- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05502016
Family Model DSME in FBOs in the RMI
March 6, 2024 updated by: University of Arkansas
Family Model Diabetes Self-Management Education in Faith-Based Organizations in the Republic of the Marshall Islands
Health disparities in the Republic of the Marshall Islands are striking, with extremely high rates of type 2 diabetes.
Documented prevalence of type 2 diabetes in the Marshall Islands ranges from 20%-50%.This is significantly higher than the global (8.5%) and United States (11%) prevalence.
Diabetes doubles the risk of heart disease; is the leading cause of kidney failure, lower limb amputation, and acquired blindness; and reduces life expectancy by as much as 15 years.
Diabetes self-management education and support is critical for persons with diabetes.
This study aims to conduct a cluster-randomized controlled trial using a wait-list control to evaluate the effectiveness of family model diabetes self-management education and support when delivered in faith-based organizations (i.e., churches) in Marshallese by trained community health workers.
The study will be conducted with up to 288 participants with type 2 diabetes and up to 288 of their family members.
The primary study outcome will be glycemic control as measured by HbA1c.
Secondary biometric measures include: fasting glucose, weight, body mass index, and blood pressure.
Survey data will be collected pre-intervention, immediately post-intervention, four months post-intervention, and 12 months post-intervention for the intervention arm of the study.
The control arm of the study will have two pre-intervention data collections before beginning the intervention.
Data will then be collected from the control group immediately post-intervention, four months post-intervention, and 12 months post intervention.
Study Overview
Status
Recruiting
Conditions
Study Type
Interventional
Enrollment (Estimated)
288
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 Contact
- Name: Brett Rowland, MA
- Phone Number: 479-713-8000
- Email: mbrowland@uams.edu
Study Contact Backup
- Name: Betsy O'Connor, MA
- Phone Number: 479-713-8000
- Email: geoconnor@uams.edu
Study Locations
-
-
Arkansas
-
Springdale, Arkansas, United States, 72764
- Recruiting
- UAMS Community Health and Research
-
Contact:
- Janine Boyers Schuh, MA
- Phone Number: 479-713-8000
- Email: jmboyersschuh@uams.edu
-
-
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
Yes
Description
Inclusion Criteria:
- self-reported Marshallese
- 18 years of age or older
- have type 2 diabetes (defined as having HbA1c equal to or greater than 6.5%)
- have at least one family member willing to take part in the study
Exclusion Criteria:
- has received diabetes self-management education in the past five years
- has a condition that makes it unlikely that the participant will be able to follow the protocol, such as terminal illness, non-ambulatory, severe mental illness, severely impaired vision or hearing, eating disorder
- plans to move out of the geographic region
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: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention
Family model diabetes self-management education and support
|
Participants assigned to this arm receive an intervention that includes a culturally adapted family model diabetes self-management education and support with at least one participating family member in a faith-based organization setting.
|
Active Comparator: Wait-list Control
Family model diabetes self-management education and support
|
Participants assigned to this arm will wait approximately 12 weeks to receive an intervention that includes a culturally adapted family model diabetes self-management education and support with at least one participating family member in a faith-based organization setting.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Glycemic control, measured by change in mean HbA1c (%) from baseline
Time Frame: Baseline, Immediate post-intervention, 4 months post-intervention, 12 months post-intervention
|
Point of care tests will be utilized to calculate HbA1c levels for each participant.
The primary outcome measure is change in mean HbA1c (%) from baseline to immediate post-intervention, 4 months post-intervention, and 12 months post-intervention.
Analyses will be adjusted for baseline HbA1c, sex, age, education, marital status, employment status, use of diabetes medications, and clustering of participants within churches.
|
Baseline, Immediate post-intervention, 4 months post-intervention, 12 months post-intervention
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Pearl McElfish, PhD, University of Arkansas
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)
June 30, 2023
Primary Completion (Estimated)
January 1, 2027
Study Completion (Estimated)
January 1, 2027
Study Registration Dates
First Submitted
August 12, 2022
First Submitted That Met QC Criteria
August 12, 2022
First Posted (Actual)
August 16, 2022
Study Record Updates
Last Update Posted (Actual)
March 7, 2024
Last Update Submitted That Met QC Criteria
March 6, 2024
Last Verified
March 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 263202
- 1R01DK128145-01A1 (U.S. NIH Grant/Contract)
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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