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Type 2 DiabetesPrimarycareNCT05336019

The Effect of a Diabetes Self-management Coaching Program for Type 2 Diabetes Patients in the Ethiopian PC.

A study testing Diabetes self-management Coaching in people with Type 2 Diabetes and Diabetes Mellitus, Type 2, run by Queen's University at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Background: Diabetes mellitus is the third most prevalent chronic disease globally. It is a metabolic disorder characterized by elevated blood glucose because of impaired insulin production, reduced insulin effectiveness, or both. It is a major contributor for physical disability and impaired quality of life. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Type 2 Diabetes, Diabetes Mellitus, Type 2
What is being tested?
Diabetes self-management Coaching
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteCanada
Study dates
1 Oct 2022to 30 Apr 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Attend diabetes care for at least 1 year
  • Taking anti-diabetic medications
  • Age between 18 -65 years
  • HbA1c level >7% or Repeated FBS>130

Who cannot join

  • Attend behavioral therapy program in the last 1 year
  • Clinically confirmed mentally ill clients
  • Pregnant
  • Physically impaired (unable to see, hear, and walk)
  • Clinically confirmed co-morbidity (Heart failure, cancer, stroke) which may interfere with their participation

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • Fikadu Ambaw Yehualashet

    Kingston, Ontario, K7K 1N6

Other trials in Canada

About this study

Official title: Effectiveness of the Diabetes Self-management Coaching Program on the Clinical and Behavioral Parameters for Individuals With Type 2 Diabetes in the Ethiopian PC Setting: Mixed-methods Feasibility Randomized Controlled Trial

Background: Diabetes mellitus is the third most prevalent chronic disease globally. It is a metabolic disorder characterized by elevated blood glucose because of impaired insulin production, reduced insulin effectiveness, or both. It is a major contributor for physical disability and impaired quality of life. Diabetic Self-Management programs help to control blood glucose, reduce hospitalization, and increase compliance; however, the program is underutilized in the Primary Care settings globally; due to cognitive, financial, behavioral, and emotional factors. Health coaching is a client-centered self-management approach informed by behavioral change theories to empower individuals to identify their strengths and resources and achieve their health and wellness goals.

Purpose: The study's overarching goal is to determine whether implementing the Diabetes Self-Management (DSM) Coaching program can be effective and feasible for individuals with type diabetes in the Ethiopian primary care context.

Read more

Method: The study will employ a single-blinded feasibility randomized controlled trial followed by a concurrent mixed-method design. A block randomization technique with block size of 4 will be used to allocate eligible participants for the quantitative part. Structured outcome measures will be used to collect data on self-efficacy, self-care practice, and glycated hemoglobin A1c. Qualitative description approach with an in-depth interview method of data collection will be used to explore perspectives of participants, barriers and facilitators, and acceptability of the program. Mean, median and frequencies will be computed. Depending on the normality of the distribution and the number of participants, t-tests, x2 tests, sign tests, and ANOVA will be considered to analyze the data. Inductive qualitative content analysis approach will be followed to analyze qualitative data. Qualitative and quantitative data will be merged at result level for further interpretation and presented in discussion section.

Significance: The study will be used to determine the feasibility of the Diabetic Self-Management Coaching program in the Ethiopian primary care settings. Study participants will be benefited from the coaching program and will improve their self-efficacy, diabetes self-care practice, and blood glucose level. Furthermore, the study will have a paramount advantage to establish a foundation for future definitive trial that can prove effectiveness of the program.

Read the detailed description

Primary Aim Objective 2. To determine the acceptability of implementing a DSM Coaching program in the Ethiopian PC setting.

The specific objectives are:

1.1. To assess the recruitment ability, adherence, retention ability, and satisfaction of the study participants.

1.2. To determine the fidelity of implementing the DSM Coaching program. Secondary Aim Objective 2. Evaluate the effectiveness of the DSM Coaching program on self-efficacy, self-care practice, and HbA1c among individuals with type 2 diabetes attending PC in Gondar town.

The specific objectives include- 2.1. To evaluate the effect of the DSM Coaching program on the self-efficacy of individuals with type 2 diabetes 2.2. To examine the effect of the DSM Coaching program on the self-care practice of individuals with type 2 diabetes.

2..3. To determine the effect of the DSM Coaching program on the HbA1C of individuals with type 2 diabetes.

