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| ID | Type | Description | Link |
|---|---|---|---|
| P60MD000538 | U.S. NIH Grant/Contract | View source | |
| U48DP001904 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Minority Health and Health Disparities (NIMHD) | NIH |
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The DREAM (Diabetes Research, Education, and Action for Minorities) Project is a Community Health Worker (CHW) intervention to improve diabetic management and control among Bangladeshis with diabetes in New York City (NYC).
The DREAM (Diabetes Research, Education, and Action for Minorities) Project is a Community Health Worker (CHW) intervention to improve diabetic management and control among Bangladeshis with diabetes in New York City (NYC). For a two-arm, randomized controlled trial (RCT), investigators will recruit a sample of 256 participants, all of whom are 1) of Bangladeshi descent, 2) residing in NYC, 3) diagnosed with Type 2 diabetes mellitus (T2DM) and a recent Hemoglobin A1c (HbA1c) of ≥ 6.5, and 4) between the ages of 21-85. The treatment group receives a six-month CHW-led intervention consisting of five monthly group educational sessions, two one-on-one visits, and follow-up phone calls as needed from a CHW. The control group receives an introductory educational session only. Primary and secondary outcomes include clinical and behavioral measures, such as HbA1c and weight change, access to and utilization of care (i.e. appointment keeping and use of specialty care), and knowledge and practice of physical activity and healthful eating. Additionally, information regarding CHW characteristics, the processes and mechanisms for influencing healthful behavior change, and fidelity of the intervention are collected. Outcomes are measured at Baseline, 3-Months, 6-Months for both groups, and at 12-Months for the treatment group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Full CHW Intervention | Experimental | 5 monthly group educational sessions, 2 1v1 Visits with CHW, Phone Calls as Needed |
|
| Control: Intro to Diabetes Session Only | No Intervention | One-time, Introduction to Diabetes educational session only |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CHW Intervention | Other | 5 group educational sessions, 2 1v1 Visits with a CHW, Phone Calls as needed during 6-month study period |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Baseline Hemoglobin A1c at 6-Months | Change in Baseline HbA1c at 6-Months | Baseline, 6-Months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Baseline Perceived Social Support at 6-Months | Assessed using scale items on questionnaire instrument administered during semi-structured interview at each timepoint | Baseline, 6-Months |
| Change in Baseline Perceived Benefits & Barriers at 6-Months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nadia Islam, PhD | New York University School of Medicine, Department of Population Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| New York University School of Medicine, Dept of Population Health | New York | New York | 10016 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23749774 | Background | Islam NS, Wyatt LC, Patel SD, Shapiro E, Tandon SD, Mukherji BR, Tanner M, Rey MJ, Trinh-Shevrin C. Evaluation of a community health worker pilot intervention to improve diabetes management in Bangladeshi immigrants with type 2 diabetes in New York City. Diabetes Educ. 2013 Jul-Aug;39(4):478-93. doi: 10.1177/0145721713491438. Epub 2013 Jun 7. | |
| 36273386 | Derived | Wyatt LC, Katigbak C, Riley L, Zanowiak JM, Ursua R, Kwon SC, Trinh-Shevrin C, Islam NS. Promoting Physical Activity Among Immigrant Asian Americans: Results from Four Community Health Worker Studies. J Immigr Minor Health. 2023 Apr;25(2):291-305. doi: 10.1007/s10903-022-01411-y. Epub 2022 Oct 23. |
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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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Assessed using scale items on questionnaire instrument administered during semi-structured interview at each timepoint |
| Baseline, 6-Months |
| Change in Baseline Self-Efficacy at 6-Months | Assessed using scale items on questionnaire instrument administered during semi-structured interview at each timepoint | Baseline, 6-Months |
| Change in Baseline Access to / Utilization of healthcare at 6-Months | Assessed using scale items on questionnaire instrument administered during semi-structured interview at each timepoint | Baseline, 6-Months |
| Change in Baseline Diabetic Management Practices & Knowledge at 6-Months | Assessed using scale items on questionnaire instrument administered during semi-structured interview at each timepoint | Baseline, 6-Months |
| Change in Baseline Engagement in Physical Activity & Healthy eating at 6-Months | Assessed using scale items on questionnaire instrument administered during semi-structured interview at each timepoint | Baseline, 6-Months |
| Change in Baseline Lipid Profile at 6-Months | HDL, LDL, Triglycerides, Total Cholesterol | Baseline, 6-Months |
| 24548534 | Derived | Islam N, Riley L, Wyatt L, Tandon SD, Tanner M, Mukherji-Ratnam R, Rey M, Trinh-Shevrin C. Protocol for the DREAM Project (Diabetes Research, Education, and Action for Minorities): a randomized trial of a community health worker intervention to improve diabetic management and control among Bangladeshi adults in NYC. BMC Public Health. 2014 Feb 18;14:177. doi: 10.1186/1471-2458-14-177. |
| D004700 | Endocrine System Diseases |