ACT Intervention for Type 2 Diabetes Management for Rural and Underserved Community

Description

The purpose of this project is to examine the feasibility/acceptability of a one-day Acceptance and Commitment Therapy + Lifestyle Education group intervention paired with 12-weeks of Continuous Glucose Monitoring for patients with type 2 diabetes (T2D) living in rural communities. This study is being designed as a randomized control trial (RCT) comparing ACT+LE+CGM to LE+CGM to LE. The ultimate goal of this line of research is that a community-wide intervention of Acceptance and Commitment Therapy (ACT) with Continuous Glucose Monitoring (CGM) and Lifestyle Education (LE) will improve T2D outcomes in rural communities compared to CGM and LE, or LE alone. Our goal is to develop a scalable and sustainable program for diabetes management in rural areas that enables individual self-management and does not require extensive healthcare resources in an existing medical desert.

Conditions

Type 2 Diabetes

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Study Overview

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Study Details

Study overview

The purpose of this project is to examine the feasibility/acceptability of a one-day Acceptance and Commitment Therapy + Lifestyle Education group intervention paired with 12-weeks of Continuous Glucose Monitoring for patients with type 2 diabetes (T2D) living in rural communities. This study is being designed as a randomized control trial (RCT) comparing ACT+LE+CGM to LE+CGM to LE. The ultimate goal of this line of research is that a community-wide intervention of Acceptance and Commitment Therapy (ACT) with Continuous Glucose Monitoring (CGM) and Lifestyle Education (LE) will improve T2D outcomes in rural communities compared to CGM and LE, or LE alone. Our goal is to develop a scalable and sustainable program for diabetes management in rural areas that enables individual self-management and does not require extensive healthcare resources in an existing medical desert.

Effectiveness of a Community-Based Intervention of Acceptance and Commitment Therapy for Type 2 Diabetes Management in a Rural and Underserved Community

ACT Intervention for Type 2 Diabetes Management for Rural and Underserved Community

Condition
Type 2 Diabetes
Intervention / Treatment

-

Contacts and Locations

Conroe

Sam Houston State University College of Osteopathic Medicine, Conroe, Texas, United States, 77304

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. Diagnosed diabetes (self-reported) and with an HbA1c ≥ 6.0 (using point-of-care device)
  • 2. at least 18 years of age or older
  • 3. able to speak English
  • 4. able to provide informed consent and participate in the study
  • 5. reliable access to a personal smartphone device 6) zip code is associated with a rural area.
  • 1. Reported suicidal ideation at the initial visit
  • 2. has evidence of acute psychosis that precludes informed consent
  • 3. appears to be cognitively impaired to the extent that precludes informed consent
  • 4. uses a heavy amount of alcohol or other substances
  • 5. is deemed by the multidisciplinary study team has too medically complex for a more conservative treatment approach
  • 6. has a pacemaker or other implanted electrical medical device
  • 7. Pregnant (management of diabetes while pregnant may require additional medical oversight).
  • 8. Under 18 years old (protocol was validated for adults)
  • 9. Non-English-speaking individuals (protocol has not been translated and validated in other languages)

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Sam Houston State University,

Study Record Dates

2026-08-31