Diabetes Mellitus Risk
Conditions
Brief summary
Standard, effective, and scalable training models are needed to help equip community health workers in their community-based diabetes prevention awareness efforts. This study will tailor/adapt, implement, and evaluate an innovative internet-based virtual world model to remotely deliver a diabetes prevention awareness training program to community health workers.
Detailed description
Standard, effective, and scalable training models are needed to help equip community health workers in their community-based diabetes prevention awareness efforts. This study will tailor/adapt, implement, and evaluate an innovative internet-based virtual world model to remotely deliver a diabetes prevention awareness training program to community health workers. A sequential mixed-methods design is used to address these specific aims: 1. Use community-based participatory research methods to guide the overall study and inform tailoring and adaptation of our virtual world model to deliver the CHW training program; 2. Conduct a randomized pilot study to compare change in primary outcomes (0, 12 weeks) after the in-person versus virtual world delivery of the program; and 3. Conduct summative focus groups to gather information to refine the program and study methodology.
Interventions
BEHAVIORALVirtual Training
The intervention involves a CHW training focused on raising awareness of diabetes prevention in the community. It is delivered remotely over 10 weeks using an internet based approach.
BEHAVIORALIn Person Training
The intervention involves a CHW training focused on raising awareness of diabetes prevention in the community. It is delivered in person over 10 weeks.
Sponsors
University of Illinois at Chicago
University of Delaware
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Randomized 2 group repeated measures design (Pre-Pandemic) \[Pandemic modification: Only Virtual world group\]
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* community health worker * 18-65 years old * Female * Of African American/Black/African ancestry * not getting 150 minutes of physical activity weekly and/or overweight * residing in Chicago/driving distance to Chicago study site * regular access to internet and computer
Exclusion criteria
• does not meet inclusion criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in content knowledge will be measured using the program Knowledge Questionnaire | Following program completion (10-12 weeks) | Program content knowledge will be assessed using an adapted version of the original training program knowledge questionnaire. Scores represent the number of content questions answered correctly. Higher scores represent greater program knowledge. |
| Post Training Presentation Delivery Skills | Following program completion (10-12 weeks) | Each CHW will be asked to prepare and deliver a brief presentation, including 3 standardized topic areas. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Lifestyle Habits | Following program completion (10-12 weeks) | Eating habits will be assessed using the Visually-Enhanced Food Behavior Checklist. |
| Change in Physical Activity | Following program completion (10-12 weeks) | Physical activity will be assessed with International Physical Activity Questionnaire (IPAQ). |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in self-efficacy and Stage of Change. A Self-Efficacy Index will be used and Stage of Change individual questions will be used for healthy eating and physical activity. | Following program completion (10-12 weeks) | A multi-item index of self-efficacy will be used to examine confidence in making lifestyle changes and in delivering the content. Higher scores represent greater confidence. Stage of change questions will assess CHW motivation (i.e., pre-contemplation, contemplation, preparation) or achievement of eating habit and physical activity behaviors (i.e., action/maintenance stages). |
| Adherence | During training sessions (up to 10 weeks). | Attendance will be measured by a count of the number of training sessions attended. |
Countries
United States
Outcome results
None listed