Impact of Type 2 Diabetes Peer Counseling on Behavioral, Metabolic, and Health Outcomes Among Latinos

Study Overview
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Brief Summary
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The objectives of this study are: To develop a comprehensive culturally tailored model of diabetes management that integrates the work of community-based peer counselors and clinical specialists into a multi-disciplinary health care team serving the Latino community. To implement an intervention that provides education and support to Latino adults diagnosed with Type 2 diabetes in both clinical and home settings. To evaluate this intervention for its impact on program adherence, and improved outcomes sustained over time as reflected by metabolic, clinical, cognitive and behavioral measures.

Detailed Description
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A randomized two group longitudinal design with clinical measurements and behavioral assessments collected at baseline, 3,6,12 and 18 months will be used. It is hypothesized that participants in the home-based peer-counseling intervention will have greater reductions and will better maintain their reductions in their HbA1c levels compared to participants in the standard of care hospital based program currently in place. Additional secondary hypotheses state the participants in the home-based peer-counseling intervention will have improved lipid profile values, cholesterol levels, and BMI compared to participants in the standard of care hospital based program. Participants in the home-based peer-counseling intervention will monitor their glucose more regularly (defined by the mean and variance in number of monitored days per month) than participants in the standard of care hospital based program. Lastly, participants in the home-based peer-counseling intervention will have a higher rate of program participation (defined by adherence to appointments and referrals) and completion than participants in the standard of care hospital based program.

Official Title
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Impact of Type 2 Diabetes Peer Counseling on Behavioral, Metabolic, and Health Outcomes Among Latinos

Conditions
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Diabetes Mellitus, Non-Insulin-Dependent

Intervention / Treatment
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* Behavioral: Diabetes Peer Counseling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Latinos older than 21 Diagnosed with type 2 diabetes Referred to the Amigos en Salud program at Hartford Hospital Residents of Hartford Exclusion Criteria: Advanced renal failure Advanced heart disease Diagnosis of major psychological disorder or mental condition Limb amputation(s) that prevent following study's exercise recommendations Any other health condition that prevents individual from consuming all their meals orally

Ages Eligible for Study
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Minimum Age: 22 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Standard Care<br> | |
| Experimental: Diabetes Peer Counseling<br> | Behavioral: Diabetes Peer Counseling<br>* 16 Home visits from a bilingual/bicultural diabetes peer counselor.<br>* Other names: DIALBEST;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hemoglobin A1c |  | Change in Baseline in HbA1c at 6 Months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Diabetes Knowledge Test Score |  | Change from Baseline in Diabetes Knowledge Test Score at 6 Months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Type 2 Diabetes