Peer Support for Type 2 Diabetes

(OASIS Trial)

Recruiting in Palo Alto (17 mi)

+1 other location

Overseen by Brittany L Smalls, PhD

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Recruiting

Sponsor: Brittany L Smalls

Disqualifiers: Age less than 55, Cognitive impairment, others

No Placebo Group

Trial Summary

What is the purpose of this trial?

The goal of this clinical trial is to compare the effects of peer coaching models in older adults with unmanaged type two diabetes. The main questions it aims to answer are: * Are peer coaching models effective at promoting Type 2 Diabetes Mellitus self-management? * If effective, which facets of the peer model are most effective? Peer coaches will * Undergo peer coach training. * Reach out to peer participants on a weekly/biweekly time frame to discuss self-management and goal setting. * Retain records of contact, topics discussed, and general notes on interactions. Researchers will compare differences in the frequency of contact, as well as how peer coaches were matched to peer participants to see if efficacy of the intervention is altered between groups.

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 to focus on peer support rather than medication changes.

What data supports the effectiveness of the treatment Peer Support for Type 2 Diabetes?

Research shows that peer health coaching, where patients with diabetes help each other manage their condition, can improve diabetes outcomes, especially in low-income or resource-limited settings. This approach leverages shared experiences to enhance self-management and has been found effective in improving health outcomes for people with diabetes. ^{1 2 3 4 5}

Is peer support for type 2 diabetes safe for humans?

The research does not specifically address safety concerns, but peer support programs for diabetes have been studied and are generally considered safe as they focus on education and support rather than medical interventions. ^{1 3 6 7 8}

How is peer support for type 2 diabetes different from other treatments?

Peer support for type 2 diabetes is unique because it involves individuals with similar experiences providing guidance and motivation to each other, which can help improve self-management of the condition. This approach focuses on shared experiences and personal insights rather than traditional medical interventions, making it particularly beneficial for those in low-resource settings. ^{1 3 6 9 10}

Research Team

Brittany L Smalls, PhD

Principal Investigator

University of Kentucky

Eligibility Criteria

This trial is for English-speaking adults over 55 living in rural Kentucky with Type 2 Diabetes. Peer coaches must have an HbA1c level below 7.5, while peer participants need a level above 7.5 and pass a cognitive assessment.

Inclusion Criteria

Your long-term blood sugar level (HbA1c) is higher than 7.5.

I have been diagnosed with Type 2 Diabetes.

Peer coaches must have an HbA1c level less than 7.5.

Exclusion Criteria

I have difficulty with memory or thinking clearly.

Non-English Speaking

Not a resident of a Rural Kentucky county

Trial Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Peer Coach Training

Peer coaches undergo training to develop coaching skills prior to intervention initiation

2 weeks

Intervention

Peer participants are linked to peer coaches and contacted weekly or biweekly to discuss self-management and goal setting

6 months

Weekly or biweekly contact

Follow-up

Participants are monitored for changes in A1c and other secondary outcomes

6 months

Collected at Baseline, 3 month, and 6 month follow up

Treatment Details

Interventions

• Peer Coaching - Peer Participants A (Behavioral Intervention)
• Peer Coaching - Peer Participants B (Behavioral Intervention)
• Peer Coaching - Peer Participants C (Behavioral Intervention)
• Peer Coaching - Peer Participants D (Behavioral Intervention)

Trial Overview The study tests different peer coaching methods to help manage Type 2 Diabetes in older adults. It looks at how often coaches contact patients, what they discuss, and how well the pairs are matched to see which approach works best.

Participant Groups

Group I: Peer Participants (D) Experimental Treatment 1 Intervention

Peer participants in group D will self select a peer coach using peer coach profile sheets, and will be contacted weekly during intervention period.

Group II: Peer Participants (C) Experimental Treatment 1 Intervention

Peer participants in group C will self select a peer coach using peer coach profile sheets, and will be contacted weekly during intervention period.

Group III: Peer Participants (B) Experimental Treatment 1 Intervention

Peer participants in group B will self select a peer coach using peer coach profile sheets, and will be contacted weekly during intervention period.

Group IV: Peer Participants (A) Experimental Treatment 1 Intervention

Peer participants in group A will self select a peer coach using peer coach profile sheets, and will be contacted weekly during intervention period.

Find a Clinic Near You

Research Locations Nearby Select from list below to view details:

UK HealthCare Hazard, KY

Barren River Area Development District Bowling Green, KY

Who Is Running the Clinical Trial?

