Self-Management Workbook for Diabetes
Recruiting in Palo Alto (17 mi)
Overseen byCatherine Park, MD
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Emory University
Disqualifiers: Pregnancy, Anemia, Hemoglobinopathy, others
No Placebo Group
Trial Summary
What is the purpose of this trial?The goals of this study are to:
1. Co-develop a user-friendly word game-based workbook format for patients with diabetes to understand how to manage their diabetes. For this study, the first section of the workbook will be developed to teach carbohydrate management.
2. Assess the feasibility and acceptability of the workbook.
3. Understand the implementation challenges that will be important for improving the workbook and preparing it for larger-scale effectiveness research.
Participants will be asked to:
* Complete the workbook during their waiting time in the clinic or at home.
* Engage in word games designed to teach diabetes management vocabulary and concepts.
* Attend follow-up sessions to assess changes in self-efficacy and glycemic control.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on using a workbook to help manage diabetes, so it's unlikely that medication changes are required.
What data supports the effectiveness of the treatment Diabetes self management workbook?
Research shows that successful diabetes self-management often involves education, feedback, and support from healthcare professionals, which are key components of self-management workbooks. These elements help patients make necessary lifestyle changes and improve their ability to manage diabetes effectively.
12345Is the Diabetes Self-Management Workbook safe for humans?
The research does not provide specific safety data for the Diabetes Self-Management Workbook, but it highlights the importance of educational interventions for health professionals to improve patient safety in diabetes care.
678910How does the Diabetes self-management workbook treatment differ from other diabetes treatments?
The Diabetes self-management workbook is unique because it focuses on empowering patients to manage their diabetes through personalized self-management strategies, rather than relying solely on medication. It emphasizes the importance of individual experiences and perceptions in developing effective self-care routines, which can lead to better long-term health outcomes.
1112131415Eligibility Criteria
This trial is for individuals with diabetes who are interested in learning how to manage their condition through a workbook. Participants should be willing to complete the workbook either at the clinic or at home and attend follow-up sessions.Inclusion Criteria
Patients: adult with diabetes and patient at the Midtown Clinic
I don't have anemia, liver, kidney disease, or blood disorders affecting my hemoglobin.
I am a caregiver for someone with diabetes.
+7 more
Exclusion Criteria
Focus group exclusion:
Pregnancy
I am not willing to participate in group discussions.
+4 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Workbook Development and Use
Participants co-develop and complete a word game-based workbook to enhance diabetes self-efficacy
3 months
Workbook can be completed during clinic visits or at home
Follow-up
Participants attend follow-up sessions to assess changes in self-efficacy and glycemic control
3 months
Pre test and post test assessments
Participant Groups
The study is testing a new word game-based workbook designed to help patients understand carbohydrate management as part of their diabetes care. The effectiveness, user-friendliness, and potential challenges of this educational tool will be evaluated.
1Treatment groups
Experimental Treatment
Group I: Diabetes self managementExperimental Treatment1 Intervention
Eligible participants will utilize the workbook for a span of 3 months
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Emory Midtown ClinicAtlanta, GA
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Who Is Running the Clinical Trial?
Emory UniversityLead Sponsor
Georgia Center for Diabetes Translation ResearchCollaborator
References
The impact of tailored diabetes registry report cards on measures of disease control: a nested randomized trial. [2023]Most studies of diabetes self-management that show improved clinical outcome performance involve multiple, time-intensive educational sessions in a group format. Most provider performance feedback interventions do not improve intermediate outcomes, yet lack targeted, patient-level feedback.
Patient education and monitoring recommendations for the use of glucagon-like peptide-1 receptor agonists. [2015]Ongoing patient education and feedback is critical to successful self-management for patients with T2DM. The patient's individualized program is based on an ongoing needs assessment, involves an interprofessional approach with a team of qualified health care professionals, and supports the patient by using positive feedback and motivational strategies at each visit.
Patient decision making: strategies for diabetes diet adherence intervention. [2015]Patient self-care is critical in controlling diabetes and its complications. Lack of diet adherence is a particular challenge to effective diabetes intervention. The Transtheoretical Model (TTM) of Change, decision-making theory, and self-efficacy have contributed to successful tailoring of interventions in many target behaviors.
Changing office practice and health care systems to facilitate diabetes self-management. [2022]Diabetes is a self-managed disease for which patients provide 99% of their own care. For patients to succeed as diabetes self-managers, they need office practices and health care systems that can prepare and support them in their diabetes self-management efforts over the long term. In order to provide effective diabetes education and ongoing support, office practices and health care systems will have to fundamentally redefine the roles of health professionals and patients with diabetes, and redesign practices and systems to allow for effective long-term self-management education and support. Although it is difficult for both people and systems to change, change is essential if we are going to provide self-management support for the majority of patients suffering from this serious chronic disease.
