Coping skills program for Hispanic and Latino military patients with type 2 diabetes

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for Hispanic or Latino/a/x adults aged 18 to 70 with type 2 diabetes and a high HbA1c, who struggle to cope with or manage their diabetes, and who get care at the study clinic.

Age

18 to 70 years

Sex

All sexes can join.

Disease stage

Type 2 diabetes with an HbA1c of 7% (53 mmol/mol) or greater, drawn within the last 6 months. People may take pills or injections for diabetes.

Biomarker or test result

HbA1c of 7% (53 mmol/mol) or greater. Low scores on a coping questionnaire (Acceptance and Action Diabetes Questionnaire, score below 48.4) or on 2 or more parts of a diabetes self-care questionnaire.

Main reasons for not taking part

• End-stage kidney disease with dialysis
• Proliferative diabetic retinopathy that prevents taking part
• Pregnant or planning to become pregnant in the next 6 months
• A medical condition or life situation that makes taking part unsafe
• Cannot read or understand the consent form or study instructions

The registry criteria, word for word

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

• Are you between 18 and 70 years old?YesNo

What the trial wants to find out

People of Hispanic or Latino/a/x ("H/L") ethnicity, including US military servicemembers, Veterans, and their families, experience a higher prevalence of type 2 diabetes and more challenges managing diabetes than non-Hispanic White populations. Uncontrolled diabetes is linked with lower quality of life, diabetes-related emotional distress, and severe medical problems. There are many reasons for this difference, including lack of culturally appropriate and bilingual Spanish healthcare services. Additionally, military patients may have additional barrier accessing behavioral health care, which an important part of treatment for many people with diabetes, such as stigma and unique schedule challenges.

The 2 groups in the trial

• Acceptance Based Coping (ABaCo) Skills ProgramTreatment being tested

  Participants randomized to the active intervention will undergo individual virtual classes once a week for 6 weeks (\~30mins), a booster (review) class at week 10, and one follow-up class at 6 months post enrollment, for a total of 7 virtual calls. These virtual visits will be with a health coach trained and supervised in providing the ABaCo skills training program. All participants will continue to receive DTAU through the military healthcare system. ABaCo Weekly Topic Overview: Week 1:Understanding avoidance coping; identifying valued life areas Week 2: Building social support; using assertive communication Week 3: Accepting difficult thoughts \& feelings; making meaningful choices Week 4: Noticing \& letting go of unhealthy patterns; developing new life stories Week 5: Connecting to what matters in the present; committing to values Week 6: Reinforcing changes

• Diabetes Treatment as Usual (DTAU)No study treatment, for comparison

  Participants randomized into the diabetes treatment as usual (DTAU) control condition will continue to receive DTAU in the military healthcare system.