Effectiveness of the Diabetes Homeless Medication Support (D-HOMES) Program on Diabetes Management

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The goal of this clinical trial is to learn if the Diabetes Homelessness Medication Support (D-HOMES) wellness coaching model is effective for adults who speak English or Spanish, have Type 2 diabetes with an HbA1c at or above 7.5, and have recently experienced homelessness. Researchers will compare a one-time education session about diabetes to 10 wellness coaching sessions to see if there are differences between the groups' health outcomes. The main questions it aims to answer are: * Do D-HOMES participants have greater reductions in HbA1c at 3 months than participants who received education? * Do D-HOMES participants have greater reductions in HbA1c at 6 and 12 months compared to those who received education? * Do D-HOMES participants have improvements in blood pressure control, quality of life, self-reported psychological wellness, diabetes distress, and diabetes medication adherence and self-management at 3, 6, and 12 months? * What factors must be considered to make D-HOMES scalable? Participants will: * complete 5 assessments including two baseline assessments and follow-ups at months 3,6, and 12 * participate in a one-time education session or 10 weeks of wellness coaching.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Age 18 yrs. or older

• English or Spanish-speaking

• Recent homelessness by HUD and HHS definitions

‣ Any housing instability in the last 12 mo. (includes supported housing or worry about paying rent)

⁃ Significant housing instability in the last 24 mos. (includes any stay in shelter, outside, or places not meant for human habitation)

• Self-reported diagnosis of type 2 diabetes with A1c \>7.5%, later verified in medical record and study lab. test

• Plan to stay in local area or be reachable by phone for the next 12 months

• Willingness to work on medication adherence and diabetes self-care

Locations
United States
Minnesota
Hennepin Healthcare Research Institute
RECRUITING
Minneapolis
Contact Information
Primary
Katherine D Vickery, MD, MSc
katherine.vickery@hcmed.org
6128736852
Time Frame
Start Date: 2025-06-25
Estimated Completion Date: 2029-09-30
Participants
Target number of participants: 256
Treatments
Active_comparator: Enhanced Usual Care/Education Session
Brief one-on-one diabetes education session provided by a diabetes wellness coach.
Experimental: Diabetes Homeless Medication Support (D-HOMES)
10 one-on-one behavioral treatments by a diabetes wellness coach.
Related Therapeutic Areas
Sponsors
Collaborators: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Leads: Katherine Vickery

This content was sourced from clinicaltrials.gov