This is a pre-post pilot study that will test the feasibility and acceptability of a health educator delivered diabetes education and skills training intervention using a voice-activated, touch screen controlled, smart speaker. We will enroll 30 adults aged 50 and older with poorly controlled type 2 diabetes as defined by a hemoglobin A1C of 8% in the study.
1) Aged 50 and older; 2) clinical diagnosis of poorly controlled type 2 diabetes, defined as HbA1C greater than or equal to 8% at the screening visit; 3) willing to install and use the VATC-SS for the 3 months of the study.
1) Mental confusion at screening assessment suggesting significant dementia; 2) alcohol or drug abuse/dependency at screening assessment; 3) active psychosis or acute mental disorder at screening assessment.
Single group
VATC-SS Intervention
BehavioralIndividuals in the VATC-SS intervention will receive weekly diabetes education and skills training calls for 12 weeks from a health educator through the voice-activated, touch screen controlled smart speaker.
HemoglobinA1C
About 10cc of blood will be drawn by phlebotomist and sent to the lab for testing
Blood Pressure
Blood pressure readings will be obtained using automated blood pressure monitors (OMRON IntelliSenseTM HEM-907 XL). The device will be programmed to take 3 readings at 2-minute intervals and give an average of the 3 blood pressure readings.
Low-Density Lipoprotein Cholesterol
About 10cc of blood will be drawn by phlebotomist and sent to the lab for testing
Depression
Depression will be measured using the 9-item Patient Health Questionnaire (PHQ-9)
Social Isolation
The PROMIS Short Form v2.0 - Social Isolation 8a will be used to measure social isolation
Loneliness
The five-item Loneliness Fixed form from the NIH Toolbox Item Bank v3.0 for adults will be used to assess loneliness
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