Ignite Creation Date:
2024-05-05 @ 11:48 PM
Last Modification Date:
2024-10-26 @ 10:40 AM
Study NCT ID:
NCT01425866
Status:
COMPLETED
Last Update Posted:
2024-01-05
First Post:
2011-08-26
Brief Title:
Two Years Maintenance of Structured Group Self-management Education in Type 2 Diabetes a Randomized Controlled Trial
Sponsor:
Centre Hospitalier Universitaire de la Réunion
Organization:
Centre Hospitalier Universitaire de la Réunion
Study Overview
Official Title:
Multicenter Randomized Trial of Structured Educational Intervention at the Community Level in Insufficiently Controlled Patients With Type 2 Diabetes in Reunion Island
Status:
COMPLETED
Status Verified Date:
2024-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
ERMIES
Brief Summary:
Type 2 diabetes has a growing impact on populations and public health worldwide Clinical trials have clearly demonstrated that a better control of blood glucose level and of other risk factors is efficient in preventing or retarding the complications of the disease On Reunion island Type 2 diabetes is present in 18 of population aged 30 or older with a high level of socio-economic deprivation The hypothesis of the ERMIES study is that a structured group self-management education maintained at the community level for 2 years in patients with insufficiently controlled type 2 diabetes has better metabolic results as attested by improvement in HbA1c level at 2 yrs compared to an initial short term 3 months self-management program based on the same theoretical basis and framework learning nests empowerment A total of 240 adults living in Reunion Island with type 2 diabetes mellitus with HbA1c 75 on a stable treatment for at least 3 months will be randomly allocated to 2 intervention arms either a short term 3 months program 1 to 7 thematic 2-hr long sessions depending on individual assessment or a long term program including the same initial program as 1st arm but with group self management education sessions maintained for 2 years 4-monthly assessment empowerment and contextual action planning facultative additional specific thematic sessions being delivered if needed Medical visits will be held quarterly for the recording of outcome measures HbA1c blood pressure anthropometrics tobacco consumption diabetes complications and yearly for blood glucose lipids micro-albuminuria or proteinuria creatinine clearance diet and exercise questionnaires treatment recording quality of life self-efficacy anxiety and depression scales and social support
Detailed Description:
Randomised clinical trial comparing 2 parallel arms of educational intervention with the hypothesis of the superiority of a 2-year maintenance of a structured theoretically-based educational follow-up All subjects of both arms will beneficiate from an initial structured educational program 3-months Subjects educators and investigators will be unaware of the group allocation during this initial round Then the intervention arm will undergo a 2 years self management educational follow-up program Randomisation will be stratified on 2 factors centres 5 strata and anti diabetic treatment 2 strata insulin-treated or not All group sessions 3-10 subjects 2 hr-long one assessment group session and 6 facultative additional specific sessions for each round initial in both arms or follow-up in the intervention arm as needed and planned during the first will be held at the community level as closer as possible to the subjects residence Educators are specifically trained and the educational sessions are structured and coordinated in the framing and organisational supervision of the health management network ReuCARE in Reunion island Subjects of both arms will continue quarterly to attend at the outpatient clinic of the centre This trial is associated to a qualitative ethno-sociological study on a sample of 30-40 subjects with in-depth interviews and ethnographic observation of group sessions with the specific aim of describing the learning processes coping health and functional literacy social and contextual issues
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None