Accepted for/Published in: JMIR Research Protocols
Date Submitted: Jun 27, 2021
Date Accepted: Dec 22, 2021
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Examining a continuous glucose monitoring plus online peer support community intervention to support Hispanic adults with type 2 diabetes – a mixed methods feasibility protocol
ABSTRACT
Diabetes is twice as likely to affect Hispanic people than their White counterparts. Technology and social support may be an important part of behavior change. In this study, we address gaps in diabetes care for Hispanic, Spanish-speaking people with diabetes (PWD) through an online peer support community (OPSC) pilot intervention using Hispanic, Spanish-speaking peer facilitators with diabetes to enhance the use of continuous glucose monitoring (CGM) for diabetes management. A mixed-methods, pre-post-test design will be used in this feasibility study. Fifty Hispanic participants with type 2 diabetes willing to wear an CGM for 13 weeks will be recruited. Hispanic, Spanish-speaking peer facilitators with diabetes and experience wearing a CGM will be employed and undergo training. Peer facilitators will help participants learn how CGM data can inform behavior changes via OPSC. Participants will interact with the private OPSC at least three times a week. Weekly questions and prompts derived from the Association of Diabetes Care and Education Specialists (ADCES), previously American Association of Diabetes Educators (AADE), seven self-care behaviors will be delivered by peer facilitators to engage participants. Measures of feasibility and acceptability will be determined by the percentage of participants who enroll, complete the study, and use CGM (number of scans) and objective metrics from the OPSC. Efficacy potential outcomes include change in time-in-range of 70-180 mg/dL from baseline to 12 weeks, A1c, diabetes online community engagement, self-efficacy and quality of life. Additionally, semi-structured exit interviews will be conducted. This study will generate new evidence about the use of the OPSC for Hispanic, Spanish-speaking PWD to make behavior changes incorporating feedback from CGM. (ClinicalTrials.gov Identifier No: ADC-SRR-IIS-18-23)
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