Trial Search Results

Shared Health Appointments and Reciprocal Enhanced Support

The purpose of this study is to evaluate the effectiveness of a peer-to-peer program (P2P) in addition to Shared Medical Appointments (SMAs) compared to SMAs alone for the treatment of diabetes in five VA health systems, and to study the implementation process in order to gather information required to disseminate the program more broadly in the VHA system.

Stanford is currently not accepting patients for this trial.

Lead Sponsor:

VA Office of Research and Development

Stanford Investigator(s):


Inclusion Criteria:

Veterans enrolled into diabetes Shared Medical Appointments (SMAs) at participating sites,
and a random subset of those meeting criteria for diabetes SMAs who have not yet

   - Veteran receiving care at a participating VA Medical Center

   - Meets at least one of the following criteria in the past 2 years;

      - at least 1 VA hospitalization with a diabetes-related ICD-9 code,

      - at least 2 VA outpatient visits with a diabetes-related ICD-9 code, or

      - At least 1 VA prescription for a glucose control medication (insulin or oral
      agent) or monitoring supplies

   - Poor glycemic control, indicated by a HbA1c in the past 6 months or:

      - at least 7.5% if age <70, or

      - at least 8% if age 70+

   - Has a current address and telephone number listed in VA databases

   - Is competent to provide informed consent

   - Can communicate in English and by telephone

   - Able to participate in an outpatient program

Exclusion Criteria:

For no intervention control group:

   - Active substance abuse disorder (smoking cigarettes is not an exclusion)

   - Serious psychiatric illness (bipolar disorder, dementia, schizophrenia, or personality

   - Terminally ill

   - Prisoner

Ages Eligible for Study

18 Years - N/A

Genders Eligible for Study


Not currently accepting new patients for this trial

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Not Recruiting