Coping skills program for Hispanic and Latino military patients with type 2 diabetes
Tests a bilingual video coaching program for Hispanic and Latino military patients with diabetes.
Plain-language title generated from the registry record
Registry title: SALUD-M: Acceptance Based Coping Skills for Hispanic/Latinx Military Patients With Type 2 Diabetes
Key facts
- Where
- San Antonio, United StatesSee the site
AI summary: who the study is looking for
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
Read by machine on 9 November 2026.
Could this be for you?
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?
Source: NCT07674628, who can take part
Where in United States
- Brooke Army Medical CenterSan Antonio, United StatesTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Baylor College of Medicine
- Trial code
- NCT07674628
- Record updated
- 28 July 2026
- Original description
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.Read full original descriptionShow less
Supporting Access for Latinx Underserved in Diabetes Management (SALUD-M): An Equity-Driven Study of Acceptance Based Coping Skills for Hispanic/Latinx Military Patients With Type 2 Diabetes Mellitus
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.
Therefore, this study aims to overcome these barriers and improve healthcare and health outcomes for H/L military patients. The investigators will test a values-based behavior change program, delivered using video telehealth by a bilingual English-Spanish language health coach. The 10-week Acceptance Based Coping (ABaCo) skills program includes 7 virtually-delivered lessons and was developed by the study team in partnership with civilian community health workers and patients. This study will test the helpfulness of ABaCo delivered by a health coach fluent in English and Spanish to military H/L patients. This randomized controlled trial will examine changes in physical and mental health over 6 months for those who receive ABaCo, compared to those who receive usual healthcare. This project will also identify steps for implementing the ABaCo program in other military treatment facilities.
The ultimate goal of this study is to establish a helpful, easy-to-access, widely available program for H/L military patients with type 2 diabetes that improves quality of life and blood sugar control, and lowers distress about diabetes. This study will also identify best approaches to providing ABaCo in military treatment facilities, providing lessons learned to other large healthcare systems.
Inclusion: Patients ages 18-70; Diagnosis of T2DM; Current HbA1c (drawn within 6 months) of 7% or greater (may be taking oral agents or injectables for diabetes control); Evidence of avoidance coping (score <48.4 [published mean] on the Acceptance and Action Diabetes Questionnaire) or poor self-management skills (score < published mean on 2+ subscales of the Summary of Diabetes Self-Care, Activities); Self-described as Hispanic/Latino/Latina/Latinx; Preferred language of English or Spanish, (g) receiving care at the study site clinic.
Exclusion: End-stage renal disease (on dialysis); A medical condition or life circumstance that would contraindicate participation; Proliferative diabetic retinopathy precluding participation; Inability to read/comprehend the informed consent process or study instructions; Pregnant or planning to become pregnant in the next 6 months.