Type 2 & other diabetes

Efficacy of co-created, culturally-sensitive intervention for type 2 diabetes self-management education in immigrants in Italy: The DiabEthic randomized clinical trial

Diabetes Res Clin PractPublished Randomised controlled trial

Primary result · HbA1c changeResult — go to the resultDifference −0.70 % 95% CI −1.31 to −0.09

Authors' conclusion

A culturally-tailored self-management intervention led to a greater HbA1c reduction in immigrants and ethnic minorities

Study context

Population
Adult first-generation immigrants in Italy with T2D, newly diagnosed or with HbA1c > 8%randomized 1:1
Participants
202 participants
Comparison
Culturally sensitive self-management intervention vs standard care
Primary endpoint
HbA1c change
Follow-up
12-month follow-up
Methodological detailsmulticentre, parallel-controlled
  • Multicentre
  • Parallel-controlled

Primary result

As reported in the abstract

Difference

−0.70 %

95% CI −1.31 to −0.09

P = 0.026

Interventionvs Standard care
difference −0.70 % (95% CI −1.31 to −0.09); P = 0.026

Secondary outcomes

Waist circumference, triglycerides, total cholesterol, non-refined cereals servings/week, adherence to therapy

A significant intervention effect was evident

Blood pressure, BMI, LDL, physical activity

No significant intervention effect

Mediation of intervention effect on HbA1c changes

Changes in non-refined cereals consumption and waist circumference indirectly mediated intervention effect on HbA1c
40%

Original publication

Efficacy of co-created, culturally-sensitive intervention for type 2 diabetes self-management education in immigrants in Italy: The DiabEthic randomized clinical trial. Diabetes Res Clin Pract. Published 28 July 2026. doi:10.1016/j.diabres.2026.113464

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