Comparative Effectiveness of Family vs. Individually Focused Diabetes Education and Support
Diabetes Mellitus, High Blood Pressure, High Blood Sugar
About this trial
This is an interventional health services research trial for Diabetes Mellitus focused on measuring Diabetes, Patient Activation, Self Management Education, Self Management Behavior, Autonomy Support, Social Support, Caregiver, Family Support, Glycemic Control
Eligibility Criteria
Patient Inclusion Criteria:
- Have a diagnosis of Type 2 diabetes
- Most recent HbA1c done in the 3 months prior to screening phone call >= 7.5%
- Plan to use recruiting site for health care over the next 12 months after enrollment
- Must be able to identify a family member or friend who is willing to be involved in their health care
Patient Exclusion Criteria:
- Diagnosis (active or prior) of Alzheimer's disease or dementia
- Preferred language is not English or Spanish
- Diagnosis (active or prior) of schizophrenia or other psychotic/delusional disorder in CHASS EMR Problem list as of screening call date
- Diagnosis of gestational diabetes without any other diabetes diagnoses
- Diagnosed with diabetes at age < 21 years
- Pregnant or planning to become pregnant in the next 12 months
- Concerns that may make it difficult to participate (ongoing health issues, personal events, etc.)
- Have a life-limiting severe illness (e.g. chronic obstructive pulmonary disease requiring oxygen)
Support Person Inclusion Criteria:
- Able to attend intervention sessions in person or remotely via online video-conferencing
- At least 21 years old
Support Person Exclusion Criteria:
- Does not speak English or Spanish
- Receives pay for caring for the patient
- Has self-reported serious mental illness (schizophrenia)
- Has a life-limiting severe illness (e.g. chronic obstructive pulmonary disease requiring oxygen)
- Has significant cognitive impairment (Alzheimer's disease or dementia)
- Lives in a nursing home or long-term care facility
- Concerns that may make it difficult to participate (ongoing health issues, personal events, etc.)
Sites / Locations
- Community Health and Social Services Center (CHASS)
- University of Pittsburgh
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
FAM-ACT
I-DSMES
Patient and Support Person (dyad) will be included together as much as possible. The dyad will: Take part in a one-hour introductory session and review of the patient's Diabetes Complications Risk Assessment profile. Be invited to 4-6 Support Person-focused, group diabetes self-management education (DSME) sessions lasting 1-2 ½ hours each. Receive case management contacts with a Community Health Worker (CHW) once every 2-4 weeks, subject to participant availability. Successful contacts will last approximately 20 minutes.
This arm will focus on the patient only. The Support Person assigned to this arm will not be invited to the introduction sessions, care management contacts, or diabetes self-management education sessions. Patients assigned to this arm will: Take part in a one-hour introductory session and review of patient's diabetes management risk assessment. Be invited to 4-6 group diabetes self-management education (DSME) sessions lasting 45 min to 2 hours each. Receive case management contacts with a Community Health Worker (CHW) once every 2-4 weeks, subject to participant availability. Successful contacts will last approximately 20 minutes.