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

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 focused on peer support rather than medication changes.

What data supports the effectiveness of the treatment Peer Coach Training, Peer Coaching, Peer Support, Peer-Led Coaching for Type 2 Diabetes?

Research shows that peer coaching can help improve blood sugar control (measured by HbA1c levels) and self-management in people with type 2 diabetes, especially in those with less than optimal glucose levels. Peer coaches, who are patients themselves, provide support and education, which can lead to better diabetes management. ^{1 2 3 4 5}

Is peer support for type 2 diabetes safe for humans?

The research articles do not mention any safety concerns related to peer support for diabetes, suggesting it is generally safe for humans. ^{1 5 6 7 8}

How is the Peer Coach Training treatment for Type 2 Diabetes different from other treatments?

Peer Coach Training is unique because it involves support from trained peers who have personal experience with diabetes, helping patients make better diet and activity choices and manage emotional and behavioral challenges. This approach focuses on motivational interviewing and group support, which is different from traditional medical treatments that primarily involve medication and professional healthcare guidance. ^{5 6 7 9 10}

Eligibility Criteria

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

I do not speak English.

Not a resident of a Rural Kentucky County

I do not have Type 2 Diabetes.

Timeline

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

Treatment Details

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.

Participant Groups

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+

Findings from Research

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]

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 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]

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]

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]

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]

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]

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 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]

References

1. 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]

2. Canada pubmed.ncbi.nlm.nih.gov

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

3. England 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. [2022]

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

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

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

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

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

How do peer coaches improve diabetes care for low-income patients?: a qualitative analysis. [2022]

9. Spain pubmed.ncbi.nlm.nih.gov

[Peer training for patients with diabetes mellitus 2. A quantitative and qualitative evaluation in the Basque Country and Andalusia]. [2019]

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]