The Efficacy and Treatment Adherence With an Integrated Program on HbA1c Scores in Patients With Type 2 Diabetes

Study Overview
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Brief Summary
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It is hypothesized for this study that the coupling of the Millon Behavioral Medicine Diagnostic, biopsychosocial evaluation, motivational interviewing, relapse prevention, and ongoing support can produce improved outcomes with diabetics who have previously been unsuccessful with the traditional care. This study examined the relationship between patients' HbA1c levels and patients' involvement in the ASMART program, a multifaceted program involving psychological intervention. The study was conducted through the Kosciusko Health Department and funded by K21 Health Foundation.

Detailed Description
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The study involved 182 Type 2 Diabetes patients with an HbA1c score above 7, reflecting poor control of diabetes. The experimental group consisted of 124 patients who joined the ASMART program, while the control group consisted of 60 patients who continued to receive traditional care. Statistical analysis involved comparing pretest & posttest HbA1c levels for the experimental group and the control group.

Official Title
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The Efficacy and Treatment Adherence With an Integrated Program on HbA1c Scores in Patients With Type 2 Diabetes

Conditions
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Type 2 Diabetes Mellitus

Intervention / Treatment
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* Behavioral: ASMART
* Other: Control Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Type 2 Diabetes patients with an HbA1c score over 7 Exclusion Criteria: No Type 1 patients No children under the age of 18

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: control group<br> | Other: Control Group<br>* no intervention<br>|
| Experimental: lifestyle counseling<br>These participant received the ASMART interventions. | Behavioral: ASMART<br>* Motivational Interviewing, Stages of Change, Psychological Testing, Bio-psychosocial assessment, responsive diabetes education, support, Cognitive-behavioral interventions<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in A1c levels for pretest and post test (Preset baseline and post-test 2 years | Statistical analysis involved comparing pretest and psttest HbA1c levels for the experimental group and the control group | Pretest / posttest | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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psychological, intervention, stages of change, motivational interviewing, coping skills, HbA1C, psychological testing, integrated care, behavioral health