Diabetes Survival Skills + (DSS+) Training Intervention for Incarcerated Persons Transitioning to the Community (TTC)

NCT05510531 | Completed

• 1 other identifier: H17-066
• Study Type: interventional
• Target: 92
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose was to examine the feasibility and acceptability of a Diabetes Survival Skills intervention training with and without a support group for incarcerated persons transitioning to the community. Feasibility will include limited efficacy testing to examine the effect of the DSS+ intervention on diabetes knowledge, self-efficacy, outcome expectancies, and diabetes-related distress.

Conditions

Diabetes

Outcome Measures

Primary Outcomes (4)

• Change in diabetes knowledge

  measured by Spoken knowledge for Low Literacy in Diabetes (SKILLD) , a 10-item scale that measures diabetes knowledge e.g. medication taking, blood glucose monitoring

  Measured at Baseline and 6 and 12 weeks from baseline

• Change in diabetes-related distress

  Problem Areas in Diabetes Scale (PAID) measures diabetes-related distress.

  Measured at Baseline and 6 and 12 weeks from baseline.

• Change in self-confidence for managing diabetes

  Self confidence in Diabetes Index(SCODI) Confidence Subscale 38 measures the degree of confidence the person has about his or her ability to perform specific self-care task and to persist in forming an action despite barriers

  Measured at Baseline and 6 and 12 weeks from baseline

• Change in outcome expectancy

  Outcome Expectancy Questionaire(OEQ) measures a "person's perceptions of the consequences of performing diabetes self-care behavior

  Measured at Baseline and 6 and 12 weeks from baseline.

Secondary Outcomes (1)

• Participants perspective of the intervention

  Focus group interview performed between 8-12 weeks after the session/intervention is delivered.

Study Arms (2)

Treatment Diabetes Survival Skills (DSS)Training

EXPERIMENTAL

Participants in the treatment group received a 6-session 1-hour weekly literacy tailored DSS education intervention.

Behavioral: Diabetes Survival Skills Training

Control No intervention

NO INTERVENTION

Participants in the Control facility received the intervention upon completion of week twelve measurements.

Interventions

Diabetes Survival Skills Training BEHAVIORAL

During the course of the DSS sessions, participants receive blood glucose logs, glucose meters; lancets, testing strips and demonstration insulin pens with injecting pillow will only be used in class. In summary, the DSS is focused on increasing knowledge, motivation, and self-efficacy and decreasing diabetes related distress, IMB components relevant to incarcerated persons and proximal to behavior change, through engagement, return demonstrations, skill practice, and positive reinforcement.

Treatment Diabetes Survival Skills (DSS)Training

Eligibility Criteria

• Age: 18 Years+
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Eligible individuals:
• have Type 1 or 2 diabetes
• be male gender
• age 18 and older
• any race, or ethnicity
• be able to speak, and understand Englis
• within 6-9 months of being released from prison
• have a Connecticut Department of Corrections (CDOC) security and medical classification allowing participation in group sessions

Sponsors & Collaborators

• University of Connecticut: lead
• American Nurses Foundation: collaborator

Study Sites (1)

University of Connecticut

Storrs, Connecticut, 06269-0001, United States

Location

Related Publications (2)

• Todd S, Reagan L, Laguerre R. Health Literacy, Cognitive Impairment, and Diabetes Knowledge Among Incarcerated Persons Transitioning to the Community: Considerations for Intervention Development. J Forensic Nurs. 2023 Oct-Dec 01;19(4):262-270. doi: 10.1097/JFN.0000000000000396. Epub 2022 Apr 28.

  PMID: 35482339 RESULT

• Reagan L, Laguerre R, Todd S, Gallagher C. The Feasibility and Acceptability of a Diabetes Survival Skills Intervention for Persons Transitioning from Prison to the Community. J Racial Ethn Health Disparities. 2024 Apr;11(2):1014-1023. doi: 10.1007/s40615-023-01581-x. Epub 2023 May 8.

  PMID: 37154888 RESULT

MeSH Terms

Conditions

Diabetes Mellitus

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Study Officials

• Louise Reagan, PhD

  UCONN School of Nursing

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: The proposed study will examine the feasibility, acceptability and preliminary efficacy measures of a quasi-experimental non-equivalent control group 6-week intervention study with repeated measures at baseline, 6 weeks, and 12 weeks.

Study Record Dates

• First Submitted: August 18, 2022
• First Posted: August 22, 2022
• Study Start: March 8, 2017
• Primary Completion: January 10, 2019
• Study Completion: January 10, 2019
• Last Updated: September 21, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)