Peers EXCEL Trial to Improve Glycemic Control
A Pilot Randomized Clinical Trial (RCT) to Examine the Benefits of a Culturally Adapted Peer Support and Self-Management Intervention to Improve Glycemic Control in African Americans
4 other identifiers
interventional
14
1 country
1
Brief Summary
The purpose of the study is to gather input about the value of adding a newly developed diabetes self-management program to an existing diabetes self-management program. Participants will self-identify as African-American/Black with type 2 diabetes, and prescribed a diabetes medication. Participants can expect to be in the study for 6 months.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable type-2-diabetes
Started Feb 2023
Shorter than P25 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
First Submitted
Initial submission to the registry
September 1, 2022
CompletedFirst Posted
Study publicly available on registry
September 6, 2022
CompletedStudy Start
First participant enrolled
February 13, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 2, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
November 14, 2023
CompletedNovember 18, 2023
November 1, 2023
8 months
September 1, 2022
November 16, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in blood glucose (hemoglobin A1C)
The hypothesis is that there will be a more significant change in mean A1C, which is clinically meaningful, for participants in Peers EXCEL as compared to those in HLWD.
Baseline, 2 months, 6 months
Secondary Outcomes (4)
Medication adherence
Baseline, 2 months, 6 months
Feasibility of intervention
Baseline, 2 months, 6 months
Acceptability of intervention
Baseline, 2 months, 6 months
Adherence to Refills and Medicines Scale for Diabetes (ARMS-D) Score
Baseline, 2 months, 6 months
Study Arms (2)
Healthy Living with Diabetes (HLWD)
ACTIVE COMPARATORParticipants will have a 6-week self-management program, followed by the option to work with a Community Health Worker for the remaining 4 months.
Peers EXCEL
EXPERIMENTALParticipants will have an 8-week self-management program, and will participate in phone calls with a peer for the remaining 4 months.
Interventions
Two group session focusing on beliefs about medicines and diabetes, discrimination/mistrust, and communication with providers, and 2 peer-based phone calls from Ambassadors to occur weekly for weeks 3-8, then bi-weekly for weeks 9-12.
Weekly group sessions for two months. Sessions will last up to 2.5 hours and focus on a different diabetes self-management topic.
Eligibility Criteria
You may qualify if:
- Between 18-90 years old
- Self-identify as African-American
- Diagnosis of Type 2 diabetes
- Able to speak/read English
- Self-report having a primary care provider who prescribes one diabetes medication
- Diagnosed with diabetes for ≥1 year at point of care
- Will reside in the geographical area throughout the study period
- Self-reported nonadherence on the DOSE-nonadherence survey
- ≥7.5% A1C
You may not qualify if:
- Self-reported bipolar or personality disorders, schizophrenia, Alcohol and Other Drug Abuse (AODA), dementia
- Older adults who have a history of severe hypoglycemia requiring medical assistance or glucagon administration
- Participating in another lifestyle or medication adherence program
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Wisconsin
Madison, Wisconsin, 53705, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Olayinka Shiyanbola, MD
University of Wisconsin, Madison
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 1, 2022
First Posted
September 6, 2022
Study Start
February 13, 2023
Primary Completion
October 2, 2023
Study Completion
November 14, 2023
Last Updated
November 18, 2023
Record last verified: 2023-11
Data Sharing
- IPD Sharing
- Will not share