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Community Based Participatory Research With Immigrant Chinese With Diabetes

NCT ID: NCT00833677

Last Updated: 2013-10-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

148 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-02-28

Study Completion Date

2013-03-31

Brief Summary

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The proposed project is part of a program of research to improve management of type 2 diabetes (T2DM) through a community-academic partnership that addresses cultural factors in disease management. Specific aims are to: 1. Strengthen a community-academic partnership with the immigrant Chinese community in San Francisco to improve diabetes management; 2. Adapt and test a behavioral diabetes intervention, Coping Skills Training, to addresses family and cultural issues in immigrant Chinese patients with T2DM; and 3. Disseminate the adapted Coping Skills Training Program findings via the community-academic partnership to the immigrant Chinese American community through service programs, ethnic media, and professional/scientific publications. A mixed-methods CBPR approach will be used to interpretively adapt a behavioral intervention to be culturally appropriate, and test its efficacy using a repeated measures design. Two historically significant social service and health agencies serving immigrant Chinese in San Francisco are collaborating with this nurse-led interdisciplinary research team.

Detailed Description

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The goal of the culturally adapted Chinese Coping Skills Training (CCST) is to increase immigrant Chinese patients' skills and mastery in diabetes management by identifying and diminishing non-constructive coping responses to difficult social situations, while expanding the repertoire of positive coping responses and disease management behaviors. The CCST comprises a series of six small-group sessions focused on the topics of social problem solving, communication skills, cognitive behavior modification and conflict resolution. It also includes a review of basic diabetes management information.

Conditions

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Type 2 Diabetes Mellitus

Keywords

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Coping skills Chinese Immigrant Type 2 Diabetes Mellitus Family research

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Interventions

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Chinese Coping Skills Training

Six-week group behavioral intervention: Chinese Coping Skills Training

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with type 2 diabetes mellitus,
* Treated with insulin, oral medications and/or diet and exercise,
* Self-identify as Chinese American or Chinese,
* Identify a family member (spouse, child, sibling or other person identified as family) with whom participant lives or has at least weekly contact, who is involved in care of diabetes.
* First-generation immigrant ie. foreign-born, first generation to arrive in the U.S. from any source country

Exclusion Criteria

* Diagnosed with type 1 diabetes mellitus
* Cannot read or write Chinese
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Nursing Research (NINR)

NIH

Sponsor Role collaborator

University of San Francisco

OTHER

Sponsor Role collaborator

Donaldina Cameron House

UNKNOWN

Sponsor Role collaborator

North East Medical Services

UNKNOWN

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Catherine Chesla, DNS

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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School of Nursing, University of California, San Francisco

San Francisco, California, United States

Site Status

Countries

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United States

References

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Chesla CA, Chun KM. Accommodating type 2 diabetes in the Chinese American family. Qual Health Res. 2005 Feb;15(2):240-55. doi: 10.1177/1049732304272050.

Reference Type BACKGROUND
PMID: 15611206 (View on PubMed)

Fisher L, Chesla CA, Chun KM, Skaff MM, Mullan JT, Kanter RA, Gardiner PS. Patient-appraised couple emotion management and disease management among Chinese American patients with type 2 diabetes. J Fam Psychol. 2004 Jun;18(2):302-10. doi: 10.1037/0893-3200.18.2.302.

Reference Type BACKGROUND
PMID: 15222837 (View on PubMed)

Chesla CA, Chun KM, Kwan CM. Cultural and family challenges to managing type 2 diabetes in immigrant Chinese Americans. Diabetes Care. 2009 Oct;32(10):1812-6. doi: 10.2337/dc09-0278. Epub 2009 Jul 23.

Reference Type BACKGROUND
PMID: 19628812 (View on PubMed)

Chun KM, Chesla CA, Kwan CM. "So We Adapt Step by Step": Acculturation experiences affecting diabetes management and perceived health for Chinese American immigrants. Soc Sci Med. 2011 Jan;72(2):256-64. doi: 10.1016/j.socscimed.2010.11.010. Epub 2010 Nov 24.

Reference Type BACKGROUND
PMID: 21147509 (View on PubMed)

Other Identifiers

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1R01NR010693-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

H2269-32042-02

Identifier Type: -

Identifier Source: org_study_id