Peer Support for Type 2 Diabetes

(OASIS Trial)

Recruiting at 1 trial location

Overseen By Zoe M Taylor, MSPH

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Kentucky

Disqualifiers: Age under 55, Cognitive impairment, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

76 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how peer support can assist older adults in managing type 2 diabetes, particularly those struggling to control it. The researchers aim to determine if a peer coach, trained through Peer Coach Training, aids in diabetes management and to identify the most effective coaching methods. Participants will either select their own peer coach or be matched with one, engaging in regular check-ins to discuss condition management and goal setting. The study seeks individuals over 55 living in rural Kentucky with poorly managed type 2 diabetes. As an unphased trial, it offers a unique opportunity to contribute to innovative research that could enhance diabetes management for many.

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 peer support rather than medication changes.

What prior data suggests that this peer coaching model is safe for older adults with Type 2 Diabetes?

Research has shown that peer coaching for managing type 2 diabetes is generally safe and well-received. Studies have found that peer coaching can improve key health indicators, such as HbA1c levels, which measure blood sugar control. Participants in these studies did not report any major negative effects from the peer coaching itself. Many felt more supported and better able to manage their diabetes due to interactions with their peer coaches.

These findings suggest that the peer coaching model is both effective and safe for participants. Therefore, joining a trial involving peer coaching is supported by strong evidence as a low-risk option. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores a fresh approach to managing Type 2 Diabetes through peer support. Unlike traditional treatments, which primarily focus on medication and lifestyle changes, this trial investigates the impact of having a peer coach. Participants either choose their own peer coach or are matched with one, receiving regular support either weekly or every two weeks. This personalized support system could provide emotional encouragement and practical advice, potentially leading to better disease management and improved health outcomes.

What evidence suggests that peer coaching models are effective for managing Type 2 Diabetes?

Research shows that peer coaching can help people with type 2 diabetes. In this trial, participants will join different groups to receive peer coaching. Studies have found that peer coaching improves blood sugar control, as measured by HbA1c levels. It also enhances quality of life, boosts confidence in managing diabetes, and reduces stress related to the condition. Participants in similar programs often feel more in control of their diabetes and experience fewer emotional and behavioral issues. Overall, peer coaching appears to be a promising way to help people manage their diabetes better. ^{1 6 7 8 9}

Are You a Good Fit for This Trial?

This trial is for older adults with unmanaged type two diabetes living in Appalachia. Participants should be interested in peer coaching to help manage their condition. They must not have any conditions that would interfere with the study or make it unsafe for them.

Inclusion Criteria

I passed a cognitive test given by the study team.

I have been diagnosed with Type 2 Diabetes.

HbA1c greater than or equal to 7.5%

Exclusion Criteria

Not a resident of a Rural Kentucky County

I do not have Type 2 Diabetes.

HbA1c under 7.5%

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training

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

2 weeks

Intervention

Peer participants engage in peer coaching sessions with contact either weekly or biweekly

6 months

Weekly or biweekly contact

Follow-up

Participants are monitored for changes in diabetes management and empowerment

6 months

What Are the Treatments Tested in This Trial?

Interventions

• Peer Coach Training

Trial Overview The OASIS trial is testing whether peer coaching can help people better manage type two diabetes. It involves trained coaches reaching out regularly to discuss self-management and goal setting, while keeping records of these interactions.

How Is the Trial Designed?

Group I: Peer Participant Group D Experimental Treatment 1 Intervention

Participants will be matched with a peer coach and will receive contact every 2 weeks.

Group II: Peer Participant Group C Experimental Treatment 1 Intervention

Participants will be matched with a peer coach and will receive contact once a week

Group III: Peer Participant Group B Experimental Treatment 1 Intervention

Participants will self-selected their peer coach and will receive contact every 2 weeks

Group IV: Peer Participant Group A Experimental Treatment 1 Intervention

Participants will self-select their peer coach and will receive contact once a week.

Who Is Running the Clinical Trial?

University of Kentucky

Lead Sponsor

Trials

198

Recruited

224,000+

Department of Health and Human Services

Collaborator

Trials

240

Recruited

944,000+

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

Collaborator

Trials

2,513

Recruited

4,366,000+

Published Research Related to This Trial

This study will evaluate the effectiveness of peer coaching in improving diabetes outcomes among 400 low-income patients with poorly controlled diabetes over a 6-month period, focusing on changes in HbA1c levels as the primary outcome.

