Tests a wellness coaching program for adults with type 2 diabetes after recent homelessness
Compares wellness coaching with a one-time diabetes education session in adults with type 2 diabetes.
Key facts
- Who runs it
- Katherine Vickery
- Where
- Minneapolis, United StatesSee the site
- Trial code
- Registry title
- Effectiveness of the Diabetes Homeless Medication Support (D-HOMES) Program on Diabetes Management
- Status
- Recruiting
- People taking part
- 256 people, planned
- Started
- 25 Jun 2025
- Expected to end
- 30 Sept 2029
- Type of study
- Interventional, 2 groupsOne group gets an existing treatment, for comparison.
- Treatments tested
- Diabetes Homeless Medication Support
- Enhanced Usual Care/ Education
- Record updated
- 29 July 2025
Who can take part
AI summary
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for adults with type 2 diabetes and high blood sugar (A1c above 7.5% (58 mmol/mol)) who have recently had housing problems or homelessness. It tests wellness coaching against one education session.
- Age
- 18 years or older
- Sex
- All sexes can join
- Disease stage
- Type 2 diabetes with A1c above 7.5% (58 mmol/mol), checked in the medical record and a study lab test
- Biomarker or test result
- A1c above 7.5% (58 mmol/mol)
Main reasons for not taking part
- Cannot give informed consent (for example, a legal guardian is involved, or prisoners)
- Active psychosis or intoxication that prevents giving consent
- Pregnant or breastfeeding at enrollment
The registry criteria, word for word
Show all 9 criteriaShow less
Who can take part
- 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
Who cannot take part
- Inability to provide informed consent (e.g., presence of a legal guardian, prisoners)
- Active psychosis or intoxication precluding ability to give informed consent
- Pregnant or lactating people at initial enrollment, determined by specific screening questions
Where in United States
- Hennepin Healthcare Research InstituteMinneapolis, United StatesContact: Katherine D Vickery, MD, MScTaking people
About the trial
What the trial wants to find out
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:
Read full original descriptionShow less
* 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.
The 2 groups in the trial
- Enhanced Usual Care/Education SessionExisting treatment, for comparison
Brief one-on-one diabetes education session provided by a diabetes wellness coach.
Treatment: Enhanced Usual Care/ Education
- Diabetes Homeless Medication Support (D-HOMES)Treatment being tested
10 one-on-one behavioral treatments by a diabetes wellness coach.
Treatment: Diabetes Homeless Medication Support
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?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorData and sources
- Registry record
- Listed on ClinicalTrials.gov.
- Official title
- Effectiveness of the Diabetes Homeless Medication Support (D-HOMES) Program on Diabetes Management
- Plain-language title
- Tests a wellness coaching program for adults with type 2 diabetes after recent homelessnessGenerated from the registry record. The registry title is the official one.
- AI summary
- From the trial's eligibility criteria. Read by machine on 12 November 2026.
- Record updated
- 29 July 2025