Design, Setting and Population: A Phase 3, one year prospective trial, randomized to intervention or control (usual care) with Medicaid or dual-Medicare beneficiaries, with diabetes, aged 40-85 years old residing in South King County, Washington.
Intervention: A targeted, multi-component, self-management program incorporating a stage-of-change approach to overcome barriers and facilitate life-style behavior changes to achieve patient-driven health action plans for nutrition or exercise goals.
Main Outcome Measures: Glycemic control (HbA1c), physical and mental health, self-care practices.
Recruitment Status: Completed: participants are no longer being recruited; data analysis is complete.