Peer coaches, who are trained patients with diabetes, may enhance self-management skills and clinical outcomes, potentially providing a cost-effective solution to improve diabetes care in resource-limited settings.

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]

Peer coach-led interventions significantly improved glycaemic control, as evidenced by reductions in HbA1c levels among participants with type 2 diabetes, based on a systematic review of 13 randomized controlled trials involving low-income populations.

Despite improvements in HbA1c and self-management outcomes, the interventions did not show significant effects on other health metrics like LDL, BMI, or blood pressure, indicating that while peer support is beneficial for diabetes management, it may not address all aspects of health related to the condition.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The impact of peer coach-led type 2 diabetes mellitus interventions on glycaemic control and self-management outcomes: A systematic review and meta-analysis. Verma, I., Gopaldasani, V., Jain, V., et al.[2022]

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.

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]

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]

Peer support for type 2 diabetes is most effective when facilitators and participants have strong relationships and group dynamics, highlighting the importance of interpersonal connections in support settings.

Training for peer support facilitators should focus on building confidence and fostering an equal dynamic among participants, while also addressing how to appropriately conclude support groups.

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]

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]

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.

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]

A peer training strategy for patients with type 2 diabetes significantly improved physical activity, self-management, and reduced health service usage among 409 participants in the Basque Country and Andalusia.

The program enhanced the relationship between patients and healthcare providers, fostering group support and emotional management, but highlighted the need for better access and ongoing support from health institutions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Peer training for patients with diabetes mellitus 2. A quantitative and qualitative evaluation in the Basque Country and Andalusia]. Danet, A., Prieto Rodríguez, MÁ., Gamboa Moreno, E., et al.[2019]

Peer coaches, who are trained diabetes patients, play crucial roles as advisors, supporters, and role models in helping others manage their diabetes, based on insights from focus groups and interviews with community-based coaches in San Francisco.

The study highlights that peer coaches not only assist others but also gain empowerment in managing their own diabetes, indicating that these programs can benefit both the coaches and the patients they support.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

How do peer coaches improve diabetes care for low-income patients?: a qualitative analysis. Goldman, ML., Ghorob, A., Eyre, SL., et al.[2022]

Citations

1. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/36307372/

The impact of peer coach-led type 2 diabetes mellitus ... Our findings showed that peer coaching was helpful in improving HbA1c levels, quality of life, self-efficacy, diabetes distress and patient activation.

2. sciencedirect.com sciencedirect.com/science/article/abs/pii/S1751991822001735

The impact of peer coach-led type 2 diabetes mellitus ... Our findings showed that peer coaching was helpful in improving HbA1c levels, quality of life, self-efficacy, diabetes distress and patient activation.

3. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC5385238/

The Effectiveness of a Peer Coaching Education on ... Diabetes Education by Peer Coaching is a strategy which helps the patients with diabetes in the field of behavioral and emotional problems.

4. annfammed.org annfammed.org/content/11/2/137/tab-figures-data

Impact of Peer Health Coaching on Glycemic Control in ... A randomized controlled trial involving almost 300 low-income patients with poorly controlled type 2 diabetes found patients who receive one-on-one coaching and ...

5. primary-care-diabetes.com primary-care-diabetes.com/article/S1751-9918(22)00173-5/abstract

The impact of peer coach-led type 2 diabetes mellitus ... Our findings showed that peer coaching was helpful in improving HbA1c levels, quality of life, self-efficacy, diabetes distress and patient ...

6. annfammed.org annfammed.org/content/annalsfm/11/2/137.full.pdf

Impact of Peer Health Coaching on Glyce- mic Control in ... We conducted a randomized controlled trial to test whether clinic-based peer health coaching, compared with usual care, improves glycemic control for low-income ...

7. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC6750000/

Effectiveness of Technologically Enhanced Peer Support in ... This study's purpose is to examine whether a peer coaching intervention is more effective in improving clinical outcomes in diabetes when enhanced with e-Health ...

8. diabetes.jmir.org diabetes.jmir.org/2024/1/e54370/

Quasi-Experimental Case Study - JMIR Diabetes This study aimed to evaluate the implementation of a technology-enabled peer coaching intervention to support diabetes self-management among patients with ...

9. academic.oup.com academic.oup.com/jamia/article/28/2/365/5979640

Real-world insights from launching remote peer-to-peer ... Peer mentors have been proven to improve diabetes outcomes, especially among diverse patients. Delivering peer mentoring via remote ...