A clinic-based pilot intervention to enhance diabetes management for elderly Hispanic patients. [2020]Successful diabetes self-management requires behavioral and lifestyle changes. However, low-income patients may face challenges related to poverty that make it difficult to engage in lifestyle changes. We piloted an intervention designed to help older, low-income, Hispanic, patients with diabetes access free or low-cost community resources to enhance diabetes self-management. Results from this pilot intervention are reported.
What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. [2021]Little is known about adverse events (AEs) that occur between physician visits for ambulatory chronic disease patients. An automated telephone self-management support programme for a diverse population of diabetes patients was implemented to capture AEs, describe the self-management domains from which they emanate and explore contributing causes.
[What do diabetic patients and what should they do to avoid errors in the course of treatment?]. [2015]To report the precautions taken by diabetic patients to avoid treatment errors and to provide advice to increase their safety.
Safety during the monitoring of diabetic patients: trial teaching course on health professionals and diabetics - SEGUDIAB study. [2021]Safety for diabetic patients means providing the most suitable treatment for each type of diabetic in order to improve monitoring and to prevent the adverse effects of drugs and complications arising from the disease. The aim of this study is to analyze the effect of imparting educational interventions to health professionals regarding the safety of patients with Diabetes Mellitus (DM).
Insulin, hospitals and harm: a review of patient safety incidents reported to the National Patient Safety Agency. [2021]Patient safety incidents involving insulin are frequent and cause considerable distress to people with diabetes and anxieties to their families and carers. This article describes an analysis of the National Reporting and Learning System database of patient safety incidents concerning insulin reported from NHS providers in England and Wales over six years. The main causes are discussed and the ongoing developments by the National Patient Safety Agency and partner organisations to reduce insulin errors are described.
Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. [2011]Adverse drug events in the ambulatory care setting are not uncommon and can cause significant morbidity. Little research has been published on the management of adverse drug events involving insulin in the outpatient setting.
Self-management programs conducted within a practice setting: who participates, who benefits and what can be learned? [2022]To investigate the impact of generic and diabetes-specific self-management programs offered in a real world context.
Sustaining self-management in diabetes mellitus. [2019]Successful management of diabetes depends on the individual's ability to manage and control symptoms. Self-management of diabetes is believed to play a significant role in achieving positive outcomes for patients. Adherence to self-management behaviors supports high-quality care, which reduces and delays disease complications, resulting in improved quality of life. Because self-management is so important to diabetes management and involves a lifelong commitment for all patients, health care providers should actively promote ways to maintain and sustain behavior change that support adherence to self-management. A social ecological model of behavior change (McLeroy, Bibeau, Steckler, & Glanz, 1988) helps practitioners provide evidence-based care and optimizes patients' clinical outcomes. This model supports self-management behaviors through multiple interacting interventions that can help sustain behavior change. Diabetes is a complex chronic disease; successful management must use multiple-level interventions.
Evaluating the Impact of Diabetes Self-Management Education Methods on Knowledge, Attitudes and Behaviours of Adult Patients With Type 2 Diabetes Mellitus. [2022]Diabetes self-management refers to all activities patients undertake to care for their illness, promote health and prevent the long- and short-term effects of diabetes. This study compared the effectiveness of 2 diabetes self-management education methods by examining changes in glycated hemoglobin (A1C) levels and knowledge, attitudes and behaviours (KABs) after traditional group education (TE) or with diabetes conversation maps (CMs). The CMs group was postulated to show greater decrease in A1C levels and improved KABs scores compared to the TE group.
An experiential model of learning diabetes self-management. [2017]The literature on self-management in diabetes consists predominantly of investigations on compliance, behavioral modification techniques, assessment of health beliefs, and cognitive theories. Little systematic research has explored the actual experience of applying and adapting to a diabetes regimen. This qualitative study reports a diabetes self-management model (DSMM) based on interview data from 18 adults with Type I diabetes. As described and confirmed by the study participants, the DSMM is composed of sequential phases and stages that evolve over time and is influenced by four major factors: personal considerations, monitoring activities, specific cognitive skills for diabetes problem solving, and definition of control. This study provides a model that affirms the experience and effort of learning self-management and recognizes the importance of individualized regimens developed from personal experiences and perceptions of what "works for me."
Effectiveness of individual strategies for the empowerment of patients with diabetes mellitus: A systematic review with meta-analysis. [2022]To identify and evaluate the effectiveness of individual empowerment strategies in patients with diabetes mellitus (DM).