Fostering Sustainability Through Diabetes Self-Management Support

NCT ID: NCT03021746

Last Updated: 2021-12-16

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

358 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-31

Study Completion Date

2021-08-31

Brief Summary

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To understand the effectiveness of three approaches to address diabetes self-management support compared to enhanced usual care in church-based settings.

Detailed Description

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To understand the effectiveness of three approaches to address diabetes self-management support compared to enhanced usual care in church-based settings.

Conditions

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Diabetes Mellitus

Keywords

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African-American

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Parish Nurse plus Peer Leader

The focus of this approach is for Peer Leaders (PL) to provide Diabetes Self Management Support (DSMS) with the oversight of Parish Nurses (PN). The first component starts with group-based Diabetes Self Management Education (DSME) provided by Certified Diabetes Educators (CDE), co-facilitated by PN and PL and held at the church. PL will also facilitate activities including behavioral goal setting, monthly phone contacts, and preparation for a diabetes-related health care visit, with oversight of PN. As the study progresses, PL and PN will have progressive leadership responsibilities. Following DSME, participants will be invited to attend 12 months of monthly DSMS support groups led by the PL, with oversight from the PN. This approach allows for PN to provide direct supervision to PL in areas of clinical content, educational methods, and group facilitation and communication skills.

Group Type EXPERIMENTAL

Diabetes Self Management Support (DSMS)

Intervention Type BEHAVIORAL

Peer Leader Only

This approach will contain the same elements as the PN plus PL approach, except that a PN will not be used. Rather, PL will provide all aspects of DSMS, including behavioral goal setting, monthly phone contacts, and preparation for a diabetes-related health care visit. This approach will be delivered in a group setting. DSME will be provided by CDEs and co-facilitated by a PL to ensure consistency in the DSME content. Following DSME, participants will be invited to attend 12 monthly DSMS groups led by PL. Following the group sessions, participants will transition into a period of ongoing support. During this time, participants and PL will be encouraged to foster DSMS through programs and initiatives that are meaningful to them, utilizing the existing church infrastructure. If needed, PL may contact the CDE for additional information

Group Type EXPERIMENTAL

Diabetes Self Management Support (DSMS)

Intervention Type BEHAVIORAL

Parish Nurse Only

The main focus of this approach will contain all of the same elements as the PN plus PL approach, except that PL will not be used. Rather, the PN will provide all aspects of Diabetes Self Management Support (DSMS), including facilitation of goal setting, monthly phone contacts, and preparation for a diabetes-related health care visit. Diabetes Self Management Education (DSME) will be provided by CDEs and co-facilitated by a PN to ensure consistency in the DSME content. Following DSME, participants will be invited to attend 12 months of monthly, DSMS support groups led by the PN. Following support sessions, participants will transition into a period of ongoing support, where the participants and PN will be encouraged to continue to foster DSMS through programs and initiatives that are meaningful to them, utilizing the existing church infrastructure. The PN may answer clinical questions and may contact the CDE for additional information if needed.

Group Type EXPERIMENTAL

Diabetes Self Management Support (DSMS)

Intervention Type BEHAVIORAL

Interventions

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Diabetes Self Management Support (DSMS)

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Have Type 2 diabetes for at least 6 months
* Be Black/African American
* Be a resident of metro-Detroit, Toledo, or Flint
* Be at least 21 years old
* Be under the care of a physician for diabetes
* Have transportation to attend the program

Exclusion Criteria

* Have Type 2 diabetes for less than 6 months
* Under 21 years of age
* Not under care of physician
* Lack of transportation to attend the program
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Gretchen Piatt

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gretchen Piatt, MPH, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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University of Michigan

Ann Arbor, Michigan, United States

Site Status

Countries

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United States

Other Identifiers

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HUM00104965

Identifier Type: -

Identifier Source: org_study_id