Diabetes
Conditions
Brief summary
Main objective: To improve diabetes outcomes among Mexican-Americans with diabetes through church-based, culturally tailored, diabetes self-management interventions linked to the local healthcare system. Specific Aim: To pilot test a church-based, culturally tailored diabetes self-management intervention to improve diabetes outcomes among low-income Mexican-American with diabetes H1 A church-based diabetes self-care management curriculum partnered with the local healthcare system will improve glycosylated hemoglobin. H2 A church-based diabetes self-care management curriculum partnered with the local healthcare system will improve systolic blood pressure and low-density lipids. H3 A church-based diabetes self-care management curriculum partnered with the local healthcare system will improve diabetes related self-efficacy, self-empowerment and self-care management.
Detailed description
Diabetes is a very prevalent and morbid condition affecting Latinos, especially Mexican-Americans in the United States. South Lawndale, a predominately-Mexican neighborhood of Chicago, has a disproportionately high diabetes related mortality rate in comparison to the rest of Chicago and the U.S. Many church-based interventions have shown promise improving health outcomes among minority populations; but data on church-based interventions for Latino populations is scarce. Mobilizing community resources to develop church-based, diabetes self-management interventions may lead to sustainable, culturally tailored interventions, and improve outcomes in Latinos with diabetes. Considering the growth of the Hispanic population and their disproportionate burden of chronic diseases, developing programming aimed at decreasing the health disparities in this population is crucial. Our study proposes to fill this gap.
Interventions
BEHAVIORALPicture good health/Imaginate una buena salud
Diabetes education, self-empowerment training, exercise, patient navigator
BEHAVIORALDiabetes lecture
Diabetes self-management lecture
Sponsors
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
University of Chicago
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* over the age of 18 * able to speak either English or Spanish * self-report of diagnosis of diabetes by a doctor
Exclusion criteria
* cannot give informed consent (e.g. due to intoxication or dementia) * do not speak English or Spanish * younger than 18 years old. * pregnant women * undergoing hemodialysis or treatment for cancer * unable to attend 3- and 6-month follow up appointments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in glycosylated hemoglobin (Hba1c)from baseline at 3 and 6 months | baseline to 6 months | We will evaluate changes in HbA1c at baseline, at 3 months and then 6 months. We will analyze change in HbA1c from baseline and compare it to the 3 month and 6 month measures. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in systolic blood pressure at baseline, 3 and 6 months | baseline to 6 months | We will evaluate changes at baseline, at 3 months and then 6 months. We will analyze change from baseline and compare it to the 3 month and 6 month measures. |
| Changes in low density lipoprotein from baseline to 3 and 6 month follow up | baseline to 6 months | We will evaluate changes from baseline, at 3 months and then 6 months. We will analyze change from baseline and compare it to the 3 month and 6 month measures |
| Changes in diabetes self-care from baseline to 3 and 6 months | baseline to 6 months | We will evaluate changes from baseline, at 3 months and then 6 months. We will analyze change from baseline and compare it to the 3 month and 6 month measures |
| Changes in diabetes self-empowerment from baseline to 3 and 6 months | baseline to 6 months | We will evaluate changes from baseline, at 3 months and then 6 months. We will analyze change from baseline and compare it to the 3 month and 6 month measures |
Countries
United States
Outcome results
None listed