Acceptance-Based Coping Skills for Type 2 Diabetes

(ABaCo Trial)

Overseen By Karen Morado

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Baylor College of Medicine

No Placebo Group

Trial Summary

What is the purpose of this trial?

The goal of this pilot clinical trial is to learn about the feasibility and acceptability of promotores (community health workers) delivering an educational intervention for Hispanic/Latino patients with type 2 diabetes. The main questions it aims to answer are: 1. What is the impact of the ABaCo program on participants' blood sugar management and quality of life? 2. How well are we able to enroll participants and keep them in the ABaCo program? 3. Is this telephone-based, educational ABaCo program acceptable? Participants will be asked to: * Participate in four research visits: provide fingerstick blood samples before and after the program (at 6 months), and complete questionnaires at four times times during the program (before, twice during, and at 6 months). * Participate in the ABaCo program: join seven (7) individual phone call visits with promotores to review educational information about caring for diabetes while keeping connected to life values. Each phone call lasts approximately 45 minutes once per week for six (6) weeks, then a refresher visit is a month later.

Research Team

Kathryn Kanzler, PsyD ABPP

Principal Investigator

Baylor College of Medicine; UT Health San Antonio

Eligibility Criteria

This trial is for Hispanic/Latino patients with type 2 diabetes. Participants will engage in a program delivered by community health workers over the phone, aimed at improving blood sugar management and quality of life. They must be willing to provide blood samples, answer questionnaires, and commit to weekly calls plus a follow-up.

Inclusion Criteria

My HbA1c level is 7.5% or higher and I may be on medication for type 2 diabetes.

Evidence of avoidance coping (prescreen of <48.4 on English or a <52 on the Spanish Acceptance and Action Diabetes Questionnaire) and/or poor self-management skills (prescreen below recommended frequencies in 2 or more sub-scales of the Summary of Diabetes Self-Care Activities)

Self-identifies as Hispanic/Latino

Exclusion Criteria

A medical condition or life circumstance that would contraindicate participation

Inability to read/comprehend the informed consent process or study instructions

Treatment Details

Interventions

• Acceptance Based Coping (ABaCo) (Behavioral Intervention)

Trial Overview The ABaCo (Acceptance Based Coping) program is being tested for its effectiveness when taught by promotores via phone calls. The study checks if this method helps patients manage their diabetes better and enhances their overall well-being.

Participant Groups

Group I: Acceptance Based Coping (ABaCo) Skills Training Experimental Treatment 1 Intervention

Participant-patients will receive care as usual in the Nosotros Promotores program at University Health Robert B Green Campus Family Health Center, including standardized procedures (e.g., home visits, phone calls and in-clinic visits), along with this protocol - individual telephone-delivered ABaCo skills intervention delivered by one Promotor/a for 10 weeks (6 weeks plus booster at 10 weeks).

Who Is Running the Clinical Trial?

Baylor College of Medicine

Lead Sponsor

Trials

1,044

Recruited

6,031,000+

The University of Texas Health Science Center at San Antonio

Collaborator

Trials

486

Recruited

92,500+