{"doi":"10.1016/j.conctc.2023.101086","title":"Lessons learned from the pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands","abstract":"Background: The Republic of the Marshall Islands (RMI) has a high rate of type 2 diabetes mellitus (T2DM). To address the high rate of T2DM, we tested a culturally adapted family model of diabetes self-management education and support (F-DSMES). We report the results of the 12-month post-intervention data collection and describe the lessons learned from the delivery of the F-DSMES intervention. Methods: Recruitment took place in four churches in Majuro and included 10 h of content delivered over 8-10 weeks. Forty-one participants with T2DM were included. The primary study outcome was glycemic control measured by a change in HbA1c. We also conducted participant interviews to document the participant-reported barriers encountered during the F-DSMES intervention. Results: Participants did not show improvements in their biometric markers; however, participants did show improvement on multiple measures of diabetes knowledge and family support. We identified five areas to improve future interventions: 1) issues with recruitment, retention, and attendance; 2) needing help accessing information and additional healthcare provider counseling; 3) struggles with adhering to diet recommendations; 4) difficulty getting exercise, and 5) improving lessons within the intervention. Conclusion: Although the biomarker data did not show improvement, valuable information was gained to improve the development of larger-scale trials. The results provide evidence of the need for these trials and the desire of participants to continue pursuing this effort. Others doing similar work in other low-to-middle income countries will need to take into consideration the potential barriers and facilitators within participants' social and physical environments.","journal":"Contemporary Clinical Trials Communications","year":2023,"id":387402,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9508,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":443954,"name":"Rachel S. Purvis","orcid":"0000-0002-0249-0141","position":1,"is_corresponding":false},{"id":279066,"name":"Aaron J. Scott","orcid":"0000-0002-0301-3072","position":2,"is_corresponding":false},{"id":972806,"name":"Joseph Henske","orcid":"0000-0003-1421-6606","position":3,"is_corresponding":false},{"id":972807,"name":"Dinesh Edem","orcid":"0000-0002-6115-7189","position":4,"is_corresponding":false},{"id":452649,"name":"James P. Selig","orcid":"0000-0002-8964-1829","position":5,"is_corresponding":false},{"id":767048,"name":"Jonell Hudson","orcid":"0000-0002-8457-0582","position":6,"is_corresponding":false},{"id":776723,"name":"Williamina Ioanna Bing","orcid":null,"position":7,"is_corresponding":false},{"id":767618,"name":"Jack Niedenthal","orcid":null,"position":8,"is_corresponding":false},{"id":767619,"name":"Henry Otuafi","orcid":null,"position":9,"is_corresponding":false},{"id":443956,"name":"Sheldon Riklon","orcid":"0000-0001-6884-2974","position":10,"is_corresponding":false},{"id":1156557,"name":"Edlen Anzures","orcid":null,"position":11,"is_corresponding":false},{"id":767621,"name":"Ainrik George","orcid":null,"position":12,"is_corresponding":false},{"id":882751,"name":"Derek Alik","orcid":null,"position":13,"is_corresponding":false},{"id":412090,"name":"Pearl A. McElfish","orcid":"0000-0002-4033-6241","position":14,"is_corresponding":false},{"id":617800,"name":"Jennifer A. Andersen","orcid":"0000-0001-6809-892X","position":0,"is_corresponding":true}],"reference_count":31,"raw_metadata":null,"created_at":"2026-07-19T01:18:04.706547Z","pmid":"36817737","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}