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The interdisciplinary and interprofessional community-academic partnership (CAP) has been working with Spanish-speaking H/L Salt Lake City residents and organization leaders to adapt the National Diabetes Prevention Program to meet the needs of this population. This next collaboration phase attempts to finalize the adapted diabetes prevention program, "Paso a Paso," and evaluate its feasibility and implementation strategies. The purpose of this pilot study is to inform the necessary modifications to the Paso a Paso diabetes prevention intervention, ensuring that the full-scale future intervention is both feasible and effective for the target community.
Specific goals include:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Community-based organizations leaders and community members | Experimental | Paso a Paso is a 12-month program designed for H/L community members who are at high risk for T2D and want to lower their risk. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Paso a Paso | Behavioral | Cultural components will include fostering a sense of belonging, collaboration, support, interaction, and respect. Program structure: Paso a Paso is designed to include weekly 90-minute in-person sessions over the first 4 months of the program, which will transition to monthly sessions over the final 8 months of the intervention. All sessions will include hands-on skill development, group and social activities, and addressing assets for diabetes prevention available in the community. Finally, the intervention also includes an online community forum to support ongoing social support and information provision. |
| Measure | Description | Time Frame |
|---|---|---|
| Weight percent change | Will be measured in kilograms using a calibrated Tanita WB-100A scale. | Baseline, 4-month, 12-month (exploratory) |
| Measure | Description | Time Frame |
|---|---|---|
| % HbA1c | HbA1c will be tested using Point-of-Care (POC) A1c testing, which will require a finger prick. | Baseline, 4-month, 12-month (exploratory) |
| Measure | Description | Time Frame |
|---|---|---|
| Waist circumference | Will be measured in centimeters using Gulick tape and standard research protocols. | Baseline, 4-month, 12-month (exploratory) |
| Physical activity | Attendance in PA sessions |
Inclusion Criteria: Native Spanish speakers, residents in the Wasatch Front Metropolitan area, adults aged >18 years old with a BMI of ≥ 25, and diabetes risk >1 based on the CDC Prediabetes Risk Test
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Molly B Conroy, MD, MPH | University of Utah | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Utah | Salt Lake City | Utah | 84132 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33247823 | Background | Wells R, Yates L, Morgan I, deRosset L, Cilenti D. Using the Wilder Collaboration Factors Inventory to Strengthen Collaborations for Improving Maternal and Child Health. Matern Child Health J. 2021 Mar;25(3):377-384. doi: 10.1007/s10995-020-03091-2. Epub 2020 Nov 28. | |
| 29467170 | Background | Ritchie ND, Sauder KA, Phimphasone-Brady P, Amura CR. Rethinking the National Diabetes Prevention Program for Low-Income Whites. Diabetes Care. 2018 Apr;41(4):e56-e57. doi: 10.2337/dc17-2230. Epub 2018 Feb 21. No abstract available. |
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De-identified individual participant data (IPD) will be shared with qualified researchers upon reasonable request, following publication of the primary study results.
01/2027-01/2028
Access will be limited to investigators with demonstrated scientific merit and the capacity to securely manage human subjects data. Shared data will exclude direct identifiers and comply with IRB approvals and HIPAA requirements for data-sharing expectations.
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| ID | Term |
|---|---|
| D018149 | Glucose Intolerance |
| ID | Term |
|---|---|
| D006943 | Hyperglycemia |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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Feasibility and pilot study
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|
| Baseline, 4-month, 12-month (exploratory) |
| Dietary intake | Mediterranean Diet Score | Baseline, 4-month, 12-month (exploratory) |
| Engagement measures | Retention, engagement, attendance rate (%) | Baseline, 4-month, 12-month (exploratory) |
| Feasibility, acceptability, and appropriateness surveys | Validated a 5-point Likert scale to evaluate if an intervention is appealing, fits the context, and can be implemented. | Baseline, 4-month, 12-month (exploratory) |
| Background | Mattessich PW, Johnson KM. Collaboration: What Makes It Work: Turner Publishing Company; 2018. |
| 28320212 | Background | Ritchie ND, Christoe-Frazier L, McFann KK, Havranek EP, Pereira RI. Effect of the National Diabetes Prevention Program on Weight Loss for English- and Spanish-Speaking Latinos. Am J Health Promot. 2018 Mar;32(3):812-815. doi: 10.1177/0890117117698623. Epub 2017 Mar 20. |
| 11333990 | Background | Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Rastas M, Salminen V, Uusitupa M; Finnish Diabetes Prevention Study Group. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001 May 3;344(18):1343-50. doi: 10.1056/NEJM200105033441801. |
| Background | The National Registry of Recognized Diabetes Prevention Programs 2024: Centers for Disease Control and Prevention; [cited 2024 March 24]. Available from: https://dprp.cdc.gov/Registry. |
| 32903871 | Background | Ritchie ND, Baucom KJW, Sauder KA. Current Perspectives on the Impact of the National Diabetes Prevention Program: Building on Successes and Overcoming Challenges. Diabetes Metab Syndr Obes. 2020 Aug 19;13:2949-2957. doi: 10.2147/DMSO.S218334. eCollection 2020. |
| 12453955 | Background | Diabetes Prevention Program (DPP) Research Group. The Diabetes Prevention Program (DPP): description of lifestyle intervention. Diabetes Care. 2002 Dec;25(12):2165-71. doi: 10.2337/diacare.25.12.2165. |
| 25061137 | Background | Lopez L, Golden SH. A new era in understanding diabetes disparities among U.S. Latinos--all are not equal. Diabetes Care. 2014 Aug;37(8):2081-3. doi: 10.2337/dc14-0923. No abstract available. |
| Background | National diabetes statistics report: Centers for Disease Control and Prevention; 2024 [updated May 5, 2024; cited 2024 June 30]. Available from: https://www.cdc.gov/diabetes/php/data-research/index.html#:~:text=Among%20the%20U.S.%20population%20overall,Table%201a%3B%20Table%201b). |
| 36695058 | Background | Aleman JO, Almandoz JP, Frias JP, Galindo RJ. Obesity among Latinx people in the United States: A review. Obesity (Silver Spring). 2023 Feb;31(2):329-337. doi: 10.1002/oby.23638. |
| Background | Vespa J, Medina L, Armstrong D. Demographic turning points for the United States: population projections for 2020 to 2060: US Census Bureau; 2020 [updated February 2020; cited 2024 July 27]. Available from: https://www.census.gov/content/dam/Census/library/publications/2020/demo/p25-1144.pdf. |
| Background | Community Research Collaborative. (2021). In it together: Community-based research guidelines for communities and higher education. Salt Lake City, UT: University of Utah. |