NCT05935410

Brief Summary

This study will test the preliminary efficacy of a nurse case-manager, telephone-delivered intervention that provides diabetes self-management education and skills training and resolves the unmet social needs of older African Americans with poorly controlled type 2 diabetes by randomizing 100 African Americans aged 50 years and older with poorly controlled type 2 diabetes to the Combined Diabetes Education/Skills Training and Social Needs Resolution (DM Social Needs) Intervention (n=50) and usual care (n=50) arms. The aims of this study are: Aim 1: Test the preliminary efficacy of the DM Social Needs intervention on clinical outcomes in older AAs with uncontrolled type 2 diabetes. Aim 2: Test the preliminary efficacy of the DM Social Needs intervention on patient reported outcomes in older AAs with uncontrolled type 2 diabetes.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for not_applicable type-2-diabetes

Timeline
Completed

Started Aug 2023

Typical duration for not_applicable type-2-diabetes

Geographic Reach
1 country

1 active site

Status
completed

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

June 27, 2023

Completed
10 days until next milestone

First Posted

Study publicly available on registry

July 7, 2023

Completed
25 days until next milestone

Study Start

First participant enrolled

August 1, 2023

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 15, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 15, 2025

Completed
Last Updated

May 11, 2026

Status Verified

May 1, 2026

Enrollment Period

2.4 years

First QC Date

June 27, 2023

Last Update Submit

May 6, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Glycemic Control (Hemoglobin A1C [HbA1C])

    About 10cc of blood will be drawn by trained phlebotomists and sent to the lab for testing.

    Change in baseline HbA1C at 6 months post intervention follow-up

Study Arms (2)

DM Social Needs Intervention

EXPERIMENTAL

A trained health educator will deliver the manualized DM Social Needs intervention. Participants will receive 6-monthly sessions of diabetes education and skills training, and problem solving and resolution of social needs via telephone.

Behavioral: DM Social Needs

Usual Care

ACTIVE COMPARATOR

Participants in the usual care arm will receive mailed diabetes education materials in accordance with recommendations from the American Diabetes Association (ADA) monthly

Behavioral: Usual Care

Interventions

DM Social NeedsBEHAVIORAL

6-monthly sessions of telephone delivered, manualized education and skills training on diabetes management, and problem solving and resolution of social needs.

DM Social Needs Intervention
Usual CareBEHAVIORAL

Diabetes education materials in accordance with recommendations from the American Diabetes Association (ADA) will be mailed monthly.

Usual Care

Eligibility Criteria

Age50 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 50 and older;
  • self-identified as African American or Black;
  • self-reported diagnosis of T2DM;
  • HbA1C \>=8% at the screening visit.

You may not qualify if:

  • self-reported participation in other diabetes clinical trials;
  • alcohol or drug abuse or dependency as assessed by the CAGE-AID;
  • Mental confusion at screening assessment suggesting significant dementia;
  • life expectancy \< 6 months at screening assessment.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Aprill Dawson

Milwaukee, Wisconsin, 53226, United States

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Study Officials

  • Aprill Z Dawson, PhD, MPH

    Medical College of Wisconsin

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

June 27, 2023

First Posted

July 7, 2023

Study Start

August 1, 2023

Primary Completion

December 15, 2025

Study Completion

December 15, 2025

Last Updated

May 11, 2026

Record last verified: 2026-05

Locations