25 Participants Needed

Peer Support for Type 2 Diabetes

(OASIS Trial)

Recruiting at 1 trial location
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AJ
AP
Overseen ByAustin P Jacobs, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Brittany L Smalls
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

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.

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.12345

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.13467

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.348910

Who Is on the Research Team?

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Brittany L Smalls, PhD

Principal Investigator

University of Kentucky

Are You a Good Fit for This Trial?

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.
See 3 more

Exclusion Criteria

I have difficulty with memory or thinking clearly.
Non-English Speaking
Not a resident of a Rural Kentucky county
See 1 more

Timeline for a Trial Participant

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

What Are the Treatments Tested in This Trial?

Interventions

  • Peer Coaching - Peer Participants A
  • Peer Coaching - Peer Participants B
  • Peer Coaching - Peer Participants C
  • Peer Coaching - Peer Participants D
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.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Group I: Peer Participants (D)Experimental Treatment1 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 Treatment1 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 Treatment1 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 Treatment1 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.

Peer Coaching - Peer Participants A is already approved in United States for the following indications:

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Approved in United States as Peer Health Coaching for:
  • Type 2 Diabetes Mellitus self-management

Find a Clinic Near You

Who Is Running the Clinical Trial?

Brittany L Smalls

Lead Sponsor

Trials
3
Recruited
210+

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

Collaborator

Trials
2,513
Recruited
4,366,000+

Published Research Related to This Trial

Peer health coaching significantly lowers hemoglobin A1c (A1c) levels in patients with diabetes who have low self-management and medication adherence, indicating its effectiveness in high-risk groups.
In contrast, patients with high self-management and adherence showed similar improvements in A1c regardless of whether they received coaching or usual care, suggesting that coaching is particularly beneficial for those struggling with diabetes management.
Peer coaching to improve diabetes self-management: which patients benefit most?Moskowitz, D., Thom, DH., Hessler, D., et al.[2022]
In a study involving 109 low-income patients with type 2 diabetes, having a peer coach with lower self-efficacy in diabetes management and higher diabetes-related distress was linked to better improvements in patients' A1C levels.
Surprisingly, peer coaches who experienced more uncertainty about their own diabetes management were more effective in helping patients improve their diabetes control, suggesting that certain coach characteristics can enhance patient outcomes.
Diabetes peer coaching: do "better patients" make better coaches?Rogers, EA., Hessler, DM., Bodenheimer, TS., et al.[2018]
Participants in a diabetes self-management coaching program who became coaches reported that their own experiences with peer coaching significantly influenced their decision to take on the coaching role.
The study highlights that these coaches emphasized commitment to their partners and shared personal challenges to foster motivation and a sense of connection, suggesting that their unique insights enhance the effectiveness of peer support in managing diabetes.
Experiences of Participants Who Then Become Coaches in a Peer Coach Diabetes Self-Management Program: Lessons for Future Programs.Saint, K., Heisler, M.[2023]

Citations

Peer coaching to improve diabetes self-management: which patients benefit most? [2022]
Diabetes peer coaching: do "better patients" make better coaches? [2018]
Experiences of Participants Who Then Become Coaches in a Peer Coach Diabetes Self-Management Program: Lessons for Future Programs. [2023]
The effectiveness of peer health coaching in improving glycemic control among low-income patients with diabetes: protocol for a randomized controlled trial. [2022]
The Role and Effectiveness of Telephone Peer Coaching for Adult Patients With Type 2 Diabetes. [2020]
The benefits of peer support with diabetes. [2022]
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]
Are Low-Income Peer Health Coaches Able to Master and Utilize Evidence-Based Health Coaching? [2018]
Peer support interventions in type 2 diabetes: Review of components and process outcomes. [2022]
10.United Statespubmed.ncbi.nlm.nih.gov
Learning from the experience of peer support facilitators and study nurses in diabetes peer support: A qualitative study. [2022]
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