The Michigan Men’s Diabetes Project Randomized Clinical Control Trial

A Pilot/Feasibility Study of a Peer-Led Diabetes Self-Management and Support Intervention for Black Men With Type 2 Diabetes

Bibliographic Data

ID21748474
AuthorsAlana M Ewen (0000-0003-4078-0972, University of Michigan, corresponding author), Jaclynn Hawkins (0000-0001-8132-790X, University of Michigan), Jaclynn M Hawkins (University of Michigan), Katherine A Kloss (University of Michigan), Robin Nwankwo (0000-0003-3409-1177, University of Michigan), Martha M Funnell (0000-0003-2561-4087, University of Michigan), Srijani Sengupta (0009-0006-2552-7142, University of Michigan), Nelson Jean Francois (University of Michigan), N François (University of Michigan), Gretchen Piatt (0000-0001-6641-6330, University of Michigan)
Year2024
Volume18
Issue3
Pages15579883241258318-15579883241258318
Publication date2024-05-01
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Men s Health (JOURNAL)
Journal identifiersISSN: 1557-9883 • E-ISSN: 1557-9891
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/15579883241258318
PMID38879823
OpenAlexW4399715170
LanguageEN
References cited48

Black men are disproportionately affected by type 2 diabetes (T2D) and experience higher diabetes-related complications than non-Hispanic White men. To address the complex barriers in diabetes self-management for Black men, we implemented a 3-month peer-led and empowerment-based Diabetes Self-Management Education (DSME) and Support (DSMS) intervention in Metro Detroit. Twenty-five Black men ≥55 years of age with self-reported T2D were randomized to the intervention group ( n=12)—10 hr of DSME and 9 hr of DSMS—or enhanced usual care (EUC) group ( n=13)—10 hr of DSME. Peer leaders ( n = 3) were trained by certified diabetes care and education specialists (CDCESs) to cofacilitate the support sessions. Outcomes (hemoglobin A1c [HbA1c], diabetes self-care activities, and diabetes distress) were assessed preintervention and postintervention. In the intervention and EUC groups, mean HbA1c decreased by 0.20% ( p = .52, SD = 0.99) and 0.13% ( p = .68), respectively. General diet ( p = .03, M change: 1.32, SD = 1.71) and blood glucose monitoring ( p 50%, ( p = .003, M change: −5.71, SD = 3.20). Implementing a peer-led DSMS program for Black men was feasible, adopted, and led to positive changes in outcomes. Scaling up the intervention and assessing sustainability is warranted

Diabetes management · Diabetes mellitus · Distress · Peer support · Physical therapy · Randomized controlled trial · Type 2 diabetes · Chronic Disease Management Strategies · Clinical Psychology · Diabetes Management and Education · Medicine · Nursing · Primary Care and Health Outcomes · Endocrinology · Internal Medicine

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