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Black men are disproportionately affected by type 2 diabetes (T2D) and experience higher diabetes-related complications than non-Hispanic White men. To address the complex barriers in diabetes self-management for Black men, we implemented a 3-month peer-led and empowerment-based Diabetes Self-Management Education (DSME) and Support (DSMS) intervention in Metro Detroit. Twenty-five Black men ≥55 years of age with self-reported T2D were randomized to the intervention group ( n=12)—10 hr of DSME and 9 hr of DSMS—or enhanced usual care (EUC) group ( n=13)—10 hr of DSME. Peer leaders ( n = 3) were trained by certified diabetes care and education specialists (CDCESs) to cofacilitate the support sessions. Outcomes (hemoglobin A1c HbA1c, diabetes self-care activities, and diabetes distress) were assessed preintervention and postintervention. In the intervention and EUC groups, mean HbA1c decreased by 0.20% ( p = .52, SD = 0.99) and 0.13% ( p = .68), respectively. General diet ( p = .03, M change: 1.32, SD = 1.71) and blood glucose monitoring ( p 50%, ( p = .003, M change: −5.71, SD = 3.20). Implementing a peer-led DSMS program for Black men was feasible, adopted, and led to positive changes in outcomes. Scaling up the intervention and assessing sustainability is warranted.
Ewen et al. (Wed,) studied this question.