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| Name | Class |
|---|---|
| American Diabetes Association | OTHER |
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The purpose of this study is to find ways to identify barriers that affect self care in older adult with diabetes and to provide cost effective coping strategies to improve clinical, functional and psychosocial measures.
This is a study to evaluate whether short term focused intervention by a geriatric diabetes team to help overcome barriers to diabetes care in older adults will result in improved clinical, functional, and quality of life measures compared to usual care in a cost effective manner. In addition, we will assess whether the support network formed during intervention by the geriatric diabetes team will empower patients, resulting in long lasting improvement in parameters after intervention is completed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Geriatric Diabetes Team Intervention | Experimental | The subjects in this group underwent evaluation for barriers to self care by a diabetes educator well versed with age specific barriers. After consideration of patient clinical, function, and psychosocial background, a geriatric diabetes team devised strategy to help patients cope with respective barriers. An office based diabetes diabetes educator conveyed the strategy to patient and caregivers viz phone calls. the educator called study participants up wot eleven times over a sex month period. |
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| Atention Control Arm | No Intervention | The subjects in the group received similar, in person contact, as the intervention group. an educator, separate from the one involved in the intervention team, called patients in this group for a total of eleven times within the first six months. The Phone calls were focused toward general discussion without any diabetes related advice. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Behavioral | Behavioral | the intervention included developing strategies to help patients cope with their barriers to self care. The intervention were implemented by an office based educator over a six month by phone calls. From six months to twelve months subjects did not have any contact with study staff. |
| Measure | Description | Time Frame |
|---|---|---|
| Hemoglobin A1c | The primary outcomes of the study is to measure change in A1c before and after intervention. | 6 and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Hypoglycemia | Frequency of hypoglycemia by history and by hypoglycemia calendar | 6 and 12 months |
| functionality | 6-minute walk test, Tinetti test, number of falls and fear of falls, activities of daily living and instrumental activities of daily living |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medha N Munshi, MD | Joslin Diabetes Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Joslin Diabetes Center | Boston | Massachusetts | 02215 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15625413 | Background | Makimattila S, Malmberg-Ceder K, Hakkinen AM, Vuori K, Salonen O, Summanen P, Yki-Jarvinen H, Kaste M, Heikkinen S, Lundbom N, Roine RO. Brain metabolic alterations in patients with type 1 diabetes-hyperglycemia-induced injury. J Cereb Blood Flow Metab. 2004 Dec;24(12):1393-9. doi: 10.1097/01.WCB.0000143700.15489.B2. | |
| 11985933 |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D004522 | Educational Status |
| D009752 | Nutritional Status |
| ID | Term |
|---|---|
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
| D009747 | Nutritional Physiological Phenomena |
| D000066888 | Diet, Food, and Nutrition |
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| 6 and 12 months |
| Cognitive function | cognitive function test by modified clock drawing test, verbal fluency and Trail-making tests A and B | 6 and 12 months |
| Depression | Geriatric depression scale | 6 and 12 months |
| Self care inventory - revised | frequency of self-care measures | 6 and 12 months |
| Problem areas in diabetes | Measure of diabetes-related distress | 6 and 12 months |
| Economic impact | number of emergency room visit, hospitalizations for diabetes-related illnesses, out-patient care utilization in the form of clinic visits | 6 and 12 months |
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| 23193208 | Derived | Munshi MN, Segal AR, Suhl E, Ryan C, Sternthal A, Giusti J, Lee Y, Fitzgerald S, Staum E, Bonsignor P, DesRochers L, McCartney R, Weinger K. Assessment of barriers to improve diabetes management in older adults: a randomized controlled study. Diabetes Care. 2013 Mar;36(3):543-9. doi: 10.2337/dc12-1303. Epub 2012 Nov 27. |
| D010829 | Physiological Phenomena |
| D006304 | Health Status |
| D003710 | Demography |