PASO A PASO: Tailored Diabetes Prevention Program for Spanish-Speaking Communities Feasibility Study

PASO A PASO Pilot Study: Tailored Diabetes Prevention Program for Spanish-Speaking Communities Feasibility Study

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:

1. Finalize the adapted "Paso a Paso" protocol and materials.
2. Train the first cohort of instructors for the program (10-15 potential instructors)
3. Test the feasibility of the intervention implementation with 30 community participants.
4. Gather feedback from participants, refine the intervention, and ensure that it resonates with community members, ultimately laying the foundation for a successful larger study.

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:

1. Bariatric surgery in the last 2 years or planned during the next year
2. Edematous state that interferes with body weight assessment (e.g., severe congestive heart failure, end-stage renal disease, or ascites)
3. Current or planned pregnancy in the next year
4. Current breastfeeding