Shared Health Appointments and Reciprocal Enhanced Support

Completed

Conditions studied: Diabetes Insipidus

In brief

The purpose of this study is to evaluate the effectiveness of a peer-to-peer program (P2P) in addition to Shared Medical Appointments (SMAs) compared to SMAs alone for the treatment of diabetes in five VA health systems, and to study the implementation process in order to gather information required to disseminate the program more broadly in the VHA system.

Key facts

Study ID

NCT02132676

Run by

VA Office of Research and Development

People needed

1536

Starts

2016-04-25

Expected to finish

2019-07-30

Last updated by the study team

2020-09-02

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Veterans enrolled into diabetes Shared Medical Appointments (SMAs) at participating sites, and a random subset of those meeting criteria for diabetes SMAs who have not yet participated:
• Veteran receiving care at a participating VA Medical Center
• Meets at least one of the following criteria in the past 2 years;
• at least 1 VA hospitalization with a diabetes-related International Classification Of Diseases-9 (ICD-9) code,
• at least 2 VA outpatient visits with a diabetes-related ICD-9 code, or
• At least 1 VA prescription for a glucose control medication (insulin or oral agent) or monitoring supplies
• Poor glycemic control, indicated by a HbA1c in the past 6 months or:
• at least 7.5% if age <70, or
• at least 8% if age 70+
• Has a current address and telephone number listed in VA databases
• Is competent to provide informed consent
• Can communicate in English and by telephone
• Able to participate in an outpatient program

You may not qualify if…

• For no intervention control group:
• Active substance abuse disorder (smoking cigarettes is not an exclusion)
• Serious psychiatric illness (bipolar disorder, dementia, schizophrenia, or personality disorders)
• Terminally ill
• Prisoner

Where it is running

• VA Palo Alto Health Care System, Palo Alto, CA — Palo Alto, California, United States
• VA Northern California Health Care System, Mather, CA — Sacramento, California, United States
• VA Connecticut Healthcare System West Haven Campus, West Haven, CT — West Haven, Connecticut, United States
• VA Ann Arbor Healthcare System, Ann Arbor, MI — Ann Arbor, Michigan, United States
• Providence VA Medical Center, Providence, RI — Providence, Rhode Island, United States

Full record on ClinicalTrials.gov

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