Improving Health Outcomes of Diabetic Veterans: A Diabetic Self-Management Program

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT00013052
First received: March 14, 2001
Last updated: April 25, 2014
Last verified: April 2014
  Purpose

Control of the blood sugar prevents complications and results in extra years of life in patients with diabetes. Practice Guidelines delineating specific ways physicians manage diabetes have been outlined. Missing are guidelines for health care providers to encourage patients to take responsibility for their diabetes. Traditional patient education models have been ineffective in managing diabetic persons because they have relied upon information given alone and are disease centered rather than patient centered. This study will explore the role of self-efficacy in helping veterans move toward healthy behaviors.


Condition Intervention
Diabetes
Behavioral: Peer led classes. Led by trained veterans with a chronic disease.

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Factorial Assignment
Masking: Open Label
Official Title: Improving Health Outcomes of Diabetic Veterans: A Diabetic Self-Management Program

Resource links provided by NLM:


Further study details as provided by Department of Veterans Affairs:

Estimated Enrollment: 2068
Study Completion Date: September 2002
Arms Assigned Interventions
Arm 1 Behavioral: Peer led classes. Led by trained veterans with a chronic disease.

Detailed Description:

Background:

Control of the blood sugar prevents complications and results in extra years of life in patients with diabetes. Practice Guidelines delineating specific ways physicians manage diabetes have been outlined. Missing are guidelines for health care providers to encourage patients to take responsibility for their diabetes. Traditional patient education models have been ineffective in managing diabetic persons because they have relied upon information given alone and are disease centered rather than patient centered. This study will explore the role of self-efficacy in helping veterans move toward healthy behaviors.

Objectives:

The long-term objectives are to: 1) increase recognition of veteran�s responsibility for health; 2) develop more effective skills in managing chronic conditions; and 3) explore the role of self-efficacy in facilitating improvements in health behaviors and health care utilization.

Methods:

This is a prospective, randomized controlled clinical trial of 2,068 cognitively intact, diabetic veterans. The outcome measures (health behaviors, self-efficacy, health status and health care utilization) will be measured using self-rated scales developed and tested by Lorig and colleagues from Stanford University. Glucose levels and BMI changes will be evaluated using information documented in the medical record.

Status:

Enrollment (a total of 326 patients) is closed. All necessary data have been received and are being analyzed.

  Eligibility

Ages Eligible for Study:   40 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Cognitively intact diabetic veterans.

Exclusion Criteria:

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00013052

Locations
United States, Florida
VA Medical Center
Miami, Florida, United States, 33125
James A. Haley VA Medical Center
Tampa, Florida, United States, 33612
VA Medical Center
West Palm Beach, Florida, United States, 33410
Sponsors and Collaborators
Investigators
Principal Investigator: Virginia Nodhturft, EdD RN James A. Haley VA Medical Center
Principal Investigator: Carolee A. DeVito, PhD MPH Department of Veterans Affairs
  More Information

Publications:
Responsible Party: Department of Veterans Affairs
ClinicalTrials.gov Identifier: NCT00013052     History of Changes
Other Study ID Numbers: DII 99-097
Study First Received: March 14, 2001
Last Updated: April 25, 2014
Health Authority: United States: Federal Government

ClinicalTrials.gov processed this record on August 28, 2014