Tests a health coaching program for adults with type 2 diabetes
Tests a coach-led program helping adults with poorly controlled type 2 diabetes.
Plain-language title generated from the registry record
Registry title: The PACT (Patient Activation Through Conversations) Study
Key facts
- Where
- Singapore, SingaporeSee the 3 sites
Could this be for you?
Answer for yourself. This is not a decision: only the study team can say whether you can take part.
- Are you between 21 and 64 years old?
Source: NCT06444074, who can take part
Where in Singapore
- NHGP Ang Mo Kio PolyclinicSingapore, SingaporeNot yet recruiting
- NHGP Geylang PolyclinicSingapore, SingaporeNot yet recruiting
- NHGP Woodlands PolyclinicSingapore, SingaporeTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- National Healthcare Group Polyclinics
- Trial code
- NCT06444074
- Record updated
- 13 June 2024
- Original description
The PACT Study is a cluster randomised trial of a health coach-led patient activation program in type 2 diabetes. The goal of this clinical trial is to evaluate the effectiveness of a health coaching intervention (PACT program) led by Care Coaches (trained lay persons), in adult participants with sub-optimally controlled Diabetes Mellitus, as compared to participants undergoing routine care for diabetes (Usual Care).Read full original descriptionShow less
The PACT (Patient Activation Through Conversations) Study - A Cluster Randomised Trial of a Health Coach-led Patient Activation Program in Type 2 Diabetes.
The PACT Study is a cluster randomised trial of a health coach-led patient activation program in type 2 diabetes. The goal of this clinical trial is to evaluate the effectiveness of a health coaching intervention (PACT program) led by Care Coaches (trained lay persons), in adult participants with sub-optimally controlled Diabetes Mellitus, as compared to participants undergoing routine care for diabetes (Usual Care).
The primary outcome of interest is change in Glycated Haemoglobin (HbA1c) levels over 3 months, 6 months and 12 months. Secondary outcomes include changes in blood pressure, low-density lipoprotein-cholesterol (LDL-C) levels, body mass index (BMI), self-reported diabetes self-care behaviours, self-efficacy, health-related quality of life, and diabetes-related distress, over 3, 6 and 12 months.
Participants in the Intervention arm will undergo the PACT Program, which is a 3-month long health coaching program led by a care coach. Participants review their motivators, health parameters, self-care behaviours, and set goals for improving their diabetes using a PACT report. Subsequently, they will receive fortnightly motivational and problem solving support via telephone or WhatsApp messaging over a 3-month duration, and will return to routine care after 3 months. Participants in the Usual Care arm will have routine care of their diabetes treatment.
Inclusion: Individuals with a diagnosis of Type 2 Diabetes Mellitus who are enrolled in Teamlets in NHGP; Age between 21 to 64 years old; HbA1c level of more than 8% in the last 6 months.
Exclusion: History of acute coronary syndrome in the past 3 months; History of stroke or transient ischaemic attacks in the past 3 months; Cancer requiring treatment in the past 5 years; Patients who are enrolled in other current diabetes-related interventional studies; History of end stage organ failure (liver cirrhosis, cardiac failure, latest eGFR <30 mL/min/1.73m2 in the last 6 months); Active psychiatrist follow up; Social issues that are significant enough for follow-up or referral with a medical social worker within the last 12 months; Women who are pregnant or breastfeeding; Inability to provide written consent for the study protocol and able to commit to the study duration.