About this trial
The overall goal of this study is to examine the efficacy of the video-based Diabetes Self-Management Education and Support (DSMES) (hereafter VIDEO), or the video-based DSMES+community health worker (CHW) intervention (hereafter VIDEO+CHW), compared with a wait-list control group (hereafter CONTROL) to improve glycemic control among Chinese Americans with uncontrolled type 2 diabetes in NYC.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
self-identify as ethnically Chinese;
be above 18 years old;
have a diagnosis of Type 2 diabetes (T2D) in the medical record;
have an HbA1c≥7% in the past 12 months
Disqualifiers
unable or unwilling to provide informed consent;
unable to participate meaningfully in the intervention (e.g., uncorrected sight and hearing impairment);
unwilling to accept randomization assignment;
is pregnant, plans to become pregnant in the next 6 months, or becomes pregnant during the study; or
Trial design
Parallel
Treatments tested in this trial
Video-Based Diabetes Self-Management Education and Support (DSMES)
BehavioralThe DSMES videos provide important diabetes education to participants and empower them to become an activated patient on the individual level.
Community Health Worker (CHW) Support
BehavioralCHWs will assess participants' social determinants of health (SDOH) barriers to Type 2 diabetes care and link them to available resources in the community.
Treatment groups
Trial outcomes
Primary outcomes
Hemoglobin A1c (HbA1c) Levels
Hemoglobin A1c (HbA1c) Levels
Hemoglobin A1c (HbA1c) Levels
Secondary outcomes
Stanford Self-Efficacy for Diabetes Scale Score
8-item self-assessment of participants' confidence level in performing specific self-management behaviors. Items are ranked on a 10-point Likert scale ranging from 1 (not at all confident) to 10 (totally confident). The total score can be calculated by summing the 8 item scores (range, 8-80), with higher scores indicating greater self-efficacy.
Stanford Self-Efficacy for Diabetes Scale Score
8-item self-assessment of participants' confidence level in performing specific self-management behaviors. Items are ranked on a 10-point Likert scale ranging from 1 (not at all confident) to 10 (totally confident). The total score can be calculated by summing the 8 item scores (range, 8-80), with higher scores indicating greater self-efficacy.
Stanford Self-Efficacy for Diabetes Scale Score
8-item self-assessment of participants' confidence level in performing specific self-management behaviors. Items are ranked on a 10-point Likert scale ranging from 1 (not at all confident) to 10 (totally confident). The total score can be calculated by summing the 8 item scores (range, 8-80), with higher scores indicating greater self-efficacy.
Starting the Conversation (STC) Diet Scale Score
8-item self-report questionnaire measuring dietary behaviors. Scores range from 0 to 16; lower scores indicate healthier eating behaviors.
Sponsors and contacts
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NYU Langone Health
Lead sponsor
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator