Combining Flash Glucose Monitoring and Online Peer Support to Improve Outcomes in Hispanics With Type 2 Diabetes
1 other identifier
interventional
34
1 country
1
Brief Summary
Currently, Hispanic Spanish-speaking individuals are not receiving culturally appropriate diabetes care. Lack of knowledge impacts several areas of type 2 diabetes (T2D) management, including healthy eating and being physically active in Hispanic Spanish-speaking individuals. Use of diabetes technology is on the rise, however, many technologies do not provide Spanish-language options. A flash glucose monitoring (FGM) system is now available in both English and Spanish. Research suggests that use of FGM results in improved clinical outcomes. Furthermore, increased number of FGM scans are associated with improved clinical outcomes such as decreased A1C and improvements in BG time in range. Our preliminary work indicates that Hispanics (1) are willing to use diabetes technology, such as FGM, if it supports Spanish language and (2) in English-speaking populations, but not specific to the Hispanic Spanish-speaking population, FGM supports biobehavioral change. Further, our work, and the work of others, indicate Hispanic individuals desire for peer interactions to relate and understand the variables that impact T2D. Interaction with online peer support communities is associated with increased knowledge, receipt of emotional support, and improved glycemic levels. These results suggest that education and support to increase use and understanding of FGM will lead to improved clinical and behavioral outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable diabetes-mellitus-type-2
Started Jan 2019
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 6, 2019
CompletedFirst Submitted
Initial submission to the registry
January 9, 2019
CompletedFirst Posted
Study publicly available on registry
January 10, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 27, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
August 30, 2020
CompletedOctober 22, 2020
October 1, 2020
1.6 years
January 9, 2019
October 19, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time-in-Range
Average glucose level and number of minutes spent between 70-180 mg/dL
12 weeks
Secondary Outcomes (2)
A1C
12 weeks
Online peer support engagement
12 weeks
Study Arms (1)
Flash Glucose Monitoring with Online Peer Support
EXPERIMENTALPre-Test-Post-Test
Interventions
Hispanic Adults who are Spanish-Speaking with type 2 diabetes who are not using insulin will be asked to use flash glucose monitoring and to sign up for an moderated online peer support group where they can ask questions and share progress.
Eligibility Criteria
You may qualify if:
- Age ≥21 years
- Self-report as Hispanic
- Able to communicate in Spanish
- Clinical diagnosis of T2D and HbA1c ≥8% per clinic records
- Willing to wear a flash glucose monitor for 12 weeks
- Access to the internet and willing to engage in an online peer support community
- Willing to avoid Vitamin C 500 mg and Aspirin 325 mg or greater daily
- Not using insulin
You may not qualify if:
- Non-Spanish speaking
- Using insulin
- Already using a continuous glucose monitor or flash glucose monitor in previous 6 months
- Participation in other diabetes clinical trials
- Alcohol or drug abuse/dependency
- Severe illness (physical or mental health), cognitive impairment, high dose steroids, hospitalized more than 2 times in past 12 months or other impairment that would, in the opinion of the investigators, interfere with ability to complete the study
- Uncorrected hearing or vision impairment
- Life expectancy \<6 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Utahlead
- La Trobe Universitycollaborator
Study Sites (1)
University of Utah College of Nursing
Salt Lake City, Utah, 841112, United States
Related Publications (1)
Ng AH, Greenwood DA, Iacob E, Allen NA, Ferrer M, Rodriguez B, Litchman ML. Examining a Continuous Glucose Monitoring Plus Online Peer Support Community Intervention to Support Hispanic Adults With Type 2 Diabetes: Protocol for a Mixed Methods Feasibility Study. JMIR Res Protoc. 2022 Feb 24;11(2):e31595. doi: 10.2196/31595.
PMID: 35200153DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Michelle L Litchman, PhD, FNP-BC
University of Utah College of Nursing
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
January 9, 2019
First Posted
January 10, 2019
Study Start
January 6, 2019
Primary Completion
July 27, 2020
Study Completion
August 30, 2020
Last Updated
October 22, 2020
Record last verified: 2020-10