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Education and Group Support for Diabetic Hispanics



Education and Group Support for Diabetic Hispanics

For Condition: Diabetes Mellitus, Non-Insulin-Dependent
Status: Completed
Sponsor(s): National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) ,
Synopsis: The purpose of this ongoing work in Starr County, located on the Texas-Mexico border, is to conduct clinical studies to determine the effectiveness of diabetes self-management programs designed specifically for Mexican Americans. The programs meet national standards for diabetes self-management education. They are provided in community settings with the primary purpose of improving the health of Mexican Americans with diabetes and their family members, who either have diabetes or are at risk for developing diabetes. The diabetes self-management programs are provided in Spanish and are directed by bilingual Hispanic clinical nurse specialists, dietitians, and community health workers. Key elements of the programs include instruction on nutrition, self-monitoring of blood glucose, exercise, and other diabetes self-management topics, as well as group support to promote behavioral changes. In the original study (1994-1998), 256 Mexican American adults diagnosed with type 2 diabetes and 256 family members or other support persons were enrolled. For one year, the people with diabetes, along with their family members, attended small group sessions held in churches, community health clinics, adult day care centers, and schools. Information on the effectiveness of the program was collected at 3, 6, and 12 months; and annually thereafter. Findings of the original study suggested that the program had a positive impact on diabetes metabolic control. Levels of diabetes knowledge and rates of glucose self-monitoring and attendance suggested that a shorter program - one that incorporated critical elements of the previous successful strategy - might result in similar improvements. Thus, the goal of the new study, funded in June 1999, was to shorten the original program and to compare it to the previous successful program in terms of short- and long-term health outcomes. To identify key components of the previous program, we are exploring differences between subjects who successfully integrated self-care components of the program and who experienced significant improvements in metabolic control and those who were not as successful. The program is being revised and shortened, based on this information. Beginning in April 2000, we will start recruiting participants for the clinical trial of the revised program.
Details:
Eligibility:
Study Type:
  Interventional, Prevention, Non-Randomized
Minimum Age/Maximum Age: 35 Years/70 Years
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: - Diagnosed with type 2 diabetes ([a] two verifiable FBS test results of 140 mg/dl or above or [b] taking or have taken insulin or hypoglycemic agents for at least one year in the past) - Willing to participate - A family member, preferably a spouse or first-degree relative, who agrees to participate Exclusion Criteria: - Migrant farm workers (not available for the year-long program) - Pregnant - Medical conditions for which changes in diet and exercise levels would be contraindicated
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
SharonBrown,  Principal Investigator,  The University of Texas at Austin

The University of Texas at Austin
Austin,  Texas,  78701
United States
 


Additional Information:
Study ID Numbers:
  BROWNS;  R01DK48160
Study Start Date: September 1999
Record last reviewed: July 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00004983

Other Diabetes Mellitus, Non-Insulin-Dependent Studies:
1. Safety and Efficacy of INGAP-Peptide in Patients with Type 2 Diabetes

2. Evaluation of the Effect on Glucose Control of AC2993 in Patients With Type 2 Diabetes Mellitus Treated With a Sulfonylurea

3. Obese Patients with Type 2 Diabetes

4. Disease Management and Educational Intervention Outcomes in High-Risk Diabetics

5. The ORIGIN Trial (Outcome Reduction with Initial Glargine Intervention)

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Education and Group Support for Diabetic Hispanics

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