Lessons learned in recruiting and retaining Black men in behavioral diabetes intervention research

IF 1.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

Contemporary Clinical Trials Communications Pub Date : 2025-04-21 DOI:10.1016/j.conctc.2025.101487

Jaclynn M. Hawkins , Alana M. Ewen , Martha Funnell , Robin Nwankwo , Gretchen Piatt

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Abstract

Black men experience disproportionately high rates of type 2 diabetes (T2D) and its complications, yet remain underrepresented in diabetes intervention research. Culturally tailored, community-based interventions that prioritize trust and address structural barriers are essential for improving recruitment and retention in this population. This article provides insights from the Michigan Men's Diabetes (MenD I and II) Projects, a peer-led diabetes self-management intervention tailored to Black men with T2D. MenD I and MenD II used Diabetes Self-Management Education (DSME) and Peer-Led Diabetes Self-Management Support (PLDSMS) sessions delivered virtually to meet participants' needs. Recruitment efforts engaged trusted community organizations, healthcare providers, and targeted outreach. Retention strategies emphasized trust-building, flexible scheduling, and culturally resonant support mechanisms, such as fostering a sense of community, providing personalized check-ins, and incorporating time for informal interactions and relationship-building. Data collected from pre- and post-intervention assessments and participant feedback illustrate the effectiveness of these approaches in addressing barriers and sustaining engagement. Despite challenges like medical mistrust, systemic inequities, and competing responsibilities, the MenD studies demonstrate that well-designed peer-led interventions can effectively engage Black men. These findings highlight the importance of culturally tailored adaptations and strong community partnerships in overcoming barriers to participation. Insights from MenD I and II offer valuable guidance for reducing health disparities and improving diabetes outcomes for Black men.

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在行为糖尿病干预研究中招募和保留黑人男性的经验教训

黑人男性患2型糖尿病（T2D）及其并发症的比例高得不成比例，但在糖尿病干预研究中仍未得到充分代表。有文化针对性的、以社区为基础的干预措施，优先考虑信任和解决结构性障碍，对于改善这一人群的招聘和保留至关重要。这篇文章提供了密歇根男性糖尿病（MenD I和II）项目的见解，这是一项针对黑人糖尿病患者的同伴领导的糖尿病自我管理干预。MenD I和MenD II使用糖尿病自我管理教育（DSME）和同伴领导的糖尿病自我管理支持（PLDSMS）虚拟会议来满足参与者的需求。招聘工作涉及值得信赖的社区组织、医疗保健提供者和有针对性的外展。保留策略强调建立信任、灵活的时间安排和文化共鸣支持机制，如培养社区意识、提供个性化签到、为非正式互动和建立关系提供时间。从干预前和干预后评估以及参与者反馈收集的数据表明，这些方法在解决障碍和维持参与方面是有效的。尽管面临着诸如医疗不信任、系统不平等和相互竞争的责任等挑战，MenD的研究表明，精心设计的同伴主导的干预措施可以有效地吸引黑人男性。这些发现突出了根据文化进行适应和建立强有力的社区伙伴关系对于克服参与障碍的重要性。MenD I和II的见解为减少黑人男性的健康差距和改善糖尿病结局提供了有价值的指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Contemporary Clinical Trials Communications Pharmacology, Toxicology and Pharmaceutics-Pharmacology

CiteScore

2.70

自引率

6.70%

发文量

146

审稿时长

20 weeks

期刊介绍： Contemporary Clinical Trials Communications is an international peer reviewed open access journal that publishes articles pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from a wide range of disciplines including medicine, life science, pharmaceutical science, biostatistics, epidemiology, computer science, management science, behavioral science, and bioethics. Contemporary Clinical Trials Communications is unique in that it is outside the confines of disease specifications, and it strives to increase the transparency of medical research and reduce publication bias by publishing scientifically valid original research findings irrespective of their perceived importance, significance or impact. Both randomized and non-randomized trials are within the scope of the Journal. Some common topics include trial design rationale and methods, operational methodologies and challenges, and positive and negative trial results. In addition to original research, the Journal also welcomes other types of communications including, but are not limited to, methodology reviews, perspectives and discussions. Through timely dissemination of advances in clinical trials, the goal of Contemporary Clinical Trials Communications is to serve as a platform to enhance the communication and collaboration within the global clinical trials community that ultimately advances this field of research for the benefit of patients.