Stress Management Among Latinos With Type 2 Diabetes

Conditions

Diabetes Mellitus, Type 2

Keywords

Type 2 Diabetes

Brief summary

The primary aims of this study are to: 1. Tailor a diabetes stress management intervention for delivery by community health workers (CHWs) serving an urban Latino population. 2. Investigate the efficacy of the stress management intervention on glycemic control. Secondary aims of this study are to: 3. Investigate the efficacy of the stress management intervention on stress hormones, psychosocial functioning, and stress-glucose reactivity. Study hypothesis: A CHW-led group-based diabetes education model enhanced with stress management education will improve glycemic control more than CHW-led group-based diabetes education alone.

Wagner J, Armeli S, Tennen H, Bermudez-Millan A, Wolpert H, Pérez-Escamilla R.

2020-06-031 citations

10.1007/s10865-020-00162-1

Inflammation and Stress Biomarkers Mediate the Association between Household Food Insecurity and Insulin Resistance among Latinos with Type 2 Diabetes.

Bermúdez-Millán A, Wagner JA, Feinn RS, Segura-Pérez S, Damio G, Chhabra J, Pérez-Escamilla R.

2019-06-0123 citations

10.1093/jn/nxz021

Psychological Distress Mediates the Association between Food Insecurity and Suboptimal Sleep Quality in Latinos with Type 2 Diabetes Mellitus.

Bermúdez-Millán A, Pérez-Escamilla R, Segura-Pérez S, Damio G, Chhabra J, Osborn CY, Wagner J.

2016-08-0342 citations

10.3945/jn.116.231365

Interventions

BEHAVIORALstress management

The study is a randomized, controlled,single-site, parallel group clinical trial comparing the effectiveness of CHW led diabetes education with CHW led diabetes education plus CHW led stress management in Latinos with Type 2 Diabetes.

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

* Latinos age 18 or older that are ambulatory * Spanish speaking * Diagnosed with type 2 diabetes for at least 1 year * Hemoglobin A1c levels greater than 7.0

Exclusion criteria

* Medical instability or medical treatment requiring inpatient care * Diagnoses of bipolar disorder or thought disorder (or taking medications prescribed for either); current substance abuse or dependence disorder * Current suicidality or history of suicide attempt * History of psychiatric hospitalization * Taking antidepressant medications prescribed for the treatment of depression accompanied by either a) changes to the antidepressant regimen within previous 6 weeks, or b) anticipated changes to the regimen during period of study. Such patients will be deferred and re-evaluated for eligibility after 6 months

Design outcomes

Primary

Measure	Time frame	Description
Hemoglobin A1c	Baseline	Blood will be drawn from participants and hemoglobin A1c levels will be measured

Secondary

Measure	Time frame	Description
Diabetes specific distress	Baseline	Participants will be asked questions assessing their perspective of emotional distress from living with diabetes

Countries

United States

Outcome results

None listed