Parents and Children Together Preventing Diabetes (PACT PD)
| Status: | Completed |
|---|---|
| Conditions: | Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 8 - Any |
| Updated: | 8/17/2018 |
| Start Date: | March 2013 |
| End Date: | April 16, 2015 |
Parents and Children Together Preventing Diabetes
In response to the growing threat of obesity on the health of American children, specifically
African American children, the investigators propose to develop a program to educate and
motivate African American families to improve health behavior for obesity reduction and
diabetes prevention. This project will be unique in its partnership with local YMCAs and its
use of Family Health Coaches from the YMCAs who will work one-on-one with participating
families. The investigators feel this program will benefit all members of the families who
are enrolled and will encourage all members to participate though the study will target one
parent and one child who is 8 to 10 years old.
African American children, the investigators propose to develop a program to educate and
motivate African American families to improve health behavior for obesity reduction and
diabetes prevention. This project will be unique in its partnership with local YMCAs and its
use of Family Health Coaches from the YMCAs who will work one-on-one with participating
families. The investigators feel this program will benefit all members of the families who
are enrolled and will encourage all members to participate though the study will target one
parent and one child who is 8 to 10 years old.
The investigators' long-term research goal is to translate the Diabetes Prevention Program
(DPP) in community-based settings for overweight/obese African American (AA) families at risk
for Type 2 Diabetes Mellitus (T2DM). Intensive lifestyle approaches addressing physical
activity, healthy eating patterns, and stress management are established methods for reducing
obesity and risk of T2DM for adults (Knowler, 2002; Tuomilehto et al, 2001; Pan et al, 1997).
But, minimal evidence exists that this knowledge has been translated in sustainable settings
or in a manner that acknowledges the influences of daily life on motivation and family
self-efficacy for changes in nutrition and physical activity. The study proposes to adapt
these components for AA families through the use of "family coaches", one-on-one intervention
sessions through supervised individualized physical activity, and tailoring intervention
strategies for individual families. Utilizing a family systems approach, each component will
be delivered using brief motivational strategies that will target self-efficacy and
motivational readiness. This four month, two-arm randomized clinical trial, Parents and
Children Together Preventing Diabetes (PACT PD) will test the central hypothesis that,
relative to a control condition, a "family health coaching" intervention focused on nutrition
and physical activity using brief motivational strategies will improve targeted dietary and
physical activity behaviors in overweight/obese AA parents and their overweight/obese 8-10
year old children, (N=50 families) all of whom are at risk for T2DM diabetes. This study will
test the feasibility and acceptability of training YMCA fitness staff to utilize brief
motivational interviewing and serve as "family health coaches". This study will evaluate the
early efficacy of the newly translated, family-based diabetes prevention intervention in
improving anthropometric measures of BMI (primary outcome) and waist circumference, physical
activity and dietary intake, and family functioning (secondary outcomes) and intervention
fidelity, feasibility and acceptability of participants. Further, the study will assess the
acceptability and feasibility of booster interventions for motivation maintenance and
potential for long-term retention and intervention success in the subsequent R18 application.
This study will provide critical information regarding the early effectiveness of an
innovative, family-based, behavioral intervention for the prevention of T2DM specifically
translated for AA families. This study is funded by the National Institutes for Diabetes and
Digestive and Kidney Disorders.
(DPP) in community-based settings for overweight/obese African American (AA) families at risk
for Type 2 Diabetes Mellitus (T2DM). Intensive lifestyle approaches addressing physical
activity, healthy eating patterns, and stress management are established methods for reducing
obesity and risk of T2DM for adults (Knowler, 2002; Tuomilehto et al, 2001; Pan et al, 1997).
But, minimal evidence exists that this knowledge has been translated in sustainable settings
or in a manner that acknowledges the influences of daily life on motivation and family
self-efficacy for changes in nutrition and physical activity. The study proposes to adapt
these components for AA families through the use of "family coaches", one-on-one intervention
sessions through supervised individualized physical activity, and tailoring intervention
strategies for individual families. Utilizing a family systems approach, each component will
be delivered using brief motivational strategies that will target self-efficacy and
motivational readiness. This four month, two-arm randomized clinical trial, Parents and
Children Together Preventing Diabetes (PACT PD) will test the central hypothesis that,
relative to a control condition, a "family health coaching" intervention focused on nutrition
and physical activity using brief motivational strategies will improve targeted dietary and
physical activity behaviors in overweight/obese AA parents and their overweight/obese 8-10
year old children, (N=50 families) all of whom are at risk for T2DM diabetes. This study will
test the feasibility and acceptability of training YMCA fitness staff to utilize brief
motivational interviewing and serve as "family health coaches". This study will evaluate the
early efficacy of the newly translated, family-based diabetes prevention intervention in
improving anthropometric measures of BMI (primary outcome) and waist circumference, physical
activity and dietary intake, and family functioning (secondary outcomes) and intervention
fidelity, feasibility and acceptability of participants. Further, the study will assess the
acceptability and feasibility of booster interventions for motivation maintenance and
potential for long-term retention and intervention success in the subsequent R18 application.
This study will provide critical information regarding the early effectiveness of an
innovative, family-based, behavioral intervention for the prevention of T2DM specifically
translated for AA families. This study is funded by the National Institutes for Diabetes and
Digestive and Kidney Disorders.
Inclusion Criteria:
- Body Mass index (One overweight/obese parent (25 kg/m2
- Parental HbA1c levels (pre-diabetes = 5.7 - 6.4%)
- Parent and their child age 8-10
Exclusion Criteria:
- Clinical history of T2DM
- On glucose-lowering drugs
- Currently participating in a supervised weight loss program
- Pregnant or Breastfeeding
- Has conditions limiting participation in the interventions
- Has undergone weight loss surgery
- Unwilling to accept randomization
- Plans to live outside the general area in the next 6 months
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