Type 2 & other diabetes

Virta Intervention in CommuniTies in ColORado (VICTOR) Pilot Study to Improve Diabetes and Cardiovascular Risk in Rural Communities - Primary Results

Endocr PractPublished Cluster-randomised controlled trial

Authors' conclusion

Combining a CHW program with referral to CCI did not result in greater A1c reduction, but led to improvements in A1c, weight, and medication burden in individuals with T2D in a rural setting.

Study context

Population
Adults with T2D in the rural Colorado Heart Healthy Solutions (CHHS) program, on ≥1 antihyperglycemic medication, HbA1c ≥7.5%, BMI ≥25 kg/m²; mean age 59.6 years, BMI 34.4 kg/m², HbA1c 8.9% at baselineevaluable data
Participants
51 adults
Comparison
Referral to digital continuous care intervention plus CHHS vs CHHS alone
Primary endpoint
Change in HbA1c from baseline
Follow-up
End of phase 1 (3 months)
Methodological detailscluster-randomized, open-label, multisite, pilot
  • Cluster-randomized
  • Open-label
  • Multisite
  • Pilot

Primary result

As reported in the abstract

GroupValueP (within group)
CHHS−1.2 %P < .001
Continuous care intervention (CCI)+CHHS−1.5 %P < .001

Value

CHHS−1.2 %
Continuous care intervention (CCI)+CHHS−1.5 %

P (within group)

CHHSP < .001
Continuous care intervention (CCI)+CHHSP < .001

Further findings

OutcomeP value
≥5% weight lossHigher proportion with CCI+CHHSP < 0.05
Net decrease in number and/or dose of antihyperglycemic medicationsHigher proportion with CCI+CHHSP < 0.05

Original publication

Virta Intervention in CommuniTies in ColORado (VICTOR) Pilot Study to Improve Diabetes and Cardiovascular Risk in Rural Communities - Primary Results. Endocr Pract. Published 8 April 2025. doi:10.1016/j.eprac.2025.03.013

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