Type 2 Diabetes Mellitus Clinical Trial
Official title:
A Client-Driven Intervention to Support Self-Management Among Community-Living Older Adults With Type 2 Diabetes and Multiple Chronic Conditions
The overall purpose of this research is to examine and compare the effectiveness and costs of a community-based intervention to support self-management with usual primary care for older adults with Type 2 Diabetes Mellitus and multiple chronic conditions and their family caregivers. Once the study is complete, the investigators will be able to determine if there is any measurable difference in self-care management between usual care plus the intervention versus usual care alone.
Research Goal
To examine the comparative effectiveness and costs of a community-based intervention to
support self-management with usual primary care for older adults with T2DM and Multiple
Chronic Conditions and their family caregivers.
Objectives
1. To determine if a 6-month, IP, community-based intervention improve self-management
compared with usual primary care services?
2. To compare the effectiveness of the intervention on HRQoL, physical activity,
nutritional status, depression, anxiety, diabetes parameters (blood glucose levels
[HbA1c, hypoglycemic episodes]), diabetes-related complications, number of vascular
events, social support number of falls, fall risk and medication safety with usual
primary care services?
3. To determine the effectiveness of the intervention on HRQoL of family caregivers
compared with usual primary care?
4. To assess whether or not the intervention improves clinical practice behaviours?
5. To determine the 6-month costs of use of health services of the intervention compared
with usual care, from a social perspective?
6. To identify which subgroups of older adults with T2DM and MCC benefit most from the
intervention?
7. To determine the effectiveness of the intervention based on sex/gender and region?
8. To determine the overall feasibility and acceptability of an IP community-based health
promotion intervention and what can be identified as barriers and facilitators to
implementation?
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