Feasibility and Impact of "ABCs of Diabetes" Self-Management Education Program at an Urban Public Library
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ClinicalTrials.gov Identifier: NCT00822471 |
Recruitment Status :
Completed
First Posted : January 14, 2009
Last Update Posted : August 25, 2020
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Diabetes Cardiovascular Disease | Behavioral: Diabetes Self-Management Education | Not Applicable |
A free, community-based Diabetes Learning Center was placed in a public library. Adults with diabetes (N=360) consented to participate in this prospective cohort study with historic self-controls. The small group, interactive DSME (two 2-1/2 hour classes) focused on improving CVD risk factors and enabling communication with the primary care physician. Knowledge, prescriptions, diabetes-related testing and clinical outcomes were assessed.
"ABCs of Diabetes" DSME Program
Class #1: A1C, Aspirin & Blood Pressure
A. Curriculum Content Areas:
- What is diabetes?
- A1C and blood glucose targets
- Diabetes medications
- Hypoglycemia
- Managing Blood Pressure
- Taking your medications
- Preventing vascular complications
- Monitoring your diabetes health
- "How to Talk to your Doctor"
B. Education strategies & tools
- Role playing from "How To Talk to Your Doctor"
- Ask for test results and how to get to targets
- Prompts to schedule appointments for ADA recommended exams, tests and discuss diabetes with primary care provider
Class #2 Cholesterol and Meal Planning
A. Curriculum Content Areas:
- Managing cholesterol
- Diet, exercise & weight management
- Cholesterol medications
- Smoking cessation
- Family Meal Planning:
consistent carbohydrate
- heart healthy meals
B. Education strategies & tools
- View "Cut the Fat Back" video†
- Interactive portion size & meal planning strategies
- Prompts to query PCP for LDL-C results;
- Flyers with questions to focus PCP on ADA goals † Produced by the Health Promotion Council, Philadelphia PA hpcpa@phmc.org
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 360 participants |
Allocation: | Non-Randomized |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Prevention |
Official Title: | Feasibility and Impact of of "ABC's of Diabetes" Self Management Education (DSME) Program for African Americans at an Urban Public Library on A1C, Lipid Lowering Agent Prescriptions and Emergency Department Visits |
Study Start Date : | January 2003 |
Actual Primary Completion Date : | January 2005 |
Actual Study Completion Date : | July 2005 |

Arm | Intervention/treatment |
---|---|
Diabetes Self-Management Education
Education intervention with historic self-controls.
|
Behavioral: Diabetes Self-Management Education
DSME intervention consisting of two interactive 2-1/2 hour classes taught by a diabetes educator focusing on the "ABCs of diabetes" and training in how to talk to your doctor. |
- Improvement in the percent of subjects correctly identifying guideline-recommended treatment targets for the "ABC's of Diabetes", where A = A1C < 7%; B = BP <130/80mmHg and; and C = LDL-C < 100mg/dl. [ Time Frame: 6 months following program completion ]
- increase the percentage of subjects taking medications for A1C, BP and LDL-C management and aspirin; [ Time Frame: 6 months following DSME program completion ]
- increase scores on the diabetes self-efficacy scale (DES); [ Time Frame: 6 months following DSME program completion ]
- increase percentage of patients with A1C, BP and LDL-C at recommended targets; [ Time Frame: 6 months following program completion ]
- Decrease the percentage of participants with self-reported ED visits and hospitalizations for severe hypoglycemia and hyperglycemia. [ Time Frame: 6 months following DSME program completion ]

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Diagnosis of Diabetes Mellitus, type 1 or type 2 for at least one month prior to taking the first educational class.
- 18 years old or older.
- Females and Males
- All ethnic groups.
- Must be able to read and speak English.
- Must be willing to sign informed consent to participate in the research component of the program.
- Plan on living in the District of Columbia for the next 6 to 8 months.
- Willing to attend 2 core interactive education sessions within a 6-week period.
- Willing to have a fingerstick performed to obtain blood for A1C and cholesterol determinations prior to and 6 months after completion of the educational sessions.
- Willing to attend both a pre- and a post-study outcomes data collection visit, each of which will last approximately 1 - 1 ½ hours.
- Ability and willingness to adhere to all study requirements.
- Participant must have active health insurance coverage or self pay and have regular visits to their primary care physician. Interested parties who do not have health insurance will be referred to DHHS for assistance in applying for Medicare or Medicaid when applicable.
- Have access to telephone in residence to receive reminder calls for up upcoming visits.
Exclusion Criteria:
- Pregnancy.
- Non-English speaking.
- Untreated mental illness.
- History of substance abuse or alcohol abuse in the past 12 months.
- Individuals participating in a drug research study.
- Presence of concomitant condition or circumstances which, in the opinion of the investigator, could interfere with participation in the study, glycemic control or interpretation of the data collected. (e.g. active malignance; HIV/AIDS)
- Chronic concomitant use of oral steroids.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00822471
United States, District of Columbia | |
Washington Hospital Center | |
Washington, District of Columbia, United States, 20010 |
Principal Investigator: | Michelle F. Magee, MD, LRCPSI | Medstar Health Research Institute |
Responsible Party: | Michelle Magee, Professor of Medicine, Georgetown University School of Medicine, Medstar Health Research Institute |
ClinicalTrials.gov Identifier: | NCT00822471 |
Other Study ID Numbers: |
2002-288 |
First Posted: | January 14, 2009 Key Record Dates |
Last Update Posted: | August 25, 2020 |
Last Verified: | August 2020 |
Diabetes Self-Management Education Library Emergency Department Visits |
African American CVD prevention Prevention Uncontrolled diabetes |
Cardiovascular Diseases Diabetes Mellitus Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |