Methods
Diabetes
DIABETES
Diabetes Risk Reduction through Eat, Walk, Sleep and Medication Therapy Management (DREAM) was a randomized, controlled trial to compare the efficacy of EWS vs. EWS + MTM vs social services (SS, control condition). Assessments were at baseline, endpoint (12-months) and follow-up (15-months). The study was pre-registered at ClinicalTrials.gov identifier: NCT02502929.Participants randomized to SS were assessed for social service needs such as food and housing assistance and then provided support for any unmet needs over 12 months as needed. Participants assigned to EWS or EWS + MTM received their interventions over the course of 12-months. A post-intervention endpoint assessment was conducted at 12-months. A ‘booster’ EWS session (and MTM session for those assigned to EWS + MTM) occurred between 12- and 15-months. A follow-up assessment was conducted 15 months after baseline.All staff who had direct contact with participants were born in Cambodia, bilingual and bicultural. To minimize bias, lay health workers were divided into two roles. To minimize bias, community health The study was conducted according to the World Medical Association Declaration of Helsinki and approved by the UConn Health institutional review board. Participants signed written informed consent forms in their preferred language (Khmer or English) and provided written HIPAA authorization and a release of information for study staff contact with their healthcare provider.