Combined Diabetes Education/Skills Training and Social Needs Resolution Intervention for Older African Americans With Poorly Controlled Type 2 Diabetes (DM Social Needs)
Medical College of Wisconsin
Summary
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.
Eligibility
- Age range
- 50+ years
- Sex
- All
- Healthy volunteers
- No
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.
Interventions
- BehavioralDM Social Needs
6-monthly sessions of telephone delivered, manualized education and skills training on diabetes management, and problem solving and resolution of social needs.
- BehavioralUsual Care
Diabetes education materials in accordance with recommendations from the American Diabetes Association (ADA) will be mailed monthly.
Location
- Aprill DawsonMilwaukee, Wisconsin