Remotely Delivered Mindfulness-Based Diabetes Education

Diabetes distress is common affecting over one-third of people with type 2 diabetes, negatively impacting self-management and outcomes, and disproportionately affecting low-income individuals. The proposed project will conduct a pilot randomized controlled trial comparing remotely delivered Mindfulness-Based Diabetes Education plus remote patient monitoring of blood glucose to standard Diabetes Self-Management Education in rural Black adults with type 2 diabetes and elevated diabetes distress who receive care within federally qualified health centers to assess feasibility and acceptability.

Inclusion Criteria: * age 19 years or older * diagnosis of type 2 diabetes * Black race (self-report) * receipt of care at one of the study sites with one or more visits to within the prior year * presence of elevated diabetes distress (score ≥2 on Diabetes Distress Scale indicating moderate-severe distress) * uncontrolled diabetes indicated by an elevated hemoglobin A1c (A1C) ≥8% Exclusion Criteria (Presence of any of the following criteria): * non-English speaker * current pregnancy * diagnosis of a severe psychiatric comorbidity including bipolar disorder, schizophrenia, or a history of psychosis