Brittany L Smalls

Lead Sponsor

Trials

3

Patients Recruited

210+

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

Trials

2513

Patients Recruited

4,366,000+

Findings from Research

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Peer coaching to improve diabetes self-management: which patients benefit most? Moskowitz, D., Thom, DH., Hessler, D., et al.[2022]

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Diabetes peer coaching: do "better patients" make better coaches? Rogers, EA., Hessler, DM., Bodenheimer, TS., et al.[2018]

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Experiences of Participants Who Then Become Coaches in a Peer Coach Diabetes Self-Management Program: Lessons for Future Programs. Saint, K., Heisler, M.[2023]

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The effectiveness of peer health coaching in improving glycemic control among low-income patients with diabetes: protocol for a randomized controlled trial. Ghorob, A., Vivas, MM., De Vore, D., et al.[2022]

A pilot study involving 115 adults with type 2 diabetes showed that a 26-week telephone coaching program led to significant improvements in health outcomes, including a 9% reduction in glycated hemoglobin levels and a 24% decrease in depression levels.

The intervention also enhanced patients' self-efficacy by 23% and communication with their physicians by 22%, demonstrating that peer coaching can effectively support diabetes self-management and improve overall health.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Role and Effectiveness of Telephone Peer Coaching for Adult Patients With Type 2 Diabetes. McGowan, P., Lynch, S., Hensen, F.[2020]

Peer coaching provides valuable support for individuals with diabetes, helping them make better dietary and activity choices.

For peer support to be effective, it is essential to have a structured follow-up program in place to ensure ongoing assistance and accountability.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The benefits of peer support with diabetes. McPherson, SL., Joseph, D., Sullivan, E.[2022]

The study evaluated the effectiveness of Diabetes Education by Peer Coaching on diabetes management, measuring outcomes like Fasting Blood Sugar (FBS) and HbA1c over 12 months with various secondary health indicators.

Results suggest that peer coaching can enhance self-control and self-efficacy in diabetes management, indicating it may be a beneficial interactive approach to diabetes education tailored to specific cultural contexts.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Effectiveness of a Peer Coaching Education on Control and Management of Type 2 Diabetes in Women: A Protocol for a Randomized Controlled Trial. Aalaa, M., Sanjari, M., Aghaei Meybodi, HR., et al.[2020]

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Are Low-Income Peer Health Coaches Able to Master and Utilize Evidence-Based Health Coaching? Goldman, ML., Ghorob, A., Hessler, D., et al.[2018]

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Peer support interventions in type 2 diabetes: Review of components and process outcomes. Afshar, R., Tang, TS., Askari, AS., et al.[2022]

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Learning from the experience of peer support facilitators and study nurses in diabetes peer support: A qualitative study. Holman, D., Simmons, D., Ockenden, N., et al.[2022]

References

1. United States pubmed.ncbi.nlm.nih.gov

Peer coaching to improve diabetes self-management: which patients benefit most? [2022]

2. United States pubmed.ncbi.nlm.nih.gov

Diabetes peer coaching: do "better patients" make better coaches? [2018]

3. United States pubmed.ncbi.nlm.nih.gov

Experiences of Participants Who Then Become Coaches in a Peer Coach Diabetes Self-Management Program: Lessons for Future Programs. [2023]

4. England pubmed.ncbi.nlm.nih.gov

The effectiveness of peer health coaching in improving glycemic control among low-income patients with diabetes: protocol for a randomized controlled trial. [2022]

5. Canada pubmed.ncbi.nlm.nih.gov

The Role and Effectiveness of Telephone Peer Coaching for Adult Patients With Type 2 Diabetes. [2020]

6. United States pubmed.ncbi.nlm.nih.gov

The benefits of peer support with diabetes. [2022]

7. Iran pubmed.ncbi.nlm.nih.gov

The Effectiveness of a Peer Coaching Education on Control and Management of Type 2 Diabetes in Women: A Protocol for a Randomized Controlled Trial. [2020]

8. United States pubmed.ncbi.nlm.nih.gov

Are Low-Income Peer Health Coaches Able to Master and Utilize Evidence-Based Health Coaching? [2018]

9. Australia pubmed.ncbi.nlm.nih.gov

Peer support interventions in type 2 diabetes: Review of components and process outcomes. [2022]

10. United States pubmed.ncbi.nlm.nih.gov

Learning from the experience of peer support facilitators and study nurses in diabetes peer support: A qualitative study. [2022]