Type 2 diabetes is a significant condition in VA affecting 20% of VA patients. Adherence to medication regimens and lifestyle factors is important to achieve care goals for these patients. Patients who use active participatory communication behaviors with their providers have better adherence to treatment and better biomedical outcomes, yet many patients are not prepared to engage in active communication with their providers. Existing coaching interventions have not been adopted in practice because of the cost of trained personnel. The investigators have shown the efficacy of a low-cost video that did not require trained personnel. This proposal proposes to test implementation strategies to deliver that video in VA primary care clinics and to test the effectiveness of the video to improve outcomes in a Hybrid Type 2 effectiveness-implementation trial using a cluster randomized stepped wedge design at eight sites. This proposal will test feasibility of implementing the video and if successful will generate the evidence to justify widespread dissemination of the video.
Diabetes Mellitus (Type 2)
Type 2 diabetes is a significant condition in VA affecting 20% of VA patients. Adherence to medication regimens and lifestyle factors is important to achieve care goals for these patients. Patients who use active participatory communication behaviors with their providers have better adherence to treatment and better biomedical outcomes, yet many patients are not prepared to engage in active communication with their providers. Existing coaching interventions have not been adopted in practice because of the cost of trained personnel. The investigators have shown the efficacy of a low-cost video that did not require trained personnel. This proposal proposes to test implementation strategies to deliver that video in VA primary care clinics and to test the effectiveness of the video to improve outcomes in a Hybrid Type 2 effectiveness-implementation trial using a cluster randomized stepped wedge design at eight sites. This proposal will test feasibility of implementing the video and if successful will generate the evidence to justify widespread dissemination of the video.
Empowering Veterans to Actively Communicate and Engage in Shared Decision Making in Medical Visits, A Randomized Controlled Trial
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Chicago Heights VA Clinic, Chicago Heights, Illinois, United States, 60411
Lakeside VA Clinic, Chicago, Illinois, United States, 60611
Jesse Brown VA Medical Center, Chicago, IL, Chicago, Illinois, United States, 60612
Edward Hines Jr. VA Hospital, Hines, IL, Hines, Illinois, United States, 60141-3030
Hoffman Estates VA Clinic, Hoffman Estates, Illinois, United States, 60192
Joliet VA Clinic, Joliet, Illinois, United States, 60432
Aurora VA Clinic, North Aurora, Illinois, United States, 60542
Adam Benjamin Jr VA Outpatient Clinic, Crown Point, IN, Crown Point, Indiana, United States, 46307
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
For general information about clinical research, read Learn About Studies.
18 Years to
ALL
No
VA Office of Research and Development,
Howard S. Gordon, MD BS, PRINCIPAL_INVESTIGATOR, Jesse Brown VA Medical Center, Chicago, IL
2026-03-31