate the effectiveness of a health coaching intervention (PACT program) led by Care Coaches (trained lay persons), in adult participants with sub-optimally controlled Diabetes Mellitus, as compared to participants undergoing routine care for diabetes (Usual Care). The primary outcome of interest is change in Glycated Haemoglobin (HbA1c) levels over 3 months, 6 months and 12 months. Secondary outcomes include changes in blood pressure, low-density lipoprotein-cholesterol (LDL-C) levels, body mass index (BMI), self-reported diabetes self-care behaviours, self-efficacy, health-related quality of life, and diabetes-related distress, over 3, 6 and 12 months. Participants in the Intervention arm will undergo the PACT Program, which is a 3-month long health coaching program led by a care coach. Participants review their motivators, health parameters, self-care behaviours, and set goals for improving their diabetes using a PACT report. Subsequently, they will receive fortnightly motivational and problem solving support via telephone or WhatsApp messaging over a 3-month duration, and will return to routine care after 3 months. Participants in the Usual Care arm will have routine care of their diabetes treatment.

CONDITIONS

Official Title

The PACT (Patient Activation Through Conversations) Study

Who Can Participate

Age: 21Years - 64Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of Type 2 Diabetes Mellitus and enrolled in NHGP Teamlets
  • Age between 21 to 64 years old
  • HbA1c level above 8% in the past 6 months
Not Eligible

You will not qualify if you...

  • History of acute coronary syndrome in the last 3 months
  • History of stroke or transient ischemic attacks in the last 3 months
  • History of end stage organ failure (liver cirrhosis, cardiac failure, or eGFR <30 mL/min/1.73m2 in last 6 months)
  • Cancer requiring treatment in the past 5 years
  • Currently under active psychiatric follow-up
  • Significant social issues requiring medical social worker follow-up in past 12 months
  • Women who are pregnant or breastfeeding
  • Participation in other diabetes-related interventional studies
  • Unable to provide written consent or commit to study duration

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 3 locations

1

NHGP Geylang Polyclinic

Singapore, Singapore, 389707

Not Yet Recruiting

2

NHGP Ang Mo Kio Polyclinic

Singapore, Singapore, 569666

Not Yet Recruiting

3

NHGP Woodlands Polyclinic

Singapore, Singapore, 738579

Actively Recruiting

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Research Team

J

Jun Hwee Benjamin Lee, MBBS

CONTACT

S

Sabrina Kay Wye Wong, MBBS

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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