Diabetes Prevention for Black Men

June 10, 2021 updated by: NYU Langone Health

Using a Geographically Targeted and Mixed Methods Approach to Improve Glycemic Control Among Black Men Identified as Having Previously Undiagnosed Diabetes and Prediabetes

Geographic analyses of diabetes burden have found that poor glycemic control, high rates of diabetes-related hospital utilization, and a high prevalence of microvascular diabetic complications all cluster in the same neighborhoods.This proposed study seeks to identify Black barbers with undiagnosed diabetes or prediabetes using point-of-care HbA1c testing, perform qualitative interviews to identify health behaviors that may explain poor sugar control, and develop a workplace-based food intervention to promote primary prevention and test its effect on sugar control in these individuals.

Study Overview

Status

Terminated

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

16

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • New York
      • New York, New York, United States, 10016
        • New York University School of Medicine

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Black or African American men who work as barbers at Black-owned barbershops
  • Barbershop clients.
  • Workplace in neighborhood geographically identified as having higher diabetes burden
  • No prior history of clinical diagnosis of diabetes
  • Identified on initial and second point-of-care testing to have an HbA1c of 5.7 or greater

Exclusion Criteria:

  • Individuals with a history of blood loss or blood disorder that would lead to incorrect results on point-of care HbA1c testing
  • Individuals with a history of food allergies that requires specific dietary restrictions
  • Individuals who are not English speaking
  • Individuals who have a significant cognitive impairment that will be a barrier to communication, valid consent and participation

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Dietary intervention
Community-based dietary intervention to Black and African American barbers identified as having previously undiagnosed diabetes and prediabetes
Over a 60-day period, participants will receive healthy lunches that provide a hand-delivered healthy alterative to their current diets.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Adherence to the intervention during the initial 60-day period when lunches are provided at no cost
Time Frame: 60 days
Adherence will be calculated as the proportion of participants continuing to consume at least 80% of the lunch meals at the end of the initial intervention period when lunches will be provided at no cost.
60 days
Continuation with the dietary intervention after initial period when study participants may choose to pay for meals developed on their own
Time Frame: Until the end of the two year study period
proportion of participants continue to purchase meals after the initial intervention period when individuals will be given the option to continue the intervention but paying for the lunch meals themselves.
Until the end of the two year study period

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Photographic food and beverage diaries
Time Frame: Baseline
Study participants will take photos of all food and beverages ingested over a 72-hourperiod to provide quantitative data on baseline dietary patterns
Baseline
First Point-of-care Hemoglobin A1c (HbA1c) test
Time Frame: Baseline
This first baseline point-of-care HbA1c test will be used as a reference.
Baseline
Second Point-of-care HbA1C test
Time Frame: Baseline (3-6 months after first test)
This second baseline point-of-care HbA1c test will be used to identify any changes in glycemic control that developed after initial diagnosis of diabetes or prediabetes by the first point-of-care test.
Baseline (3-6 months after first test)
Third Point-of-care HbA1C test
Time Frame: Post treatment (3 months after the intervention)
This post-treatment HbA1c test will be used to identify whether there was any short-term change in glycemic control after the dietary intervention
Post treatment (3 months after the intervention)
Fourth Point-of-Care HbA1c Test
Time Frame: Post-Treatment (6 to 12 months after the intervention)
This post-treatment HbA1c test will be used to identify whether there was any longer-term change in glycemic control after the dietary intervention
Post-Treatment (6 to 12 months after the intervention)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: David Lee, MD, NYU Langone Health

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 25, 2019

Primary Completion (Actual)

June 23, 2020

Study Completion (Actual)

June 23, 2020

Study Registration Dates

First Submitted

September 14, 2018

First Submitted That Met QC Criteria

October 12, 2018

First Posted (Actual)

October 17, 2018

Study Record Updates

Last Update Posted (Actual)

June 11, 2021

Last Update Submitted That Met QC Criteria

June 10, 2021

Last Verified

June 1, 2021

More Information

Terms related to this study

Other Study ID Numbers

  • 18-00826
  • R03DK120895 (Other Grant/Funding Number: NIH-NIDDK)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices) will be shared.

IPD Sharing Time Frame

Beginning 3 months and ending 5 years following article publication.

IPD Sharing Access Criteria

Researchers who provide a methodologically sound proposal will have access to the data. Requests should be directed to david.lee@nyumc.org. To gain access, data requestors will need to sign a data access agreement.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP
  • ANALYTIC_CODE

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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