Type 2 Diabetes
Conditions
Keywords
peer education, diabetes, randomized, trial
Brief summary
The purpose of this study is to evaluate the effect of a culturally sensitive diabetes self-management program on glucose control and metabolic parameters in low income Mexican-Americans with type 2 diabetes using the Project Dulce model utilizing a low cost, peer-educator format.
Detailed description
To recruit 207 Mexican-Americans patients from federally-funded community health centers in San Diego County with Hemoglobin A1c (HbA1c) \> 8% and randomize to Project Dulce peer intervention or continuation of standard diabetes care. The primary outcome will be the percent change in HbA1c levels at 10 months following randomization.
Interventions
Conduct peer education classes for 8 weeks and support groups monthly for a total of 10 months and evaluate effects on metabolic and behavior outcomes
This group continues with standard care at the community health center
Sponsors
Study design
Eligibility
Inclusion criteria
* Mexican American, men and women, 21-75 years old, who were under-insured patients at federally qualified community health centers in San Diego County with type 2 diabetes and HbA1c \> or = 8%.
Exclusion criteria
* Individuals with a physical or mental health condition that would preclude fulfilling the requirements of the study were ineligible to participate, HbA1c \< 8,pregnant with gestational diabetes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| mean percent change Hemoglobin A1c (HbA1c) | Baseline, 4 months and 10 months | Evaluate change in HbA1c over a 10 month time period from baseline. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Body mass index, blood pressure and lipid changes | Baseline, 4 months and 10 months | Evaluate change in Body mass index, blood pressure and lipids over a 10 month time period from baseline |
Countries
United States