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

N/AActive Not RecruitingNCT07392008

University of Utah45 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Pre Diabetic

Interventions

Paso a PasoBEHAVIORAL

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.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Weight percent change

Will be measured in kilograms using a calibrated Tanita WB-100A scale.

Time frame: Baseline, 4-month, 12-month (exploratory)

Secondary Outcomes

% HbA1c

HbA1c will be tested using Point-of-Care (POC) A1c testing, which will require a finger prick.