Chronic Disease, Diabetes, Family, Family and Household, Family Research, Healthy Lifestyle, Nutrition, Healthy, Sedentary Behavior, Type 2 Diabetes
Conditions
Keywords
diabetes, rural, type 2 diabetes, nutrition, physical activity, diabetes prevention, family research, family and household, chronic disease, sedentary behavior
Brief summary
This study will provide evidence for the utility of using a community-engaged research approach to implement a tailored, family-oriented adaptation of the Diabetes Prevention Program that will have positive effects on risk factors associated with type 2 diabetes morbidity and mortality among Black families in a Southwest Georgia community.
Detailed description
The goal of this project is to utilize a community-engaged research approach to reduce type 2 diabetes risk among Black families through the tailoring of the diabetes prevention program for families. The proposed study will be carried out by researchers and community members with expertise in community engagement, type 2 diabetes prevention, and family interventions/programming. It is hypothesized that the Families Implementing Good Health Traditions for Life study (FIGHT for Life), a region specific adaptation of the Diabetes Prevention Program (DPP) for high-risk adults paired with a DPP-adapted curriculum for children will result in improved program acceptance and compliance, thus improving health indicators associated with type 2 diabetes risk across Black families. The efficacy of the community-engaged research-adapted FIGHT for Life intervention to improve weight, an important type 2 diabetes risk factor, in Black parents with pre-diabetes (primary outcome) will be evaluated. The goal is that parents enrolled in the family intervention will demonstrate a 4% reduction in weight at the end of the intervention.
Interventions
BEHAVIORALFamilies Implementing Good Health Traditions for Life
The 16-session weekly curriculum will have five components: 1) strategies for monitoring food intake and reducing calories; 2) identifying and controlling both personal and social cues for unhealthy eating behaviors; 3) the role of stress in unhealthy eating and relapse prevention; 4) strategies for monitoring and improving physical activity and sedentary behaviors; and 5) strategies to improve family support and cohesion. Parents and children will be divided into separate, 2-hour sessions most weeks. The sessions will be co-facilitated by trained CHWs and research staff members. As children of different ages will be participating, enough staff will be present to keep youth sessions well-coordinated in order to engage all ages. All sessions will be held in community locations convenient to the families, such as YMCAs, faith-based institutions, federally qualified health centers, etc.
Sponsors
Morehouse School of Medicine
National Institute on Minority Health and Health Disparities (NIMHD)
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Family 1.a.) Black Parent/Guardian: age 18 years or older residing in the same household with child (i.e., biological or have legal guardianship for child) 1.b.) Child: age 8-15 years old 2. Parent/Guardian have HbA1c level 5.7-6.4% (prediabetes) 3. Parent/Guardian willing to commit to participation in a 20-month research study and have no plans to move from the area over the next 20-months 4. Parent/child are ambulatory and able to participate in physical activity
Exclusion criteria
1. Individuals with severe psychological disorders that may prevent/interfere with study participation 2. Physical impairments that may prevent participation in moderate intensity physical activity; 3. Previous diagnosis of diabetes 4. History of congestive heart failure, renal failure, or recent (\<12 months) cardiovascular events such as myocardial infarction or stroke; 5. Person taking medications that may affect endpoint analyses 6. Persons with co-morbid contraindications to physical activity or dietary changes. 7. Currently pregnant or planning to become pregnant in the next year.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in weight from baseline to post-intervention at 4 months | 4 months | Parents enrolled in the family intervention will demonstrate a 4% change in weight at the end of the intervention. |
Countries
United States
Contacts
CONTACTAsia K Rivers, MPH
CONTACTRakale C Quarells, PhD
Outcome results
None listed