Comparative Effectiveness of Family vs. Individually Focused Diabetes Education and Support

FAM-ACT uses three innovative approaches to enhance the impact of family support on diabetes management for adults with diabetes (AWDs): 1. coach family supporters in regular discussions about AWDs' diabetes progress and goals that uses empathetic and autonomy-supportive communication, 2. coach family supporters in practical roles that support diabetes-specific tasks tailored to AWDs' personal goals, 3. leverage family support in the setting of other types of social support for AWDs (support from other AWDs and their family members and Community Health Workers (CHWs)) FAM-ACT will be developed and implemented in culturally-concordant ways, in partnership with the community participating in the program. Adults with type 2 diabetes and either poor glycemic or blood pressure control will be randomized together with a Support Person (a chosen adult family member or friend) to receive either FAM-ACT or more traditional CHW-led patient-focused I-DSMES over 6 months. See our published protocol (Deverts et al 2022; full citation in references section) for additional details on the protocol including any changes made after the study started.