Diabetes Prevention for Black Men
Study Details
Study Description
Brief Summary
Geographic analyses of diabetes burden have found that poor glycemic control, high rates of diabetes-related hospital utilization, and a high prevalence of microvascular diabetic complications all cluster in the same neighborhoods.This proposed study seeks to identify Black barbers with undiagnosed diabetes or prediabetes using point-of-care HbA1c testing, perform qualitative interviews to identify health behaviors that may explain poor sugar control, and develop a workplace-based food intervention to promote primary prevention and test its effect on sugar control in these individuals.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Dietary intervention Community-based dietary intervention to Black and African American barbers identified as having previously undiagnosed diabetes and prediabetes |
Behavioral: Dietary intervention
Over a 60-day period, participants will receive healthy lunches that provide a hand-delivered healthy alterative to their current diets.
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Outcome Measures
Primary Outcome Measures
- Adherence to the intervention during the initial 60-day period when lunches are provided at no cost [60 days]
Adherence will be calculated as the proportion of participants continuing to consume at least 80% of the lunch meals at the end of the initial intervention period when lunches will be provided at no cost.
- Continuation with the dietary intervention after initial period when study participants may choose to pay for meals developed on their own [Until the end of the two year study period]
proportion of participants continue to purchase meals after the initial intervention period when individuals will be given the option to continue the intervention but paying for the lunch meals themselves.
Secondary Outcome Measures
- Photographic food and beverage diaries [Baseline]
Study participants will take photos of all food and beverages ingested over a 72-hourperiod to provide quantitative data on baseline dietary patterns
- First Point-of-care Hemoglobin A1c (HbA1c) test [Baseline]
This first baseline point-of-care HbA1c test will be used as a reference.
- Second Point-of-care HbA1C test [Baseline (3-6 months after first test)]
This second baseline point-of-care HbA1c test will be used to identify any changes in glycemic control that developed after initial diagnosis of diabetes or prediabetes by the first point-of-care test.
- Third Point-of-care HbA1C test [Post treatment (3 months after the intervention)]
This post-treatment HbA1c test will be used to identify whether there was any short-term change in glycemic control after the dietary intervention
- Fourth Point-of-Care HbA1c Test [Post-Treatment (6 to 12 months after the intervention)]
This post-treatment HbA1c test will be used to identify whether there was any longer-term change in glycemic control after the dietary intervention
Eligibility Criteria
Criteria
Inclusion Criteria:
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Black or African American men who work as barbers at Black-owned barbershops
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Barbershop clients.
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Workplace in neighborhood geographically identified as having higher diabetes burden
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No prior history of clinical diagnosis of diabetes
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Identified on initial and second point-of-care testing to have an HbA1c of 5.7 or greater
Exclusion Criteria:
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Individuals with a history of blood loss or blood disorder that would lead to incorrect results on point-of care HbA1c testing
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Individuals with a history of food allergies that requires specific dietary restrictions
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Individuals who are not English speaking
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Individuals who have a significant cognitive impairment that will be a barrier to communication, valid consent and participation
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | New York University School of Medicine | New York | New York | United States | 10016 |
Sponsors and Collaborators
- NYU Langone Health
Investigators
- Principal Investigator: David Lee, MD, NYU Langone Health
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 18-00826
- R03DK120895