Enhancing Shared Decision-making to Guide Care for People With Dementia and Diabetes
Diabetes, Alzheimer's Disease (Incl Subtypes), Dementia
About this trial
This is an interventional health services research trial for Diabetes focused on measuring Continuous glucose monitoring, Shared decision-making, Human factors, Primary care
Eligibility Criteria
Patient-Caregiver Dyad Inclusion Criteria (Aims 1 + 2): patient must have dual diagnosis of MCI or ADRD and diabetes (DM) patient must have active prescriptions for DM patient must have had at least one visit to an Eskenazi or IU Health primary care clinic within 12 months patient must be able to provide assent and have a legally authorized representative (LAR) consent on their behalf if patient lacks capacity to consent patient must have a caregiver aged 18 years or older who interacts daily, or almost daily, with the patient patient and caregiver must both speak English patient and caregiver must both reside in the community dyad must have internet access Patient-Caregiver Dyad Exclusion Criteria (Aims 1 +2): patient has terminal illness patient has prior use of CGM device patient is receiving dialysis patient is taking ascorbic acid during monitoring period patient has existing implanted medical devices patient has a bleeding disorder patient has a pre-existing arm skin lesions patient has an allergy to medical adhesive or isopropyl alcohol patient has plans for imaging or diathermy treatment during the study period Clinician Participant Inclusion Criteria (Aim 2): primary care physicians nurses pharmacists nutritionists psychologists medical residents Clinician Participant Exclusion Criteria (Aim 2): only treats patients younger than 65 years does not manage patients' DM
Sites / Locations
- Eskenazi HealthRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
No Intervention
No Intervention
Patient-Caregiver Dyads
Patient-Caregiver Dyads & Clinicians (first iteration)
Patient-Caregiver Dyads & Clinicians (second iteration)
Participants will wear a continuous glucose monitor
Participants will participate in the first iteration of the user-centered design process.
Participants will participate in the second iteration of the user-centered design process.