None listed
Conditions
Brief summary
The Australian Type 2 Diabetes Prevention Program (AUS 2 Prevent) is a year-long lifestyle change program comprising physical activity and diet sessions. It is a community-based program that aim to prevent or delay diabetes incidence in adults at high risk of developing type 2 diabetes in Australian community. We hope this program will be an effective, feasible and acceptable diabetes prevention program in the Australian community. We are in the process of analysis the data and the final publications should be ready by early 2026.
Interventions
The AUS2PREVENT is an evidence-based study which was developed based on the Finnish Diabetes Prevention Study (DPS) and the US Diabetes Prevention Program (DPP).
The AUS2PREVENT program incorporates the relevant guidelines including Australian Healthy Eating Guidelines, Australia's Physical Activity and Sedentary Behaviour Guidelines, Fitness Australia’s Exercise Guidelines. The AUS2PREVENT program is a year-long program with 14 face-to-face, 1-hour group sessions delivered over 12-months. In t
The AUS2PREVENT is an evidence-based study which was developed based on the Finnish Diabetes Prevention Study (DPS) and the US Diabetes Prevention Program (DPP). The AUS2PREVENT program incorporates the relevant guidelines including Australian Healthy Eating Guidelines, Australia's Physical Activity and Sedentary Behaviour Guidelines, Fitness Australia’s Exercise Guidelines. The AUS2PREVENT program is a year-long program with 14 face-to-face, 1-hour group sessions delivered over 12-months. In the first six months, there will be weekly sessions in the first 10 weeks followed by a further 2 sessions, each separated by 5 weeks. During the last six months, the final 2 face-to-face sessions will be separated by 10-week intervals. Between each face-to-face session, and for additional support to set and progress the goals they are setting, participants in the AUS2PREVENT group will be encouraged to connect with their peers and coach from within their group session. They will also be provided with text message reminders before each education session to maximise attendance rates. The main components of the program involve education and demonstration of practical skills in the areas of physical activity, diet, and behaviour change motivation (goal setting, sleep and stress management, coping strategies, and support). The demonstration of practical skills may include a simple physical activity such as marching in place whereas the demonstration of simple stress management activities may include meditation yoga and relaxation techniques. The physical activity group sessions have been developed based on the Australian physical activity and sedentary behaviour guidelines (Department of Health 2014) and the diet sessions have been developed based on the Australian Dietary guidelines (National Health and Medical Research Council 2013) and Australian Guide to Healthy Eating (Australian Government 2017). Coaches are experienced credentialed diabetes educators, accredited practicing dietitians, or exercise physiologists. All coaches must complete training provided by Diabetes SA. In line with evidence-based practice, the ratio of coaches to participants will be 1:40 at a maximum rate, and maximum group size will be 15 participants. The mode of delivery is face to face with text message reminders. The prevention program will be held at 10 community centres within the study areas.
Sponsors
Diabetes SA
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Investigator)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. aged greater than or equal to 18 years; 2. reside or work in the Cities of West Torrens, Marion, Campbelltown, or Tea Tree Gully; 3. score greater than or equal to 12 assessed by AUSDRISK tool; 4. have impaired fasting blood glucose values of greater than or equal to 6.1 to less than 6.9 mmol/L and/or HbA1c greater than or equal to 5.7 to less than 6.4 %; 5. have at least one other cardiovascular risk marker (i.e., are overweight or obese as indicated by a body mass index greater than 27 kg/m2 for Caucasian Australians or greater than 23 kg/m2 for Asian Australians; have high blood pressure or high blood lipid(s)).
Exclusion criteria
1. diagnosed with diabetes (i.e. 2-hr BG greater than or equal to 11.1 mmol/L and/or FBG greater than or equal to 7.0 mmol/L and/or HbA1c greater than or equal to 6.4%) at the recruitment phase or any stages during the program other than at the end of the program; 2. previously diagnosed with diabetes mellitus other than gestational diabetes mellitus at screening; 3. currently pregnant or become pregnant during the program other than at the end of the program; 4. currently involved in a regular and vigorous exercise regime; 5. receiving treatment to lower blood glucose levels, other than routine dietary and health advice; have been diagnosed with severe organ damage, disability, cognitive impairment and/or other life-threatening disease; and 6. are not able, and/or are unwilling, to attend group sessions and undertake clinical assessments.
Outcome results
None listed