Study participants assigned to intervention group will attend 12 weeks DSM Coaching program. This program has two components, four group based sessions and 4 individual home-based coaching. The control group will take the routine diabetes care for the same duration. The outcome will be assessed at baseline, after completing the intervention and after a two months follow-up.

Being tested
Diabetes self-management Coaching, Usual care
Keywords
Diabetes Mellitus, self-management, Type 2 Diabetes, Coaching, Empowerment
Medical subject headings
Diabetes Mellitus, Type 2, Diabetes Mellitus, Empowerment

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Diabetes self-management CoachingBehavioural

    Also called Diabetes Health Coaching

    A 12-week Diabetes self-management coaching program

  • Usual careOther

    Also called routine service

    Assigned to 12 weeks of usual care which includes a physical examination, history taking,, medication refill, lab investigation, and health education

Study groups in NCT05336019
Study groupRoleWhat they receive
"Diabetes self-management Coaching"ExperimentalA 12-week Diabetes self-management Coaching program and the usual care
Receives: Behavioral: Diabetes self-management Coaching
"Usual Care"Active comparatorThe control group will be assigned to 12 weeks usual care or routine diabetes service
Receives: Other: Usual care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Feasibility of the DSM Coaching program

    Acceptability measures the reaction of individual recipients-both study subjects and interventionists to the intervention(Bowen et al., 2009). It will be measured using a validated scale (B. J. Weiner et al., 2017). Mean scores will be used to categorize responses into acceptable and non-acceptable.

    Measured: up to 1 year

  2. Recruitment rate

    It is the proportion of eligible individuals willing to give consent and randomized to the study.

    Measured: up to 1 year

  3. Ahernece rate

    An intervention adherence is the participant's compliance with attending all group sessions, and all home-based coaching sessions.

    Measured: 1 year

  4. Retention rate

    The ability of the program to retain participants in the study. The proportion of study participants who completed the study and evaluated at the end of the intervention T2 and end of follow-up T3.

    Measured: 1year

Secondary outcomes (3)
  1. Diabetes self-efficacy

    Diabetes self-efficacy will be measured using Stanford Self-Management Resource Center (SMRC) diabetes self-efficacy scale (SMRC, 2021). Mean scores will be computed to decide changes in values.

    Measured: up to 1 year

  2. Diabetes self-care practice

    The diabetes self-care practice will be measured using the Summary of Diabetes Self-Care Activity (SDSCA)(Toobert et al., 2000). Mean scores will be computed to decide changes in values.

    Measured: up to 1 year

  3. Glycated Hemoglobin A1c (HbA1c)

    HbA1c will be analyzed from a sample of whole blood using a chemistry machine at the University of Gondar hospital laboratory department. HbA1c < 7.0% is considered as the good glycemic control and HbA1c ≥ 7.0% will be considered as poorly controlled glucose level(Abera et al., 2022).

    Measured: up to 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Apr 2022
  2. Study start1 Oct 2022
  3. Primary completion30 Apr 2023
  4. Study completion30 Apr 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
A single-blinded, parallel-group feasibility Randomized Controlled Trial design.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05336019
Sponsor's protocol ID
20224207
Acronym
Primarycare
Status last verified
Dec 2023
First submitted
6 Apr 2022
Last updated
26 Dec 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: For the sake of confidentiality, participant data will not be shared. However, data will be disseminated in the form of publications, conference presentations, and local media. In addition, data may be shared on request.

Publications

  • Alaofe H, Asaolu I, Ehiri J, Moretz H, Asuzu C, Balogun M, Abosede O, Ehiri J. Community Health Workers in Diabetes Prevention and Management in Developing Countries. Ann Glob Health. 2017 May-Aug;83(3-4):661-675. doi: 10.1016/j.aogh.2017.10.009. Epub 2017 Nov 22.

    PubMed 29221543
  • Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977 Mar;84(2):191-215. doi: 10.1037//0033-295x.84.2.191. No abstract available.

    PubMed 847061
  • Billingham SA, Whitehead AL, Julious SA. An audit of sample sizes for pilot and feasibility trials being undertaken in the United Kingdom registered in the United Kingdom Clinical Research Network database. BMC Med Res Methodol. 2013 Aug 20;13:104. doi: 10.1186/1471-2288-13-104.

    PubMed 23961782
  • Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA. 2002 Oct 9;288(14):1775-9. doi: 10.1001/jama.288.14.1775.

