Peer-Led Self-Management Support in "Real World" Clinical and Community Settings

University of Michigan

Status: Completed

Conditions: Diabetes

Treatments: Behavioral: Peer-Led Self-Management

Study type: Interventional

Funder types: Other

Identifiers

NCT01517919

DRDA 90-0893

Details and patient eligibility

About

This study will systematically evaluate a training program in state-of-the-art behavioral change approaches and facilitation skills for peer leaders and a peer-led diabetes self-management support program designed to be conducted in community and clinic-based settings on an ongoing basis.

Full description

In phase one we will develop and evaluate a theoretically-driven program to train peer leaders to facilitate longer-term empowerment-based interventions that, when led by health care professionals, have been associated with improved diabetes-related health and psychosocial outcomes.1-8 In phase two we will examine the impact of a sustained peer-led, empowerment-based self-management intervention on improving and maintaining diabetes-related health outcomes. We propose to develop and test the training and program simultaneously in two distinct cultural and linguistic communities with which the team already has strong working relationships and a track record of prior work: African-American (AA) adults in a community-based setting (Ypsilanti, Michigan) and Latino adults (Spanish- and English-speaking) in a clinic-based setting (Southwest Detroit). This will allow us to compare and contrast the translations of the training and program in these two different contexts and to better refine and understand effective methods and develop culturally tailored training and program materials in both English and Spanish.

Enrollment: 241 patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• the study will recruit African Americans and Latinos with type 2 diabetes, - at least 21 years old, and
• who have a regular health care provider, and
• will commit to attend the 12 session DSME program.

Exclusion criteria

• having physical limitations preventing participation, and
• other serious health conditions (e.g., terminal cancer),
• serious psychiatric illness, self-reported excessive alcohol or illicit drug use, and
• serious diabetes complications (e.g., blindness) that would impede meaningful participation in the program

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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241 participants in 2 patient groups

Intervention: Peer Led Self-Management

Experimental group

Description:

Intervention: Peer Led Self-Management (PLSM) involves the DSME program followed by 12 months of peer-led ongoing self-management support

Treatment:

Behavioral: Peer-Led Self-Management

Diabetes Self-Management Education

No Intervention group

Description:

Control: Diabetes Self-Management Education (DSME) involves 12 sessions of self-management training including diabetes education, one-on-one sessions, bi-weekly phone contacts, and preparation for a clinic visit.