Project Summary

This research project is in progress. PCORI will post the research findings on this page within 90 days after the results are final.

What is the research about?

Type 2 diabetes is a health problem that affects the way the body processes sugar. Diabetes can lead to serious health problems like kidney and nerve damage, heart disease, and stroke. The risk of serious diabetes-related health problems is especially high for Latinos who have low incomes.

People can manage diabetes with diet, exercise, and medicine. But making these lifestyle changes can be hard. Research has shown that patients have more success managing diabetes when they use programs that match their cultural, social, and language needs. Diabetes management programs try to meet patients’ cultural needs in different ways. But researchers don’t know which way works best for Latinos with diabetes.

In this study, the research team is comparing two programs for diabetes care in New Mexico. Each program is based on proven strategies for helping Latino patients with low incomes manage their diabetes.

Who can this research help?

Results may help clinic leaders, doctors, Latino patients, and friends and family who support them decide how to manage diabetes.

What is the research team doing?

The research team is enrolling 240 Latino patients with type 2 diabetes to take part in one of two diabetes self-management programs. Each patient names a support person, a friend or family member who gives them emotional or practical support, to take part in the study with them. The first program, called the Diabetes Self-care Support Empowerment Model, or DSMS, takes place at the University of New Mexico Hospital. The second program, called the Chronic Care Model, or CCM, takes place at One Hope Centro de Vida Health Center. Both locations serve many Latino patients with low incomes.

The DSMS program helps patients manage their diabetes by addressing their concerns and supporting behavior change. In this program, a diabetes educator leads nine hours of group sessions held over six weeks. Sessions include group discussions to help patients define goals for managing their diabetes. The diabetes educator follows up with patients to help them create a plan to meet their goals.

The CCM program focuses on culturally appropriate services and access to care. Patients and clinicians, such as doctors and nurses, work together to make decisions about behaviors or other changes that can help the patient’s diabetes, such as exercise. Patients and support persons take part in activities such as cooking and nutrition workshops, Zumba classes, and peer support groups. A health navigator talks with patients frequently to make sure they understand the plan they make with their doctor and feel good about carrying it out.

The research team is conducting interviews and focus groups with patients and support persons to learn about their experiences with each program. The team is surveying patients when the study starts and again 3, 6, and 12 months later. The surveys ask what patients know about diabetes and how active they are in managing their health. The team is also comparing patients’ blood sugar levels, body mass index, and depression between the two programs.

Latino patients and support persons are helping to design the research questions and give feedback during the study.

Research methods at a glance

Design Elements Description
Design Mixed methods
Population 240 patient-social support pairs in which patients are Latino adults with diabetes or pre-diabetes and have a household income ≤250% of the Federal Poverty Level, and social supports are adults who the patients name as someone important in their life who gives them emotional or other support
Interventions/
Comparators
  • Diabetes Self-care Support Empowerment Model (DSMS) program
  • Chronic Care Model (CCM) program
Outcomes

Primary: diabetes knowledge and patient ability to manage diabetes (patient activation)

Secondary: hemoglobin A1c, body mass index, depression

Timeframe 1-year follow-up for primary outcomes

Project Information

Janet Page-Reeves, MA, PhD
University of New Mexico Health Sciences Center
$2,276,443
A Patient-Centered Framework to Test the Comparative Effectiveness of Culturally and Contextually Appropriate Program Options for Latinos with Diabetes from Low-Income Households

Key Dates

July 2016
January 2023
2016

Study Registration Information

Tags

Award Type
Health Conditions Health Conditions These are the broad terms we use to categorize our funded research studies; specific diseases or conditions are included within the appropriate larger category. Note: not all of our funded projects focus on a single disease or condition; some touch on multiple diseases or conditions, research methods, or broader health system interventions. Such projects won’t be listed by a primary disease/condition and so won’t appear if you use this filter tool to find them. View Glossary
Populations Populations PCORI is interested in research that seeks to better understand how different clinical and health system options work for different people. These populations are frequently studied in our portfolio or identified as being of interest by our stakeholders. View Glossary
Funding Opportunity Type
Intervention Strategy Intervention Strategies PCORI funds comparative clinical effectiveness research (CER) studies that compare two or more options or approaches to health care, or that compare different ways of delivering or receiving care. View Glossary
Research Priority Area
State State The state where the project originates, or where the primary institution or organization is located. View Glossary
Last updated: March 4, 2022