Diabetes Self-Management Lifestyle Intervention for Urban Minority Young Adults
Principal Investigator: Elizabeth Pyatak
Mentors: Anne Peters, Donna Spruijt-Metz, Robin Whittemore
Project Period: 7/15/14 – 4/30/17
Funding Source: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Award Number: NIH/K01DK099202
Total Award: $456,312
This three-year mentored career development award is pilot-testing an innovative intervention, Resilient, Empowered, Active Living with Diabetes (REAL), targeting underserved minority young adults with poorly-controlled diabetes. The individually tailored, community-based intervention merges findings of an in-depth needs assessment, principles of an evidence-based occupational therapy intervention (Lifestyle Redesign®) and evidence-based diabetes self-management strategies. An earlier proof-of-concept study demonstrated that REAL is feasible to implement, acceptable to young adults with type 1 diabetes and type 2 diabetes, and has potential to produce positive changes in diabetes self-care and glycemic control. The study is randomizing 80 young adults with diabetes to receive either the six-month REAL intervention or an attention control condition. Blinded data collectors are assessing glycemic control, diabetes self-care behaviors and quality of life outcomes, as well as potential intervention mediators, before and after the six-month intervention. Additionally, a rigorous process evaluation will be executed to evaluate intervention implementation and study procedures. It is anticipated that findings from this pilot study will be used to inform a large-scale randomized controlled trial of the REAL intervention.