Culturally Appropriate Strategies for Chinese Americans With Diabetes (CASCADe)

Not Applicable

Completed

• Conditions: Type 2 Diabetes

• Registration Number: NCT04737499
• Lead Sponsor: Claremont Graduate University

Brief Summary

The project aimed to evaluate the implementation process and efficacy of a culturally tailored Diabetes Self-Management and Education (DSME) program with mobile health (mHealth) technology integration, entitled Culturally Appropriate Strategies for Chinese Americans with Diabetes (CASCADe), among Chinese American adults with Type 2 diabetes.

Detailed Description

The CASCADe program includes 1) a home visit for training of monitoring devices use, WeChat app and acquiring family support, 2) 8 weekly education sessions with a combined format of group class, games, food demonstration, group exercise, video and discussion, 3) WeChat follow-up on education tips, monitoring data summary, and group discussion. The monitoring system used a smartphone to coordinate cloud data transmission from a set of wireless devices to capture daily monitoring data on physical activity, body weight, blood pressure and blood glucose levels. WeChat app was used to facilitate behavioral self-monitoring by providing daily messages related to diabetes education curriculum, weekly summary reports on monitoring data as well as reinforcement messages and group discussion on readings and monitoring results implication. A single group pre-post-test design was adopted to evaluate changes of primary (HbA1c) and secondary (Self-efficacy, quality of life and stress coping) outcomes assessed at pre and post of intervention. Engagement and adherence in education sessions and self-monitoring system, and satisfaction with the content and delivery of intervention were also evaluated at the end of the study.

Study Timeline

• Study Start: 2016-07-05
• Primary Completion: 2018-02-15
• Study Completion: 2018-03-20
• Status Verified: 2021-01
• Study First Submitted: 2021-01-28
• Study First Submitted QC: 2021-02-02
• Last Update Submitted: 2021-02-02
• Study First Posted: 2021-02-04
• Last Update Posted: 2021-02-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 14

Inclusion Criteria

• have been diagnosed with Type 2 diabetes
• having been managing diabetes with diet, oral hypoglycemic agents or insulin, or both
• confirmed HbA1c level >=6.5% and <10%
• 21-75 years old
• residents of San Gabriel Valley
• speak and understand of Mandarin
• willing to use the smartphone-based monitoring devices provided by the project.

Exclusion Criteria

• unable or unwilling to give informed consent
• plan to move out of the area within the 1-year participation study period
• are or plan to be pregnant or breastfeeding in the next 12 months
• have a condition that inhibits movement (e.g., unable to walk unaided, or cannot walk 1/4 mile without stopping)
• have major physical disability or condition that prevents them from participating in person.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Change of Concentration of HbA1c	Change from baseline HbA1c at 3 months	HbA1c was assessed using the testing kit of A1C Now+ with a finger prick of blood by trained data collector.

Secondary Outcome Measures

Name	Time	Method
Change of Score of Self-efficacy	Change from baseline Self-efficacy score at 3 months	Chinese version of diabetes self-management self-efficacy scale included 20 items with likert-like response scale of 1-5 and minimum score of 20 and maximum score of 100.
Change of Score of Quality of life	Change from baseline Quality of life score at 3 months	Chinese version of diabetes quality of life scale included 15 items with likert-like response scale of 1-5, and minimum score of 15 and maximum score of 75. .

Trial Locations

Locations (1)

Clarement Graduate University; 🇺🇸 Claremont, California, United States