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Michigan Men's Diabetes Project III(MenDIII): Mind and Motion

Not Applicable
Recruiting
Conditions
Diabetes Mellitus, Type 2
Depression
Depressive Symptoms
Registration Number
NCT06574035
Lead Sponsor
University of Michigan
Brief Summary

The Michigan Men's Diabetes Project III: Mind \& Motion is an 7-month pilot randomized clinical trial. The investigators are looking to recruit 80 Black men with type 2 diabetes (T2D) (need to have diagnosis for at least one year) that are over the age of 18. Participants also must be under the care of a physician for their diabetes, self report an Hemoglobin A1c (A1C) of 7.0% or more in the last year, be willing to participate in study events (weekly physical activity, exercise and Cognitive Behavioral Therapy (CBT) sessions, group discussion sessions, and in-person health assessments), have reliable internet access (steady internet connection or unlimited data) that will allow them to use a tablet/phone/computer to complete study related tasks, live in the Wayne or Washtenaw County, and have reliable transportation to in-person events. All participants will receive 8 hours/sessions of cognitive behavioral therapy. Participants randomized to the intervention arm will also receive 8 sessions of guided exercise at the same time. Following that they will also receive 8 group discussion sessions that will serve as on-going support. All sessions will be help via Zoom. Additionally, all participants will participate in The 4 health assessments will take place at baseline, 10 weeks, 18 weeks, and 30 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Male
Target Recruitment
80
Inclusion Criteria
  • African American/Black males
  • age 18 years or older
  • ambulatory status
  • diagnosis of Type 2 Diabetes (T2D) for one year duration or longer
  • be under the care of a physician for their diabetes, self report an A1C of 7.0% or more in the last year
  • be willing to participate in study events (weekly physical activity, exercise and CBT sessions, group discussion sessions, and in-person health assessments)
  • have reliable internet access (steady internet connection or unlimited data) that will allow them to use a tablet/phone/computer to complete study related tasks
  • live in the Wayne or Washtenaw County\
  • have reliable transportation to in-person events
Exclusion Criteria
  • stage 2 hypertension as defined by Joint National Committee (JNC) VIII
  • recent cardiac events
  • recent laser surgery for proliferative retinopathy
  • history of stroke
  • lower limb amputation
  • peripheral neuropathy
  • severe Chronic Obstructive Pulmonary Disease (COPD) (e.g., basal oxygen)
  • class III or IV heart failure
  • medical instability.

Per American College of Sports Medicine (ACSM) guidelines, medical exclusion criteria will also include currently experiencing:

  • ongoing unstable angina
  • uncontrolled cardiac arrhythmia with hemodynamic compromise
  • active endocarditis
  • symptomatic severe aortic stenosis
  • acute myocarditis or pericarditis
  • acute aortic dissection
  • acute pulmonary embolism
  • pulmonary infarction
  • deep venous thrombosis
  • physical disability that precludes safe and adequate testing
  • chest discomfort with exertion
  • unreasonable breathlessness, or dizziness, fainting, or blackouts.

As part of the screening process, the investigators will ask the participant to self-report on these conditions. Participants who are currently receiving psychotherapy services for the treatment of depression from a mental health provider will be excluded. Participants who are currently receiving only medication management from a psychiatrist will be included.

If you are interested in the study, please complete our screening survey: https://redcapproduction.umms.med.umich.edu/surveys/?s=JNPPEDANX7KLPPF9. Thank you so much!

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change in General Quality of Life (12-Item Short Form Survey (SF-12))Baseline, 10 weeks, 18 weeks, 30 weeks

Survey Data - 12 questions covering physical and mental health domains - Scores above 50 indicate a better-than-average health-related quality of life, while scores below 50 suggest below-average health.

Change in Diabetes-Related Distress (The Type 2 Diabetes Distress Assessment System)Baseline, 10 weeks, 18 weeks, 30 weeks

Survey Data - The assessment system has two components: The Core Distress Scale and The Sources Scale. The CORE DISTRESS SCORE is simply the average of the 8 items of the CORE SCALE, with each item rated on a 1 to 5 scale: Mean score \< 2.0 indicate little or no distress, Mean score between 2.0 and 2.9 indicate moderate distress, Mean score \> 3.0 indicate high distress. The Sources scale aims to find the sources of the distress, whether CORE DISTRESS is high or low, it is helpful to identify those aspects of living with diabetes that are contributing to the individual's diabetes distress.

Change in Diabetes Quality of Life (Diabetes Quality of Life Instrument)Baseline, 10 weeks, 18 weeks, 30 weeks

Survey Data - Survey answers range for each section of the survey asking about satisfaction, worry, and impact of diabetes. The DQoL measure consists of 46 items ranked on a 5-point Likert scale. Individual domain and DQoL total scores range from 0 (lowest possible QoL) to 100 (highest possible QoL).

Change in A1CScreening, Baseline, 10 weeks, 18 weeks, 30 weeks

Anthropometric/clinical data

Secondary Outcome Measures
NameTimeMethod
Change in Diabetes Self-Efficacy (Perceived Diabetes Self-Management Scale)Baseline, 10 weeks, 18 weeks, 30 weeks

Survey Data - The scale is an 8-item scale that uses a 5-point Likert scale to measure self-efficacy in diabetes management. The scale ranges from 8 to 40 points, with higher scores indicating greater self-efficacy.

Trial Locations

Locations (1)

University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

University of Michigan
🇺🇸Ann Arbor, Michigan, United States
Jaclynn Hawkins, PhD
Contact
734-615-2817
jachawk@umich.edu
Hannah Burgess, MPH
Contact
(734)-210-1756
hlburges@umich.ed

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