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| Name | Class |
|---|---|
| Diabetes Care Guelph | UNKNOWN |
| Guelph Wellington Seniors Association | UNKNOWN |
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This study will examine the feasibility and acceptability of a 6-month interprofessional community-based health promotion program, and explore its effects on older adults' self-management of Type 2 Diabetes (T2DM). Recently enrolled clients of Diabetes Care Guelph (DCG), who are age 65+ and have at least two other chronic conditions, will be eligible to participate. Participants must be English speaking, community-dwelling, independent in activities of daily living, and mentally competent to give informed consent. The 6-month intervention will consist of: in-home visits by a Registered Nurse and Registered Dietitian from DCG; participation in a monthly Diabetes Wellness Day group program offered through the Guelph Wellington Seniors Association (GWSA) together with DCG; peer support from trained volunteers at the Diabetes Wellness Day group program; care coordination by the DCG Registered Nurse to help participants access necessary supports and services; and monthly team conferences between care providers at DCG and the GWSA to develop a client-centred plan of care. To evaluate the program, participants will complete interviewer-administered questionnaires before and after the intervention, and care providers and peer volunteers will take part in group interviews.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Home visits and group program | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Home visits and group program | Other | Participants will receive up to three home visits by a Registered Nurse and two home visits by a Registered Dietitian over the 6-month intervention period. Participants will also be invited to attend a monthly Diabetes Wellness Day group program which will include diabetes education, interaction with peer volunteers, group exercise, and a meal. The Registered Nurse will coordinate care to help participants access necessary community supports and services and lead monthly interprofessional case conferences to develop a client-centred plan of care for each study participant. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes from baseline in the Summary of Diabetes Self-Care Activities questionnaire | This questionnaire measures self-care activities including diet, exercise, blood glucose testing, foot care, and smoking. | baseline and 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Changes from baseline in health-related quality of life (SF-12v2 health survey) | Baseline and 6 months | |
| Changes from baseline in depressive symptoms (Centre for Epidemiological Studies Depression Scale) | Baseline and 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Partnership and collaboration questionnaire | This questionnaire will be completed by care providers who carry out the intervention. It will be used to help evaluate the feasibility and acceptability of the intervention. | 6 months |
Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Maureen Markle-Reid, PhD, RN | McMaster University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| McMaster University | Hamilton | Ontario | L8S 4K1 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27965843 | Derived | Markle-Reid M, Ploeg J, Fisher K, Reimer H, Kaasalainen S, Gafni A, Gruneir A, Kirkconnell R, Marzouk S, Akhtar-Danesh N, Thabane L, Rojas-Fernandez C, Upshur R. The Aging, Community and Health Research Unit-Community Partnership Program for older adults with type 2 diabetes and multiple chronic conditions: a feasibility study. Pilot Feasibility Stud. 2016 May 9;2:24. doi: 10.1186/s40814-016-0063-1. eCollection 2016. |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D006792 | House Calls |
| ID | Term |
|---|---|
| D011364 | Professional Practice |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |
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|
| Changes from baseline in symptoms of anxiety (Generalized Anxiety Disorder Screener-7 Scale) | Baseline and 6 months |
| Changes from baseline in costs of use of health services (Health and Social Services Utilization Inventory) | Baseline and 6 months |
| Changes from baseline in fasting blood glucose (mmol/L) | Baseline and 6 months |
| Changes from baseline in HbA1C (%) | Baseline and 6 months |
| Changes from baseline in number of hypoglycemic events per week (blood glucose <4.0 mmol/L) | Baseline and 6 months |
| D004700 | Endocrine System Diseases |