Medical College of Wisconsin
This study will test the preliminary efficacy of a nurse case-manager, telephone-delivered intervention that provides diabetes self-management education and skills training and resolves the unmet social needs of older African Americans with poorly controlled type 2 diabetes by randomizing 100 African Americans aged 50 years and older with poorly controlled type 2 diabetes to the Combined Diabetes Education/Skills Training and Social Needs Resolution (DM Social Needs) Intervention (n=50) and usual care (n=50) arms. The aims of this study are: Aim 1: Test the preliminary efficacy of the DM Social Needs intervention on clinical outcomes in older AAs with uncontrolled type 2 diabetes. Aim 2: Test the preliminary efficacy of the DM Social Needs intervention on patient reported outcomes in older AAs with uncontrolled type 2 diabetes.
Inclusion Criteria: 1. Age 50 and older; 2. self-identified as African American or Black; 3. self-reported diagnosis of T2DM; 4. HbA1C \>=8% at the screening visit. Exclusion Criteria: 1. self-reported participation in other diabetes clinical trials; 2. alcohol or drug abuse or dependency as assessed by the CAGE-AID; 3. Mental confusion at screening assessment suggesting significant dementia; 4. life expectancy \< 6 months at screening assessment.
6-monthly sessions of telephone delivered, manualized education and skills training on diabetes management, and problem solving and resolution of social needs.
Diabetes education materials in accordance with recommendations from the American Diabetes Association (ADA) will be mailed monthly.
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