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Coaching and Education for Diabetes Distress (CEDD): Protocol for a Randomized Controlled Trial
Charles C Chima1,2, Jason L Salemi2, Mohamad A Sidani2
1Department of Population Health Science, John D Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, United States.
JMIR Research Protocols
|April 3, 2019
Summary
Health coaching (HC) shows promise for reducing diabetes distress (DD) in primary care. This trial investigates if HC is more effective than education for improving diabetes self-care and glycemic control.
Area of Science:
- Psychology
- Endocrinology
- Primary Care Medicine
Background:
- Diabetes distress (DD) negatively impacts self-care and glycemic control.
- Effective interventions for DD in routine primary care are lacking.
- Pilot studies suggest health coaching (HC) may help manage DD.
Purpose of the Study:
- To assess the effectiveness of HC in reducing DD among primary care patients with diabetes.
- To compare HC's efficacy against a targeted educational program for DD.
- To evaluate HC's impact on diabetes self-management and glycemic targets.
Main Methods:
- A 2-arm randomized controlled trial at an academic family medicine practice.
- Intervention group receives 8 HC sessions over 5 months alongside usual care.
- Control group receives usual care including DD education.
- Primary outcome: DD reduction over 6 months. Secondary outcomes: HbA1c, self-care behaviors.
Main Results:
- Screening and recruitment are ongoing as of March 2019.
- Study results are anticipated by July 2020.
Conclusions:
- HC is a feasible intervention in primary care settings.
- HC has demonstrated success in improving chronic disease self-management.
- This study will determine HC's value in addressing psychological and behavioral needs in diabetes care.
Keywords:
behavioral medicinecoachingcounsellingdiabetes distressdiabetes mellitus, type 2health coachinghealth educationhealth psychologyprimary careself careMore Related Videos
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