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| ID | Type | Description | Link |
|---|---|---|---|
| R01MD005879 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| Hartford Hospital | OTHER |
| UConn Health | OTHER |
| Hispanic Health Council, Inc. | OTHER |
| National Institute on Minority Health and Health Disparities (NIMHD) |
The primary aims of this study are to:
Tailor a diabetes stress management intervention for delivery by community health workers (CHWs) serving an urban Latino population.
Investigate the efficacy of the stress management intervention on glycemic control.
Secondary aims of this study are to:
Investigate the efficacy of the stress management intervention on stress hormones, psychosocial functioning, and stress-glucose reactivity.
Study hypothesis:
A CHW-led group-based diabetes education model enhanced with stress management education will improve glycemic control more than CHW-led group-based diabetes education alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Diabetes education | No Intervention | Group-based diabetes education delivered to participants through community health workers | |
| Diabetes education plus stress management | Experimental | Group-based diabetes education plus stress management delivered to participants through community health workers |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| stress management | Behavioral | The study is a randomized, controlled,single-site, parallel group clinical trial comparing the effectiveness of CHW led diabetes education with CHW led diabetes education plus CHW led stress management in Latinos with Type 2 Diabetes. |
| Measure | Description | Time Frame |
|---|---|---|
| Hemoglobin A1c | Blood will be drawn from participants and hemoglobin A1c levels will be measured | Baseline |
| Hemoglobin A1c | Blood will be drawn from participants and hemoglobin A1c levels will be measured | 9 weeks |
| Hemoglobin A1c | Blood will be drawn from participants and hemoglobin A1c levels will be measured | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Diabetes specific distress | Participants will be asked questions assessing their perspective of emotional distress from living with diabetes | Baseline |
| Diabetes specific distress | Participants will be asked questions assessing their perspective of emotional distress from living with diabetes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rafael Pérez-Escamilla, Ph.D. | Yale University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yale University | New Haven | Connecticut | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35534102 | Derived | Bermudez-Millan A, Perez-Escamilla R, Lampert R, Feinn R, Damio G, Segura-Perez S, Chhabra J, Kanc K, Wagner JA. Night Eating Among Latinos With Diabetes: Exploring Associations With Heart Rate Variability, Eating Patterns, and Sleep. J Nutr Educ Behav. 2022 May;54(5):449-454. doi: 10.1016/j.jneb.2022.02.006. | |
| 32494976 | Derived | Wagner J, Armeli S, Tennen H, Bermudez-Millan A, Wolpert H, Perez-Escamilla R. A daily study of stressors, continuously measured glucose, and diabetes symptoms in latinos with type 2 diabetes. J Behav Med. 2021 Feb;44(1):94-103. doi: 10.1007/s10865-020-00162-1. Epub 2020 Jun 3. |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| NIH |
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| 9 weeks |
| Diabetes specific distress | Participants will be asked questions assessing their perspective of emotional distress from living with diabetes | 6 months |
| 31006809 | Derived | Bermudez-Millan A, Wagner JA, Feinn RS, Segura-Perez S, Damio G, Chhabra J, Perez-Escamilla R. Inflammation and Stress Biomarkers Mediate the Association between Household Food Insecurity and Insulin Resistance among Latinos with Type 2 Diabetes. J Nutr. 2019 Jun 1;149(6):982-988. doi: 10.1093/jn/nxz021. |
| 27489004 | Derived | Bermudez-Millan A, Perez-Escamilla R, Segura-Perez S, Damio G, Chhabra J, Osborn CY, Wagner J. Psychological Distress Mediates the Association between Food Insecurity and Suboptimal Sleep Quality in Latinos with Type 2 Diabetes Mellitus. J Nutr. 2016 Oct;146(10):2051-2057. doi: 10.3945/jn.116.231365. Epub 2016 Aug 3. |
| D004700 | Endocrine System Diseases |