Telehealth for Diabetes Self-Management

Completed · Not applicable

Conditions studied: Diabetes, Aging

In brief

This study will examine the feasibility and short and-long-term efficacy of a web-based telehealth intervention with community-dwelling older adults who have been diagnosed with type 2 diabetes. Effectiveness will be evaluated using multiple measures within three different domains: 1) physical (glycosylated hemoglobin \[HbA1C\], weight, and lipid levels); 2) behavioral (monitoring blood glucose levels, feet inspections, diet, and exercise frequency), and 3) psychosocial (depression, quality of life, social support, and adjustment to diabetes). This is a randomized controlled trial of a web-based telehealth intervention designed to improve self-management behaviors in a group of community dwelling older diabetics. Two groups of participants will be recruited and randomized over a four-month period during years 01 and 02. Participants in the control group will receive standard diabetic care provided by their provider. Participants in the intervention group will receive computer training in the participant's home in how to access and utilize the web-based telehealth study webpage. The intervention will consist of a program designed and delivered via the Internet to improve the participants' diabetes self-management behaviors using behavioral and motivational strategies and cues to modify perceptions of self-efficacy and beliefs regarding the ability to affect the progress of the disease and change personal behavior.

Key facts

Study ID

NCT00194805

Run by

University of Washington

People needed

62

Starts

2003-09-01

Expected to finish

2007-08-01

Last updated by the study team

2007-11-14

Who can join

Age: 60 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• diagnosed with Type 2 diabetes (American Diabetes Association criteria), i.e., fasting blood sugar levels of 126 mg/d or non-fasting levels of 200 mg/d when not taking glycemic control medication for diabetes
• diagnosed with diabetes for at least one year
• living in a non-institutional home in the community
• age 60 or older
• willing to be randomized
• able to read and write English or have an available caregiver or family member who can provide the necessary language translation.

You may not qualify if…

• moderate to severe cognitive impairment (less than 24 on the Mini Mental State Examination)
• severe vision impairment (greater than or equal to 9 on the Functional Vision Screening Scale);
• impairment of Activities of Daily Living (greater than 2 on Katz's Activities of Daily Living Scale);
• inability to hold and move objects; push buttons or use a trackball or a telephone;
• the presence of terminal debilitating medical conditions likely to result in death or severe disability prior to completion of the study;
• severe expressive or receptive communication impairment (inability to communicate will interfere with the administration of outcome measures), or
• no available phone-line or free electrical outlet

Where it is running

• University of Washington — Seattle, Washington, United States

Full record on ClinicalTrials.gov

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