Families Implementing Good Health Traditions for Life

Morehouse School of Medicine70 enrolled

Overview

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.

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. We hypothesize that implementing 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 their children will result in improved program acceptance and compliance, thus improving health indicators associated with type 2 diabetes risk across Black families. We seek to evaluate 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). Our goal is that parents enrolled in the family intervention will demonstrate a 4% reduction in weight at the end of the intervention.

Study Type

INTERVENTIONAL

Allocation

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Diabetes

Interventions

Families Implementing Good Health Traditions for LifeBEHAVIORAL

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, we will ensure enough staff are 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.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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.

Families Implementing Good Health Traditions for Life

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Central Contacts