The initial phase of the study will be focus groups of consenting Punjabi adults with type II diabetes who have already completed a Diabetes Self-Management Program. The focus group interviews will elicit their views and opinions on teh creation of a Punjabi self-management app to complement existing care. During focus groups, consisting of approximately 10 participants each, notes will be taken to aid in transcription. This project is taking place within the Fraser Health region of British Columbia.
When focus group data have been collected, the study team will identify desired characteristics of a Punjabi diabetes self-management app. Ayogo, the study's industry partner, will be provided anonymized data from groups and develop an app on their platform.
A subsequent randomized controlled trial phase of the study will recruit Punjabi adults living with type II diabetes. Consenting adults will be randomized to an experimental or control group. Participants randomized into control groups will receive usual care. This includes assessments and care planning through the six-week Punjabi Diabetes Self-Management Program, meeting weekly in groups of 10 to 12 which last approximately 2.5 hours. These meetings will be led by pairs of trained Diabetes Self-Management Leaders.
Participants in the intervention group will also receive regular care through a group Punjabi Diabetes Self-Management Program, and in addition will be provided access to the self-management app. The app may include but is not limited to prompts about exercise, diet, medication adherence, and other self-management habits. At the end of the Diabetes Self-Management Program, a member of the research team will explain how to use the app to the participants.
Six months after baseline, participants will be asked to complete a second questionnaire concerning their self-management. Participants in the experimental group who received the app may continue to use it after the completion of the study. Participants who decide to remove the app from their phones or tablets will be shown how by the Punjabi co-investigator. Alternatively, the research team can request Ayogo to disable it. The app will be made available to all Punjabi Diabetse Self-Management Program participants. All streaming and storage of data used in the app will be stored in British Columbia.
At the conclusion of the study, all participants will be provided a short report on the findings and thanked for their participation.