ARISE Study Comparing Diabetes Distress Screening and Intervention Approaches for Adults with Type 2 Diabetes in Community Health Centers

What this Trial Is About

This research aims to evaluate the effectiveness of screening for diabetes distress DD and providing interventions for adults with type 2 diabetes mellitus T2DM. Diabetes distress is the emotional stress related to managing diabetes, which affects medication adherence, lifestyle habits, and overall quality of life. The study focuses on populations disproportionately affected by T2DM and DD, including African-Americans and Hispanics, and seeks to improve emotional health screening and support within real-world primary care settings. Participants care centers will be randomly assigned to either receive an in-depth training on the ARISE screening and intervention program or a brief training on the 7As model for diabetes distress screening. The ARISE program trains community health center staff to screen patients using validated tools to identify diabetes distress levels and their sources, then provide tailored support and referrals. The other group receives an enhanced usual care training. This pragmatic study uses a cluster randomized design to compare these approaches. During the study, participants will be regularly assessed over 12 months for outcomes including A1C levels, diabetes distress scores, cholesterol levels, blood pressure, body mass index, depression and anxiety screening results, and healthcare referrals. The study tracks these measures to understand the impact of the screening and intervention programs on diabetes management and emotional health. The total participation spans the intervention and follow-up periods to monitor changes in health and distress.

Achieving Routine Intervention and Screening for Emotional Health