A pilot mixed methods randomized control trial investigating the feasibility and acceptability of a culturally tailored intervention focused on beliefs, mistrust and race-congruent peer support for Black adults with diabetes
IntroductionBlack adults disproportionately experience poor glycemic control and medication nonadherence, yet few diabetes self-management programs address their unique health beliefs, provider mistrust and sociocultural barriers to taking diabetes medications. This 6-month pilot randomized feasibil...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-02-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1474027/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832087110990954496 |
|---|---|
| author | Meng-Jung Wen Martha Maurer Annika L. Pickard Makenzie Hansen Olayinka O. Shiyanbola |
| author_facet | Meng-Jung Wen Martha Maurer Annika L. Pickard Makenzie Hansen Olayinka O. Shiyanbola |
| author_sort | Meng-Jung Wen |
| collection | DOAJ |
| description | IntroductionBlack adults disproportionately experience poor glycemic control and medication nonadherence, yet few diabetes self-management programs address their unique health beliefs, provider mistrust and sociocultural barriers to taking diabetes medications. This 6-month pilot randomized feasibility trial compared a culturally tailored diabetes self-management program, incorporating beliefs about diabetes, mistrust, and race-congruent peer support to a standard diabetes program.MethodsAn embedded mixed methods design examined the feasibility of the pilot trial, including recruitment, retention, intervention adherence and participant acceptability. Data were collected through participant self-reported questionnaires, field notes, semi-structured interviews, and focus groups. Qualitative content analysis inductively explored participants’ feedback on the program, participation barriers and potential strategies to overcome the challenges. Mixed methods integration was implemented using a side-by-side joint display to compare, synthesize and interconnect the quantitative and qualitative results across all feasibility domains.ResultsThirteen participants (93%) completed the trial, demonstrating high adherence and retention. Community outreach and a prerequisite orientation using motivational interviewing were feasible and appropriate to recruit potential participants. Participants expressed high satisfaction and acceptability, highlighting the importance of peer support, cultural relevant content and a safe space for sharing experiences. Barriers to participation were identified including schedule conflicts and difficulties in engagement.DiscussionFuture large-scale effectiveness trials should consider combining multimedia into recruitment methods, tailoring the program to address medication-taking goals, and addressing social and environmental barriers to support sustained lifestyle changes. |
| format | Article |
| id | doaj-art-3bc8b568e23140f7aed22697ab2b8d7f |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-3bc8b568e23140f7aed22697ab2b8d7f2025-02-06T07:09:22ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011310.3389/fpubh.2025.14740271474027A pilot mixed methods randomized control trial investigating the feasibility and acceptability of a culturally tailored intervention focused on beliefs, mistrust and race-congruent peer support for Black adults with diabetesMeng-Jung Wen0Martha Maurer1Annika L. Pickard2Makenzie Hansen3Olayinka O. Shiyanbola4Division of Social and Administrative Sciences in Pharmacy, School of Pharmacy, University of Wisconsin–Madison, Madison, WI, United StatesSonderegger Research Center for Improved Medication Outcomes, School of Pharmacy, University of Wisconsin–Madison, Madison, WI, United StatesDivision of Social and Administrative Sciences in Pharmacy, School of Pharmacy, University of Wisconsin–Madison, Madison, WI, United StatesDivision of Social and Administrative Sciences in Pharmacy, School of Pharmacy, University of Wisconsin–Madison, Madison, WI, United StatesDepartment of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, MI, United StatesIntroductionBlack adults disproportionately experience poor glycemic control and medication nonadherence, yet few diabetes self-management programs address their unique health beliefs, provider mistrust and sociocultural barriers to taking diabetes medications. This 6-month pilot randomized feasibility trial compared a culturally tailored diabetes self-management program, incorporating beliefs about diabetes, mistrust, and race-congruent peer support to a standard diabetes program.MethodsAn embedded mixed methods design examined the feasibility of the pilot trial, including recruitment, retention, intervention adherence and participant acceptability. Data were collected through participant self-reported questionnaires, field notes, semi-structured interviews, and focus groups. Qualitative content analysis inductively explored participants’ feedback on the program, participation barriers and potential strategies to overcome the challenges. Mixed methods integration was implemented using a side-by-side joint display to compare, synthesize and interconnect the quantitative and qualitative