Type 2 Diabetes
Conditions
Keywords
Evidence based lifestyle intervention, Older Adults, Physical Function, Glycemic control
Brief summary
The purpose of this study is to explore strategies to effectively implement senior-center-based multilevel lifestyle interventions adapted from evidence-based lifestyle interventions to promote physical function and quality of life in diverse older adults with Type 2 Diabetes (T2D).
Detailed description
Aim 1: Work with community stakeholders including individuals with T2D, family members, and senior center staff to adapt evidence-based lifestyle interventions, and develop implementation strategies. Aim 2: Conduct a senior-center-based 6-month pre- and post-pilot study and collect recruitment, enrollment, retention rate, fidelity, program satisfaction and experience, and stakeholder acceptance using quantitative and qualitative data. Aim 3: Assess the preliminary health-related responses to the intervention in older adults with T2D in the 6-month trial.
Interventions
OTHERAdapted Look Ahead Lifestyle Intervention
Participants will be educated about improving healthy lifestyles involving physical activity and healthy eating to improve physical function and improve glycemic control.
Sponsors
The University of Texas Health Science Center at San Antonio
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
A pre-post-test study to assess the implementation outcomes and preliminary health responses
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Adults aged ≥60 years 2. Self-reported T2D diagnosis with verification from a health report 3. Live within the census tract of the selected senior center, or a member of the senior center 4. No significant cognitive impairment as defined by MMSE (score≥20) (46) which may influence diabetes self-management 5. Can speak and understand either English or Spanish 6. Agree to participate in the study procedures
Exclusion criteria
1. Severe chronic conditions without physician's permission to participate (e.g., severe heart disease and end-stage renal disease); 2. Unwillingness to sign the consent form; and 3. Enrollment in other diabetes management programs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of conducting study | Baseline, 3, 6, and 12 months | Feasibility refers to how feasible to conduct the study. In this study, feasibility will be assessed by data such as participant recruitment, enrollment, education session attendance, and retention rate. |
| Acceptability | Baseline, 3, 6, and 12 months | Acceptability refers to how well an intervention will be received by the target population and the extent to which an intervention might meet the needs of the target population. Acceptability will be assessed through qualitative interview with participants to explore their experience, and perceptions with the intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Body Weight | Baseline, 3, 6, and 12 months | Measured in pounds with participant in light clothes and without shoes |
| Systolic Blood Pressure | Baseline, 3, 6, and 12 months | Sitting blood pressure will be measured after at least five minutes of rest. |
| Diastolic Blood Pressure | Baseline, 3, 6, and 12 months | Sitting blood pressure will be measured after at least five minutes of rest. |
| Short Physical Performance Battery (SPPB) | Baseline, 3, 6, and 12 months | The SPPB is a series of physical tests used to assess a person's lower extremity function. SPPB scores range from zero to 12 possible points. A higher score indicated better physical performance. |
| Grip Strength | Baseline, 3, 6, and 12 months | Grip strength will be measured in both hands, and the dominant hand will be recorded. |
| Glycated Hemoglobin (HbA1c) | Baseline, 3, 6, and 12 months | HbA1c is a blood test that is used to assess and monitor the average level of glucose over the past two to three months. |
| Lipid profile | Baseline, 3, 6, and 12 months | It is a blood test that measures the levels of fats and fatty substances in the blood. The following measurements in the profile will be assessed: cholesterol, LDL (low-density lipoprotein) cholesterol, HDL (high-density lipoprotein) cholesterol, and triglycerides. |
| IPAQ-12 | Baseline, 3, 6, and 12 months | This scale contains 12 items that are a self-reported measure of physical activity. Scores are typically expressed in minutes per week. Higher scores indicate higher levels of physical activity, whereas lower scores suggest sedentary or low activity levels. |
| MoCA | Baseline, 3, 6, and 12 months | MoCA is a 30-point questionnaire that tests various cognitive domains, including memory, attention, language, abstraction, executive functions, visual skills, calculation, and orientation. The score ranges from 0-30, and higher score indicates better cognitive function. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORYan Du, PhD, MPH
The University of Texas Health Science Center at San Antonio
Outcome results
None listed