ArticleFrontiers in clinical diabetes and healthcare2026
Feasibility and preliminary outcomes of a peer-led diabetes self-management support program for black men: the michigan men's diabetes project (MenD II).
Article in Frontiers in clinical diabetes and healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Black men face disproportionately high rates of type 2 diabetes (T2D), yet are underrepresented in diabetes self-management support (DSMS) interventions. Peer-led DSMS (PLDSMS) shows promise for minoritized populations, but few programs target Black men specifically. Objective: This pilot study examined feasibility and preliminary effectiveness of a culturally adapted, PLDSMS intervention for Black men with T2D in Metro Detroit. Methods: We conducted a 15-month randomized pilot trial (N = 48) comparing PLDSMS plus DSMES to DSMES alone (enhanced usual care). PLDSMS included monthly peer-led virtual sessions for six months post-DSME, plus six months of optional support. Primary outcomes included HbA1c and perceived diabetes self-management (PDSMS). Secondary outcomes included diabetes distress and social support at baseline, 3, 9, and 15 months. Results: Participants (mean age=63 years) demonstrated successful recruitment (N = 60) and high retention (>80% at 15 months). No between-group differences in HbA1c emerged (p=0.32). Perceived self-management showed significant group-by-time interaction (p=0.03); the control group scored 5.36 points higher at 3 months (p=0.02), but differences were not sustained at 9 months (p=0.67). Diabetes distress and social support did not differ between groups, though provider-related distress declined significantly across both arms (B=-0.54, p=0.001). Conclusion: This pilot demonstrates feasibility of a PLDSMS program for Black men. Glycemic control remained stable, and although between-group differences in perceived self-management were not sustained over time, findings are consistent with the hypothesis that peer-led support may help sustain self-management gains as the initial benefits of DSME alone begin to wane. Future fully powered trials are needed to test this hypothesis.
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