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The Role and Effectiveness of Diabetes Coaches in British Columbia

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02247271
Recruitment Status : Completed
First Posted : September 25, 2014
Last Update Posted : May 7, 2018
Sponsor:
Collaborator:
The Lawson Foundation
Information provided by (Responsible Party):
Patrick T. McGowan, PhD, University of Victoria

Brief Summary:
This project is a partnership between the University of Victoria and the eleven Diabetes Health Centres in the Fraser Health Region of British Columbia, Canada. The primary goal of this project is to evaluate the feasibility, viability, and effectiveness of using peer health coaches to assist persons with type 2 diabetes who are experiencing challenges in managing their diabetes. The University of Victoria will recruit and train sixty coaches with various cultural and socioeconomic backgrounds representing a community of practice. Coaches will also have type 2 diabetes or be familiar with type 2 diabetes and will have led or taken the Diabetes Self-Management Program in English, Punjabi or in Aboriginal communities. Training will also include navigating the health care system, accessing mandated health and employment- related services, importance of medication adherence and ability to understand health care instructions. One hundred and fifty subjects with type 2 diabetes will be recruited by Diabetes Health Educators or through community newspaper ads. Eligibility criteria for subjects include: adults with type 2 diabetes who speak English or Punjabi living in the Fraser Health region. A one group pre-post matched design will be used. Both participants and coaches will complete questionnaires at baseline, six and twelve months. The Diabetes Coaches will provide assistance to subjects for a period of 6 months. A project community advisory committee comprised of the researchers, Diabetes Centre administrative staff, clinicians, coaches, subjects, key community leaders and representatives from the diabetes industry will meet every three months to guide implementation and sustainability. Qualitative research methods (i.e., focus groups and interviews) will be used to gather feedback, perspectives, and opinions of all the stakeholders.

Condition or disease Intervention/treatment Phase
Diabetes Mellitus, Type 2 Behavioral: Diabetes health coach support Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 100 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: The Role and Effectiveness of Diabetes Coaches in British Columbia
Study Start Date : September 1, 2014
Actual Primary Completion Date : September 30, 2017
Actual Study Completion Date : September 30, 2017

Arm Intervention/treatment
Diabetes health coach support
The intervention is that subjects will receive coach support once a week for 30 minutes for six months. Support is provided by a Diabetes Coach who uses self-management support strategies to assist subjects to achieve their personal health goals.
Behavioral: Diabetes health coach support
Receives support from a trained peer health coach for a six month period




Primary Outcome Measures :
  1. Patient Activation Measure (PAM) [ Time Frame: one year ]
    This is a composite measure


Secondary Outcome Measures :
  1. glycated hemoglobin test (A1C) [ Time Frame: one year ]
    Measures blood glucose level

  2. Diabetes Empowerment Scale (DES) [ Time Frame: one year ]
    Assesses subjects' perception of empowerment to manage diabetes

  3. Self-efficacy [ Time Frame: one year ]
    Measures confidence in managing diabetes

  4. Self-reported health [ Time Frame: one year ]
    Assess subjects' perception of their health status

  5. Fatigue [ Time Frame: one year ]
    Assesses subjects' perception of fatigue level

  6. Pain [ Time Frame: one year ]
    Assesses subjects' perception of pain level

  7. Patient Health Questionnaire (PHQ-9) Depression Scale [ Time Frame: one year ]
    Assesses subjects' perception of depression experience

  8. Communication with physician [ Time Frame: one year ]
    Assesses' subjects' communication with their doctor

  9. Medication Adherence scale [ Time Frame: one year ]
    Measures subjects' adherence to prescribed medication

  10. Chow 3 question health literacy scale [ Time Frame: one year ]
    Measures health literacy

  11. Self-reported healthcare utilization [ Time Frame: one year ]
    Self-report number of doctor visits, emergency room visits, and nights in hospital



Information from the National Library of Medicine

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Ages Eligible for Study:   19 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • adults, living in Fraser Health Region of British Columbia, type 2 diabetes, ability to speak English or Punjabi

Exclusion Criteria:

  • Type 1 diabetes

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02247271


Locations
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Canada, British Columbia
UVictoria
Delta, British Columbia, Canada, V4K 2K6
Sponsors and Collaborators
University of Victoria
The Lawson Foundation
Investigators
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Principal Investigator: Patrick T McGowan, PhD University of Victoria

Additional Information:
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Responsible Party: Patrick T. McGowan, PhD, Professor, School of Public Health and Social Policy, University of Victoria
ClinicalTrials.gov Identifier: NCT02247271    
Other Study ID Numbers: 2014-775-Diabetes
First Posted: September 25, 2014    Key Record Dates
Last Update Posted: May 7, 2018
Last Verified: May 2018
Keywords provided by Patrick T. McGowan, PhD, University of Victoria:
peer coaches
Additional relevant MeSH terms:
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Diabetes Mellitus
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases