Alliance to Control Diabetes

Study Overview
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Brief Summary
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Alliance to Control Diabetes was a 2.5-year study funded by the American Academy of Family Physicians Foundation. The study was designed to help patients better manage their diabetes, and was a partnership between the Institute for Behavioral and Community Health and Clínicas de Salud del Pueblo, Inc (CDSDP), a private, non-profit corporation providing comprehensive primary care services to residents throughout Imperial and Riverside Counties, California. The investigators identified 336 patients with uncontrolled diabetes from three CDSDP clinics. Patients were randomly assigned to intervention or control conditions. The 12-month intervention consisted of individual diabetes management support delivered by a trained volunteer peer supporter. The primary aim was determine if peer support can help patients better manage their diabetes and improve the quality of their lives. Intervention effectiveness was evaluated through volunteer and patient surveys at baseline, 6 months and 12 months. This study was part of the global Peers for Progress network which has been testing peer support programs in 13 countries.

Official Title
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Alliance to Control Diabetes

Conditions
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Diabetes Mellitus

Intervention / Treatment
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* Behavioral: Peer support


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Must be at least 18 years old Must be diagnosed with Diabetes Mellitus Type I, Diabetes Mellitus Type II or Gestational Diabetes Must be a resident of Imperial County Must be a current patient of Clínicas de Salud del Pueblo, Inc., at one of the three participating clinics Must speak Spanish and/or English Must plan on remaining in Imperial County for at least 12 months after enrollment into the study Exclusion Criteria: Must not be involved in any other diabetes-related study

Ages Eligible for Study
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Minimum Age: 18 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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Peer support<br>Study participants are assigned a volunteer peer supporter who has been trained to offer support on diabetes management. | Behavioral: Peer support<br> <br> |
| No Intervention: Control<br>No intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in HbA1c levels. | Changes in HbA1c levels of diabetes patients from baseline to 12 months as assessed by medical chart review of blood draw results. | Baseline, 6 months, 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in blood pressure. | Changes in blood pressure of diabetes patients from baseline to 12 months as assessed by medical chart review. | Baseline, 6 months, 12 months | 
| Changes in cholesterol. | Changes in cholesterol of diabetes patients from baseline to 12 months as assessed by medical chart review. | Baseline, 6 months, 12 months | 
| Changes in HDL, LDL and triglycerides. | Changes in HDL, LDL and triglycerides of diabetes patients from baseline to 12 months as assessed by medical chart review. | Baseline, 6 months, 12 months | 
| Changes in depression. | Changes in depression of diabetes patients from baseline to 12 months as assessed by self-report via interview with a trained research assistant in the participant's language of choice (Spanish or English). | Baseline, 6 months, 12 months | 
| Changes in distress. | Changes in distress of diabetes patients from baseline to 12 months as assessed by self-report via interview with a trained research assistant in the participant's language of choice (Spanish or English). | Baseline, 6 months, 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Diabetes, Peer support, Hispanic, Latino