Efficacy of co-created, culturally-sensitive intervention for type 2 diabetes self-management education in immigrants in Italy: The DiabEthic randomized clinical trial
Primary result · HbA1c changeResult — go to the resultDifference −0.70 % 95% CI −1.31 to −0.09Authors' 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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