Implementing an Effective Diabetes Intervention Among Low-Income Immigrants

Conditions

• Type 2 Diabetes

Eligibility Criteria

Sex

ALL

Age

18 Years - 70 Years

Healthy Volunteers

Not accepted

Interventions

• Diabetes Self-Management Education and Support (DSMES) Videos — BEHAVIORAL
  Text message-delivered video-based DSMES intervention.
• Community Health Worker Support (CHW) — BEHAVIORAL
  Assess participants' SDOH barriers to Type 2 diabetes care and link them to available resources in the community.

Study Details

The goal of this IDEAL project is to examine the effectiveness and implementation process of the video-based Diabetes Self-Management Education and Support (DSMES) + community health worker (CHW) (hereafter: "IDEAL") intervention compared with a wait-list control group (hereafter: "CONTROL") to improve glycemic control among Chinese immigrants with Type 2 diabetes (T2D) in New York City (NYC). Participants will be randomized with equal allocation to one of the 2 groups. The IDEAL group will receive 1 DSMES brief video/week for 24 weeks delivered via text message. The CHW will assess participants' SDOH barriers to T2D care and link them to available resources in the community. The CONTROL group will continue to receive their usual care and at the end of the study, they will receive DSMES videos.

Key Dates

Start date

Dec 29, 2024

Status verified

Mar 2026

Primary completion

Dec 31, 2027

Completion

Jun 30, 2028

Study Design

Enrollment

270 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• Experimental: DSMES+CHW (IDEAL)
  Participants in this group will receive brief pre-recorded DSMES videos, which include both educational and Social Cognitive Theory-based behavioral content. Participants will receive 1 DSMES video via text message each week for a total of 24 weeks with each video lasting about 5 minutes in duration. In addition, they will also receive brief phone calls from CHWs every 2 weeks during the 24 weeks video program. During these calls, CHWs will assess whether participants need assistance on social determinants of health (SDOH) barriers. If needed, CHWs will link participants to available services within the community. CHWs will also provide assistance on navigating the complex health care systems and serve as an advocate for patients during doctor visits if needed.
• No Intervention: Wait-list control group (CONTROL)
  Participants in this group will continue to receive the standard of usual care for their T2D at their doctor's office during the course of our study.

Primary Outcome Measure

Change in Hemoglobin A1C (HbA1c) Test Scores [ Time Frame: Baseline, Month 6 ]

Central Contacts

• Lu Hu, PhD
  646-501-3438
  [email protected]

Locations (1)

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