At a glance
ClinicalIndex Comparison RecordStandardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Improving Insulin Therapy With Enhanced Care Management and Peer Support
In Brief
A Phase 3 clinical trial evaluating Reciprocal Diabetes Peer Support Program, Nurse Case management, and 1 other intervention for Diabetes. Completed, enrolled 244 participants across 1 site.
Detailed Summary
VA diabetes patients often have difficulty managing their self-care and accessing clinic-based services; many also lack social support to help them meet the demands of their illness. Enhanced support is especially important when undertaking and sustaining new challenging self-care tasks, such as initiating or intensifying insulin treatment regimens. Although some VAs have implemented telephone nurse care management programs supported by automated calling services, many are reluctant to adopt these models due to nursing shortages.
Study Details
Timeline
Interventions
participants are paired with another age-matched participation. Paired peer partners were encouraged to talk weekly using a telephone platform that recorded call frequency and duration and provided automated reminders promoting peer contact.
patients are not paired in the NCM arm attended a 1.5 hour session to receive education on care manager services and diabetes educational materials and be assigned to a nurse care manager with whom they were encouraged to follow-up regularly.
Participants in the peer group were also offered three optional 1.5 hour patient-driven group sessions at month 1, 3, and 6