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Healthy Living Partnership to Prevent Diabetes

2014-08-27 03:32:20 | BioPortfolio

Summary

The Healthy Living Partnership to Prevent Diabetes (HELP PD)is a 300-participant randomized trial designed to test the effectiveness of a lay-health counselor led community-based diabetes prevention program in reducing blood glucose in people at risk for developing diabetes mellitus.

Description

Social forces have promoted adverse behavioral patterns with respect to physical activity and nutrition resulting in the current epidemics of obesity, the metabolic syndrome and type 2 diabetes mellitus (DM). Unchecked, the human toll of these conditions will be staggering over the coming decades, especially in ethnic groups that are disproportionately affected, thereby contributing to health disparities. Results from clinical trials such as the Diabetes Prevention Program (DPP) have demonstrated a significant potential for prevention of type 2 DM through lifestyle interventions to promote physical activity, a healthy eating pattern and weight loss. Yet these approaches are not being applied in practice. In fact, whether these approaches can be successfully implemented in the community is an unanswered question. This project will address this critical gap in knowledge. The overall goal will be to create a Healthy Living Partnership to Prevent Diabetes (HELP Prevent Diabetes) in the community setting. This project will incorporate several key translations of prior research to enhance logistical and fiscal feasibility and long term dissemination: 1) case finding of persons at risk of diabetes based on adiposity and fasting glucose, rather than results from an oral glucose tolerance test, 2) the use of a group-based, rather than an individual-based, intensive lifestyle behavioral intervention employing professional and lay health counselors (LHCs), and 3) delivery of the intervention in the community setting via innovative expansion of an existing Diabetes Education Program (DEP) in collaboration with LHCs as empowered community partners. DEPs are logical potential homes for the expertise needed to establish community-based diabetes prevention programs, as DEPs have demonstrated effectiveness for improving the quality of care for patients with type 2 DM, are available in many communities, and have personnel with expertise in lifestyle interventions regarding physical activity and diet. If the planned approach is successful, health care policies could be implemented to provide for the reimbursement of community-based diabetes prevention program services, as is currently the case for DEP services. A program delivered through a collaborative effort between DEPs, LHCs, primary care sites providing care to the underserved, and local public health agencies may be the most promising strategy for reaching out to underserved and minority populations at risk for developing type 2 DM.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention

Conditions

Prediabetes

Intervention

Group-Based Lifestyle Intervention, Individual Education Program

Location

Wake Forest University School of Medicine
Winston-Salem
North Carolina
United States
27157

Status

Active, not recruiting

Source

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-08-27T03:32:20-0400

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Medical and Biotech [MESH] Definitions

A two-year program in nursing education in a community or junior college leading to an A.D. (Associate Degree). Graduates of this program are eligible for state examination for licensure as RN (Registered Nurse).

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