Self-Management and Resourceful Transition of Type 2 Diabetes With Stage 3 Kidney Disease

The SMaRT intervention is a 3-week intervention that uses a combined behavioral-education
and counseling methodology. The combined intervention involves computer-aided education
alongside telephone counseling via motivational interviewing. The computer-aided education
is tailored to the diagnoses of type 2 diabetes and chronic kidney disease and designed in a
learning module approach to facilitate goal-setting and discussion of health concerns with
greater efficacy and in a more informed way during the brief office visit. Such
Computer-aided education has been used to improve diabetes self-management and glycemic
control in middle-aged to older adults with moderate success. The inclusion of CKD
information will augment current diabetes self-management intervention. The telephone
counseling using the evidence-based behavioral change approach of motivational interviewing
is a patient-centered approach of partnering with patients by eliciting their health-related
concerns. This approach tailors the SMaRT intervention to include collaborative goal-setting
with guidance based upon the patient's readiness for change.

Inclusion Criteria:

- Diagnosed Type 2 Diabetes

- 18-85 years old

- Stage 3 Chronic Kidney Disease

- Speaks and reads English

Exclusion Criteria:

- Hypoglycemia with 3rd party treatment in past 3 months

- Type 1 Diabetes

- On Dialysis

- Does not speak English

- Factors likely to preclude protocol adherence