Ongoing Diabetes Self-Management Support in Church-Based Settings
2 other identifiers
interventional
94
1 country
1
Brief Summary
African Americans are twice as likely to have diabetes compared to their White counterparts and experience higher rates of diabetes-related complications. Diabetes-related health disparities underscore the need for effective, culturally tailored approaches to promote and sustain diabetes self-management over time. Diabetes self-management education (DSME) is effective in improving diabetes outcomes in the short-term. However, many adults with diabetes cannot sustain achieved improvements without continued follow-up and support. The 2012 revisions of both the National Standards for Diabetes Care 6 and the National Standards for DSME and Support emphasize the importance of providing both initial DSME and on-going diabetes self-management support (DSMS) to assist people with diabetes in maintaining effective self-management throughout a lifetime. While a great deal is understood about how to provide effective, initial DSME, less is known about who, where, when, and how to provide effective, sustained DSMS. One significant challenge is that DSME is a covered benefit in the healthcare system, while DSMS is not. This ultimately limits access and availability of DSMS programs, especially for low-income African Americans. Accordingly, there is critical need to develop, evaluate, and understand effective DSMS models that are ongoing, patient-driven, and embedded in the community.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable type-2-diabetes
Started Jan 2013
Longer than P75 for not_applicable type-2-diabetes
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2013
CompletedFirst Submitted
Initial submission to the registry
February 16, 2014
CompletedFirst Posted
Study publicly available on registry
February 19, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2016
CompletedAugust 6, 2019
August 1, 2019
4 years
February 16, 2014
August 5, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Hemoglobin A1C
Measure of long-term glucose control
Baseline, 3, 9, 15, 27 months
Secondary Outcomes (1)
BMI
Baseline, 3, 9, 15, 27 months
Other Outcomes (1)
Diabetes-related distress
Baseline, 3, 9, 15, 27 months
Study Arms (3)
Parish nurse
EXPERIMENTALOn-going support provided by parish nurse
Peer support
EXPERIMENTALOn-going support provided by a person with diabetes
Control group
NO INTERVENTIONNo on-going support provided
Interventions
On-going support following diabetes self-management education provided by Parish Nurse
On-going support following diabetes self-management education provided by a trained person with diabetes
Eligibility Criteria
You may qualify if:
- Registered nurse in Michigan
- Identified as a parish nurse in the participating church
- Member of the Detroit Parish Nurse Network
- Willing to serve as a parish nurse for the research study
- Have diabetes ≥ one year
- Be a resident of metro-Detroit
- ≥21 years old and ≥ 8th grade education
- Have transportation to attend training
- Be willing to commit to 3 months of training
- Actively working on his/her own self management goals and
- Willing to serve as a peer leader
- Have diabetes ≥ 6 months
- Resident of metro-Detroit
- ≥ 21years old
- Be under the care of a physician for diabetes
- +2 more criteria
You may not qualify if:
- Not a registered nurse
- Not a parish nurse in the church
- Not a member of the DPNN
- Non ambulatory or serious health conditions or psychiatric illness (severity requiring hospitalization)
- Serious diabetes complications (e.g. blindness) that would impede meaningful participation
- Non ambulatory or serious health conditions or psychiatric illness (severity requiring hospitalization)
- Serious diabetes complications (e.g. blindness) that would impede meaningful participation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Michigan Medical School
Ann Arbor, Michigan, 48109, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gretchen A Piatt, PhD
University of Michigan
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
February 16, 2014
First Posted
February 19, 2014
Study Start
January 1, 2013
Primary Completion
December 31, 2016
Study Completion
December 31, 2016
Last Updated
August 6, 2019
Record last verified: 2019-08
Data Sharing
- IPD Sharing
- Will not share