Better Together: Leveraging Primary Care and Social Network Resources to Create a Patient-centered Approach to Improve Diabetes Among South Asians
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Behavior, Health
- Sponsor
- Emory University
- Enrollment
- 14
- Locations
- 1
- Primary Endpoint
- SMA program retention rate
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
This study aims to test the hypothesis that a culturally tailored lifestyle intervention can improve health behaviors among South Asians with prediabetes and diabetes
Detailed Description
This pre-post pilot study is a 16 week lifestyle program for South Asians with prediabetes or diabetes in Atlanta. Patients will participate in physician-led group visits every other week focused on improving dietary and exercise practices to reduce weight.
Investigators
Megha Kumudchandra Shah
Principal Investigator
Emory University
Eligibility Criteria
Inclusion Criteria
- •age \> 18 years;
- •confirmed diagnosis of prediabetes or T2D (documented A1c of ≥ 5.7%, 2-hour post-load glucose of \>140, or FBG of \>100);
- •a family member or peer willing to participate and attend all sessions as a social influencer;
- •proficiency in English of at least one member of each dyad,
- •willingness to provide written consent.
Exclusion Criteria
- •type 1 diabetes or diabetes secondary to other conditions (e.g. steroid-induced, pancreatic insufficiency, or chemotherapy-induced);
- •malignancy or life-threatening illness with life expectancy of \<5 years;
- •end-stage disease or serious illness that prohibits participation (e.g. end-stage renal disease or class IV congestive heart failure);
- •inability to perform unsupervised physical activity;
- •diagnosed cognitive deficits or limited decision-making capacity;
- •alcohol or substance abuse;
- •homelessness or no fixed address.
Outcomes
Primary Outcomes
SMA program retention rate
Time Frame: 4 months
Number of participants retained will be recorded and SMA retention rate will be calculated
Participant perceptions of SMA program
Time Frame: 4 months
Physician-participants interviews will be digitally audio-recorded and transcribed verbatim, with de-identified transcripts analyzed.
Secondary Outcomes
- Change in blood pressure(Baseline, 4 months, and 12 months)
- Change in diet(Baseline, 4 months, and 12 months)
- Change in blood cholesterol level(Baseline, 4 months, and 12 months)
- Change in body mass index (BMI)(Baseline, 4 months, and 12 months)
- Change in step counts(Baseline, 4 months, and 12 months)
- Change in physical activity daily minutes(Baseline, 4 months, and 12 months)