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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
45
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.
McMaster University
Hamilton, Ontario, Canada
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.
Time frame: baseline and 6 months
Changes from baseline in health-related quality of life (SF-12v2 health survey)
Time frame: Baseline and 6 months
Changes from baseline in depressive symptoms (Centre for Epidemiological Studies Depression Scale)
Time frame: Baseline and 6 months
Changes from baseline in symptoms of anxiety (Generalized Anxiety Disorder Screener-7 Scale)
Time frame: Baseline and 6 months
Changes from baseline in costs of use of health services (Health and Social Services Utilization Inventory)
Time frame: Baseline and 6 months
Changes from baseline in fasting blood glucose (mmol/L)
Time frame: Baseline and 6 months
Changes from baseline in HbA1C (%)
Time frame: Baseline and 6 months
Changes from baseline in number of hypoglycemic events per week (blood glucose <4.0 mmol/L)
Time frame: Baseline and 6 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.