None listed
Conditions
Brief summary
This project will aim to reverse T2DM in Aboriginal women with sustained HBA1c above 6.5% and prevent T2DM in Aboriginal women who are considered pre-diabetic with HBA1c between 5.6 and 6.4%. This will be achieved by co-designing culturally and scientifically responsive materials and information by and for Aboriginal women to be delivered by a GP, Aboriginal Health Worker and Diabetes Educator through a procedure called Medical Yarn Ups. The project will address trauma, eating and nutrition, physical activity and other lifestyle determinants of T2DM. Performance indicators will include: sustained reductions in HBA1c to below 5.5%.; development, testing, satisfaction with and adoption of culturally and scientifically responsive materials and procedures that can be used sustainably in practice.
Interventions
• Each participant will be orientated to and fitted with, a wearable Continuous Glucose Monitor (CGM) that has a lifespan of 3 months and which provides blood sugar level data to their existing device (phone or computer) and that of their GP and researcher. The CGM sensor is adhered by skin sensitive adhesive patch and can be removed safely and easily at any time by the patient if and when they choose including at the completion of the trial.
• Each participant will join with a group of up to 1
• Each participant will be orientated to and fitted with, a wearable Continuous Glucose Monitor (CGM) that has a lifespan of 3 months and which provides blood sugar level data to their existing device (phone or computer) and that of their GP and researcher. The CGM sensor is adhered by skin sensitive adhesive patch and can be removed safely and easily at any time by the patient if and when they choose including at the completion of the trial. • Each participant will join with a group of up to 10-12 other participants • Each group will attend a 90-minute Nyully cooking class, weekly for 7 weeks, and engage in learning to ‘de-colonise’ their diet as well as preparing and sharing a different meal each week. It is intended that the classes will be conducted face to face at the Health Service community kitchen. However, these sessions can be undertaken online if required. Records of attendance will be maintained by the research officer. • Following the Nyully cooking session each group will engage a Medical Yarn Up (MYU). The MYU consists of a 20-minute (approx.) education session about their T2DM and a shared medical appointment consultation. The education component of the MYU will be led by either an Aboriginal Health Practitioner and/or Diabetic Educator. One of 7 pre-recorded, co-designed, narrated powerpoint video presentations will be delivered covering a set of key points each session. Each of the videos is designed to encourage a facilitated discussion during and after the video delivery. The program of 7 video sessions is designed to cover a curriculum that includes: Understanding Diabetes, Weight management, Moving muscles for T2DM, Eating for the body, Eating for the mind, Managing stress, sleep and Other risk factors. This presentation and the facilitated discussion will be immediately followed by a facilitated consultation with their General Practitioner in the manner of a shared medical appointment, with the group present and participating. Attendance records will be maintained by the facilitator and medical records by the general practitioner.
Sponsors
Australasian Society of Lifestyle Medicine
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Women over 18 years of age who identify as Aboriginal, with a HbA1c great than 6.5% for more than 12 months but less than 5 years.
Exclusion criteria
Other health concerns that might be compromised by participating in the trial as assessed by the their Medical Practitioner.
Outcome results
None listed