Diabetes
Conditions
Brief summary
The purpose of the study is to determine the impact of an enhanced, food incentive program \[called the sustainable culturally adapted nutrition (SCAN) program\], which is integrated with the Diabetes Prevention Program (DPP) and a food prescription framework. The SCAN program aims is to improve participant adherence and the ability to make sustainable behavioral changes to reduce the chances of developing diabetes.
Interventions
BEHAVIORALLive instructional video sessions
Three instructional live video sessions will be provided to participants via live videoconferencing. The session will describe fundamentals for preparing produce for cooking, healthy approaches to cooking foods, a review of serving sizes, reading labels, and different classes of health foods. The nutrition education is designed to promote healthy dietary patterns for all by empowering participants to navigate healthy eating through the lens of their own food and cultural experiences. By emphasizing culinary techniques over recipes, instructors can inspire adaptability of culturally familiar flavors and ingredients for a diverse range of ethnicities, abilities, and cooking equipment.
BEHAVIORALLinks to educational videos
This online information will supplement and reinforce the information presented in the live instructional video sessions.
BEHAVIORALDiabetes Prevention Program (DPP)
The Diabetes Prevention Program (DPP) is a lifestyle change program intended to stop the onset of type 2 diabetes. The program involves Lifestyle Coaches, who help participants make and maintain the lifestyle changes that can help prevent type 2 diabetes. The Lifestyle Coaches share information about diabetes prevention, debunk fitness and health myths, and encourage fitness and healthy eating in regular group sessions. They also work with participants individually on personalized weight loss and exercise goals and action plans, using the group as a source of support and encouragement.
BEHAVIORALProduce Delivery
The investigators partnered with the Houston Food Bank (HFB) to offer up to 30 pounds of fresh produce twice per month to all DPP participants through a food prescription (Food Rx) program.
Sponsors
Texas Department of State Health Services
The University of Texas Health Science Center, Houston
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Enrolled in the DPP program conducted by First Mile * Body Mass Index (BMI) ≥ 18 * fasting glucose of 100-126 milligrams per deciliter (mg/dL) and/or Hemoglobin A1C (HbA1C) 5.4%-6.5%
Exclusion criteria
* Withdrawal from the DPP program * Participant opts to not specifically participate in the SCAN program
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in number of Diabetes Prevention Program (DPP) sessions attended | Baseline, at the end of the SCAN intervention (12 months after start of SCAN intervention) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in calculated Body Mass Index (BMI) | Baseline, at the end of the SCAN intervention (12 months after start of SCAN intervention) | BMI will be calculated as kg/m2. |
| Change in HbA1c level | Baseline, at the end of the SCAN intervention (12 months after start of SCAN intervention) | — |
| Change in Weight | Baseline, at the end of the SCAN intervention (12 months after start of SCAN intervention) | — |
| High-Density Lipoprotein (HDL) level | Baseline, at the end of the SCAN intervention (12 months after start of SCAN intervention) | — |
| Triglyceride level | Baseline, at the end of the SCAN intervention (12 months after start of SCAN intervention) | — |
| Low-Density Lipoprotein (LDL) level | Baseline, at the end of the SCAN intervention (12 months after start of SCAN intervention) | — |
Countries
United States
Outcome results
None listed