Study of Acceptance and Commitment Therapy with Continuous Glucose Monitoring and Lifestyle Education for Managing Type 2 Diabetes in Rural Communities

What this Trial Is About

Researchers are evaluating a community-based intervention combining Acceptance and Commitment Therapy ACT, Continuous Glucose Monitoring CGM, and Lifestyle Education LE for adults with type 2 diabetes T2D living in rural areas. The study aims to test the feasibility and acceptability of this approach compared to CGM with LE or LE alone. This randomized controlled trial seeks to develop a scalable program that supports self-management without requiring extensive healthcare resources in medically underserved rural settings. The study includes three groups one receives a one-day group ACT session plus lifestyle education and uses CGM for 12 weeks another group gets lifestyle education with CGM without ACT and the third group receives lifestyle education alone. The ACT sessions focus on mindfulness and acceptance skills to help participants manage diabetes-related challenges. CGM devices monitor glucose levels continuously, with training provided on device use and app setup. Lifestyle education covers nutrition, blood sugar monitoring, and carbohydrate counting for those on insulin. Participants will attend group sessions and use CGM devices over 12 weeks, with breaks during workshops. Researchers will assess blood markers like hemoglobin A1c, body composition, depression, adherence to therapy, and food insecurity over one year. Safety monitoring includes screening for mental health issues. The total study period includes baseline education, 12 weeks of CGM monitoring, and follow-up assessments over a year to evaluate the interventions impact and acceptability.

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