Technology-Enabled Collaborative Care for Diabetes and Mental Health
Bridging Gaps, Enhancing Wellbeing: Examining the Effectiveness of the Technology-Enabled Collaborative Care for Diabetes and Mental Health (TECC-DM) Model
McMaster University
160 participants
Mar 16, 2025
INTERVENTIONAL
Conditions
Summary
Managing both type 2 diabetes and mental health challenges can be difficult, and many people do not receive care that supports both. This study looks at how virtual health coaching and support from interdisciplinary care teams can help people better manage their health. The purpose of this study is to test the effectiveness of a virtual health coaching program for adults living with type 2 diabetes and mental health challenges compared to usual care. The Technology-Enabled Collaborative Care for type 2 Diabetes and Mental health (TECC-DM) program includes weekly coaching calls, support from an interdisciplinary care team, and online tools to aid self-management. The findings from this study will be used to help improve services for people who have type 2 diabetes and co-occurring mental health symptoms.
Eligibility
Inclusion Criteria8
- Adults ≥18 years old
- Diagnosed with type 2 diabetes (T2D)
- Experiencing mental health challenges, defined as:
- Hospital Anxiety and Depression Scale (HADS) score ≥8 on either subscale OR
- Diabetes Distress Scale (DDS) score ≥2
- Community-living
- Able to communicate verbally in English
- Residing in Ontario during study participation
Exclusion Criteria1
- Diagnosis of severe mental illness (e.g., schizophrenia, psychotic disorder)
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Interventions
Health coaching is the active component of TECC-DM. In weekly 1-hour sessions, the coach builds a therapeutic relationship, supports goal-setting and behaviour change, addresses mental health needs, coordinates resources, and empowers participants to navigate care. Coaching is delivered according to a standardized protocol, in consultation with the virtual care team, and targets improvements in quality of life and goals of care. Coaches do not provide pharmacological treatment or replace usual diabetes care.
Participants receive usual diabetes care (e.g., primary care, endocrinology, community supports) plus 10 standardized educational emails over 12 weeks, delivered according to a consistent protocol. Unlike TECC-DM, this approach does not involve a therapeutic relationship, health coach, or interdisciplinary care team.
Locations(1)
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NCT07181863