Status:
COMPLETED
Diabetes Interprofessional Team to Enhance Adherence to Medical Care
Lead Sponsor:
Thomas Jefferson University
Collaborating Sponsors:
University of the Sciences in Philadelphia
Conditions:
Diabetes
Eligibility:
All Genders
35+ years
Phase:
NA
Brief Summary
The overall goal of this randomized controlled trial is to test the efficacy of DM I-TEAM (Diabetes Interprofessional Team to Enhance Adherence to Medical Care) to reduce emergency department (ED) vis...
Detailed Description
AAs have twice the rate of DM as Whites, and worse glycemic control, less optimal medication regimens, and less trust in the medical system. These disparities contribute to why AAs with DM are more li...
Eligibility Criteria
Inclusion
- African American race
- Age ≥ 35 years; When first proposed the age criterion was 60 or older; it was later modified to 35 and older
- Type 1 or 2 DM
- A DM-related cause for the ED visit (i.e., hyperglycemia/hypoglycemia, diabetic ketoacidosis, chest pain, skin or soft tissue infection, diabetic neuropathy, retinopathy, urinary tract infection/pyelonephritis/acute renal injury, requesting DM medication refill) OR an hemoglobin A1c of 7.0% or greater within the past 30 days
Exclusion
- Evidence of cognitive and functional decline suggestive of dementia.
- Anti-dementia medication use
- Life expectancy less than one year (in the opinion of the evaluating ED physician)
- DSM-V psychiatric disorders other than anxiety or depression (as per EMR)
- Intoxicated
- Suicidal
- In police custody or currently incarcerated
- Undergoing medical clearance for a detox center or any involuntary court or magistrate order
- Lives in assisted living, currently in a rehabilitation facility (other than Jefferson), lives in a nursing home or skilled nursing facility
- Pregnant
Key Trial Info
Start Date :
January 1 2017
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 31 2021
Estimated Enrollment :
200 Patients enrolled
Trial Details
Trial ID
NCT03393338
Start Date
January 1 2017
End Date
December 31 2021
Last Update
October 19 2022
Active Locations (1)
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1
Thomas Jefferson University
Philadelphia, Pennsylvania, United States, 19107