    PubMed 12365965
  • Campos BM, Kieffer EC, Sinco B, Palmisano G, Spencer MS, Piatt GA. Effectiveness of a Community Health Worker-Led Diabetes Intervention among Older and Younger Latino Participants: Results from a Randomized Controlled Trial. Geriatrics (Basel). 2018 Sep;3(3):47. doi: 10.3390/geriatrics3030047. Epub 2018 Aug 2.

    PubMed 30345345
  • Chapman A, Browning CJ, Enticott JC, Yang H, Liu S, Zhang T, Thomas SA. Effect of a Health Coach Intervention for the Management of Individuals With Type 2 Diabetes Mellitus in China: A Pragmatic Cluster Randomized Controlled Trial. Front Public Health. 2018 Sep 19;6:252. doi: 10.3389/fpubh.2018.00252. eCollection 2018.

    PubMed 30283767
  • Chen RY, Huang LC, Su CT, Chang YT, Chu CL, Chang CL, Lin CL. Effectiveness of Short-Term Health Coaching on Diabetes Control and Self-Management Efficacy: A Quasi-Experimental Trial. Front Public Health. 2019 Oct 30;7:314. doi: 10.3389/fpubh.2019.00314. eCollection 2019.

    PubMed 31737593
  • Coleman CM, Bossick AS, Zhou Y, Hopkins-Johnson L, Otto MG, Nair AS, Willens DE, Wegienka GR. Introduction of a community health worker diabetes coach improved glycemic control in an urban primary care clinic. Prev Med Rep. 2020 Nov 27;21:101267. doi: 10.1016/j.pmedr.2020.101267. eCollection 2021 Mar.

    PubMed 33364150
  • Denneson, L. M., Ono, S. S., Trevino, A. Y., Kenyon, E., & Dobscha, S. K. (2020). The applicability of self-determination theory to health coaching: a qualitative analysis of patient experiences. Coaching: An International Journal of Theory, Research and Practice, 13(2), 163-175. https://doi.org/https://www.tandfonline.com/action/showCitFormats?doi=10.1080/17521882.2019.1673457

  • Dineen-Griffin S, Garcia-Cardenas V, Williams K, Benrimoj SI. Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice. PLoS One. 2019 Aug 1;14(8):e0220116. doi: 10.1371/journal.pone.0220116. eCollection 2019.

    PubMed 31369582
  • Efird J. Blocked randomization with randomly selected block sizes. Int J Environ Res Public Health. 2011 Jan;8(1):15-20. doi: 10.3390/ijerph8010015. Epub 2010 Dec 23.

    PubMed 21318011
  • Eldridge SM, Chan CL, Campbell MJ, Bond CM, Hopewell S, Thabane L, Lancaster GA; PAFS consensus group. CONSORT 2010 statement: extension to randomised pilot and feasibility trials. BMJ. 2016 Oct 24;355:i5239. doi: 10.1136/bmj.i5239.

    PubMed 27777223
  • Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs. 2008 Apr;62(1):107-15. doi: 10.1111/j.1365-2648.2007.04569.x.

    PubMed 18352969
  • Engelhard C, Lonneman W, Warner D, Brown B. The implementation and evaluation of health professions students as health coaches within a diabetes self-management education program. Curr Pharm Teach Learn. 2018 Dec;10(12):1600-1608. doi: 10.1016/j.cptl.2018.08.018. Epub 2018 Sep 14.

    PubMed 30527826
  • Feleke BE, Feleke TE, Kassahun MB, Adane WG, Fentahun N, Girma A, Alebachew A, Misgan E, Desyibelew HD, Bayih MT, Seid O. Glycemic Control of Diabetes Mellitus Patients in Referral Hospitals of Amhara Region, Ethiopia: A Cross-Sectional Study. Biomed Res Int. 2021 Jan 16;2021:6691819. doi: 10.1155/2021/6691819. eCollection 2021.

    PubMed 33532494

Questions about this trial

What is this clinical trial studying?

A study testing Diabetes self-management Coaching in people with Type 2 Diabetes and Diabetes Mellitus, Type 2, run by Queen's University at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Feasibility of the DSM Coaching program (time frame: up to 1 year). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05336019, which also lists 45 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Dec 2023.

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Primarycare Clinical Trial NCT05336019 | AzTrials