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Sponsors and Collaborators: |
Columbia University National Institutes of Health (NIH) |
---|---|
Information provided by: | Columbia University |
ClinicalTrials.gov Identifier: | NCT00787475 |
The objective of this study is to examine the effectiveness of a community health worker intervention at helping to control diabetes among Latinos with poorly controlled Type 2 diabetes.
Hypothesis: Compared to those in Enhanced usual care group, patients randomized to the intervention will, at 12 months, have greater reductions in: (1) HgA1C; (2) low density lipoprotein (LDL); and (3) systolic and diastolic BP.
Condition | Intervention |
---|---|
Diabetes |
Other: Community Health worker |
Study Type: | Interventional |
Study Design: | Prevention, Randomized, Single Blind (Investigator), Active Control, Parallel Assignment |
Official Title: | Northern Manhattan Diabetes Community Outreach Project |
Estimated Enrollment: | 360 |
Study Start Date: | September 2008 |
Estimated Study Completion Date: | February 2014 |
Estimated Primary Completion Date: | September 2013 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
1: Experimental
CHW intervention
|
Other: Community Health worker
Community Health workers with at least 4 home visits, 8 phone calls, and 10 group visits.
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2: No Intervention
enhanced usual care (brochure mailings)
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The objective of this project is to examine the effectiveness of a community health worker (CHW) intervention at addressing glycemic control among Latinos with poorly controlled Type 2 diabetes. Our group has worked with a promising model of intervention that utilizes CHW's based at one of our major community partners. Pilot data from this program has shown clinically significant prepost test improvements in HgA1C. Using the Chronic Care Model as an overarching framework, the study design of NOCHOP is a randomized controlled trial of 360 Latinos, mostly of Caribbean descent, aged 3570 years with HgA1C >=8.0. At a minimum, subjects in the intervention group will receive four home visits, ten group level visits and monthly phone calls by CHWs based at Alianza. The control groups will receive three separate mailings of bilingual diabetes health education materials. The primary outcome is glycemic control at 12month follow up, as measured by HgA1c. The secondary outcomes are changes in cholesterol and blood pressure (BP). We will also collect exploratory data on potential mechanisms through which our intervention resulted in hypothesized improvements including medication adherence, medication Intensification, diet and exercise. If successful, our project will make an important contribution to ongoing national and local debates about the sustainability of CHW programs. In particular, data from this study would be extremely useful for local Medicaid managed care plans who have expressed strong interests in data from rigorously designed clinical trials addressing the role of CHWs in delivering culturally appropriate and effective diabetes care.
Ages Eligible for Study: | 35 Years to 70 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Olveen Carrasquillo Carrasquillo, MD | 212-305-9782 | oc6@columbia.edu |
Contact: Casandra Almonte | 212-305-6299 | ca2344@columbia.edu |
United States, New York | |
Columbia University Medical Center | Recruiting |
New York, New York, United States, 10032 | |
Contact: Olveen Carrasquillo, MD 212-305-9782 oc6@columbia.edu | |
Contact: Casandra Almonte 212-305-6299 ca2344@columbia.edu | |
Principal Investigator: Olveen Carrasquillo, MD |
Principal Investigator: | Olveen Carrasquillo, MD | Columbia University Medical Director |
Responsible Party: | Columbia University Medical Center ( Dr. Olveen Carrasquillo/ Associate Professor of Medicine and Health Policy ) |
Study ID Numbers: | IRB-AAAD1689, Grant # MD00206 P60 |
Study First Received: | November 6, 2008 |
Last Updated: | November 6, 2008 |
ClinicalTrials.gov Identifier: | NCT00787475 History of Changes |
Health Authority: | United States: Institutional Review Board |
diabetes, community health worker |
Metabolic Diseases Diabetes Mellitus Endocrine System Diseases |
Endocrinopathy Glucose Metabolism Disorders Metabolic Disorder |
Metabolic Diseases Diabetes Mellitus Endocrine System Diseases Glucose Metabolism Disorders |