results across all feasibility domains.ResultsThirteen participants (93%) completed the trial, demonstrating high adherence and retention. Community outreach and a prerequisite orientation using motivational interviewing were feasible and appropriate to recruit potential participants. Participants expressed high satisfaction and acceptability, highlighting the importance of peer support, cultural relevant content and a safe space for sharing experiences. Barriers to participation were identified including schedule conflicts and difficulties in engagement.DiscussionFuture large-scale effectiveness trials should consider combining multimedia into recruitment methods, tailoring the program to address medication-taking goals, and addressing social and environmental barriers to support sustained lifestyle changes.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1474027/fulldiabetes mellitusBlack or African Americanself-managementpeer supporthealth inequitiesfeasibility studies |
| spellingShingle | Meng-Jung Wen Martha Maurer Annika L. Pickard Makenzie Hansen Olayinka O. Shiyanbola A pilot mixed methods randomized control trial investigating the feasibility and acceptability of a culturally tailored intervention focused on beliefs, mistrust and race-congruent peer support for Black adults with diabetes Frontiers in Public Health diabetes mellitus Black or African American self-management peer support health inequities feasibility studies |
| title | A pilot mixed methods randomized control trial investigating the feasibility and acceptability of a culturally tailored intervention focused on beliefs, mistrust and race-congruent peer support for Black adults with diabetes |
| title_full | A pilot mixed methods randomized control trial investigating the feasibility and acceptability of a culturally tailored intervention focused on beliefs, mistrust and race-congruent peer support for Black adults with diabetes |
| title_fullStr | A pilot mixed methods randomized control trial investigating the feasibility and acceptability of a culturally tailored intervention focused on beliefs, mistrust and race-congruent peer support for Black adults with diabetes |
| title_full_unstemmed | A pilot mixed methods randomized control trial investigating the feasibility and acceptability of a culturally tailored intervention focused on beliefs, mistrust and race-congruent peer support for Black adults with diabetes |
| title_short | A pilot mixed methods randomized control trial investigating the feasibility and acceptability of a culturally tailored intervention focused on beliefs, mistrust and race-congruent peer support for Black adults with diabetes |
| title_sort | pilot mixed methods randomized control trial investigating the feasibility and acceptability of a culturally tailored intervention focused on beliefs mistrust and race congruent peer support for black adults with diabetes |
| topic | diabetes mellitus Black or African American self-management peer support health inequities feasibility studies |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1474027/full |
| work_keys_str_mv | AT mengjungwen apilotmixedmethodsrandomizedcontroltrialinvestigatingthefeasibilityandacceptabilityofaculturallytailoredinterventionfocusedonbeliefsmistrustandracecongruentpeersupportforblackadultswithdiabetes AT marthamaurer apilotmixedmethodsrandomizedcontroltrialinvestigatingthefeasibilityandacceptabilityofaculturallytailoredinterventionfocusedonbeliefsmistrustandracecongruentpeersupportforblackadultswithdiabetes AT annikalpickard apilotmixedmethodsrandomizedcontroltrialinvestigatingthefeasibilityandacceptabilityofaculturallytailoredinterventionfocusedonbeliefsmistrustandracecongruentpeersupportforblackadultswithdiabetes AT makenziehansen apilotmixedmethodsrandomizedcontroltrialinvestigatingthefeasibilityandacceptabilityofaculturallytailoredinterventionfocusedonbeliefsmistrustandracecongruentpeersupportforblackadultswithdiabetes AT olayinkaoshiyanbola apilotmixedmethodsrandomizedcontroltrialinvestigatingthefeasibilityandacceptabilityofaculturallytailoredinterventionfocusedonbeliefsmistrustandracecongruentpeersupportforblackadultswithdiabetes AT mengjungwen pilotmixedmethodsrandomizedcontroltrialinvestigatingthefeasibilityandacceptabilityofaculturallytailoredinterventionfocusedonbeliefsmistrustandracecongruentpeersupportforblackadultswithdiabetes AT marthamaurer pilotmixedmethodsrandomizedcontroltrialinvestigatingthefeasibilityandacceptabilityofaculturallytailoredinterventionfocusedonbeliefsmistrustandracecongruentpeersupportforblackadultswithdiabetes AT annikalpickard pilotmixedmethodsrandomizedcontroltrialinvestigatingthefeasibilityandacceptabilityofaculturallytailoredinterventionfocusedonbeliefsmistrustandracecongruentpeersupportforblackadultswithdiabetes AT makenziehansen pilotmixedmethodsrandomizedcontroltrialinvestigatingthefeasibilityandacceptabilityofaculturallytailoredinterventionfocusedonbeliefsmistrustandracecongruentpeersupportforblackadultswithdiabetes AT olayinkaoshiyanbola pilotmixedmethodsrandomizedcontroltrialinvestigatingthefeasibilityandacceptabilityofaculturallytailoredinterventionfocusedonbeliefsmistrustandracecongruentpeersupportforblackadultswithdiabetes |