A pilot mixed methods randomized control trial investigating the feasibility and acceptability of a culturally tailored intervention focused on beliefs, mistrust and race-congruent peer support for Black adults with diabetes
Bibliographic Data
| ID | 22081982 |
|---|---|
| Authors | Meng‐Jung Wen (0000-0001-6265-6679, University of Wisconsin–Madison), Meng-Jung Wen, Martha A Maurer (0000-0001-7404-8881, University of Wisconsin–Madison), Martha Maurer, Annika L Pickard (University of Wisconsin–Madison), Makenzie Hansen (University of Wisconsin–Madison), Olayinka O Shiyanbola (0000-0002-6018-2104, Michigan Medicine, corresponding author) |
| Year | 2025 |
| Volume | 13 |
| Pages | 1474027-1474027 |
| Publication date | 2025-02-06 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2025.1474027 |
| PMID | 39980911 |
| OpenAlex | W4407230176 |
| Language | EN |
| References cited | 47 |
Introduction: Black adults disproportionately experience poor glycemic control and medication nonadherence, yet few diabetes self-management programs address their unique health beliefs, provider mistrust and sociocultural barriers to taking diabetes medications. This 6-month pilot randomized feasibility trial compared a culturally tailored diabetes self-management program, incorporating beliefs about diabetes, mistrust, and race-congruent peer support to a standard diabetes program. Methods: An embedded mixed methods design examined the feasibility of the pilot trial, including recruitment, retention, intervention adherence and participant acceptability. Data were collected through participant self-reported questionnaires, field notes, semi-structured interviews, and focus groups. Qualitative content analysis inductively explored participants' feedback on the program, participation barriers and potential strategies to overcome the challenges. Mixed methods integration was implemented using a side-by-side joint display to compare, synthesize and interconnect the quantitative and qualitative results across all feasibility domains. Results: Thirteen participants (93%) completed the trial, demonstrating high adherence and retention. Community outreach and a prerequisite orientation using motivational interviewing were feasible and appropriate to recruit potential participants. Participants expressed high satisfaction and acceptability, highlighting the importance of peer support, cultural relevant content and a safe space for sharing experiences. Barriers to participation were identified including schedule conflicts and difficulties in engagement. Discussion: Future large-scale effectiveness trials should consider combining multimedia into recruitment methods, tailoring the program to address medication-taking goals, and addressing social and environmental barriers to support sustained lifestyle changes
Health equity · Pilot trial · Public health · Randomized controlled trial · Clinical Psychology · Diabetes Management and Education · Medication Adherence and Compliance · Medicine · Mental Health and Patient Involvement · Nursing · Psychology
More than Tuskegee
Psychometric assessment of three newly developed implementation outcome measures
Differences in the Patterns of Health Care System Distrust Between Blacks and Whites
Effective Recruitment and Retention of Minority Research Participants
Community-Based Culturally Tailored Education Programs for Black Communities with Cardiovascular Disease, Diabetes, Hypertension, and Stroke
Perspectives on a Novel Culturally Tailored Diabetes Self-Management Program for African Americans
Engaging African Americans in Research
Sociocultural Influences on African Americans’ Representations of Type 2 Diabetes
Culturally tailored lifestyle interventions for the prevention and management of type 2 diabetes in adults of Black African ancestry
Naturalistic inquiry
Under the shadow of Tuskegee
Three Approaches to Qualitative Content Analysis
| Citation velocity | historical |
|---|---|
| Highly cited | No |