Overview
Purpose: This study will test the efficacy of a family-focused lifestyle intervention for reducing type 2 diabetes (T2D) risk factors and increasing Quality of Life (QoL) among high-risk Latino families.
Description
Background: T2D disproportionately impacts Latino children, families and communities. The Diabetes Prevention Program (DPP) established that T2D can be prevented in high-risk adults through intensive lifestyle intervention. Although the DPP has been translated to a variety of adult populations and settings, engagement and effectiveness is diminished in minority communities and there are no family-focused diabetes prevention trials for Latinos. The culturally-grounded approach is guided by an Ecodevelopmental model that considers community, family, peer, and individual-level factors that influence health behaviors and health outcomes over time. The study will test the efficacy of a 16-week family-focused lifestyle intervention for reducing T2D risk and increasing QoL among high-risk Latino families as compared to control families. The study will use Integrative Mixed Methods to understand how family structures and processes influence intervention outcomes.
Eligibility
Inclusion/Exclusion Criteria - Children
Inclusion
- Latino: self-report
- Age: 10-16 years
- Obesity: BMI ≥ 95th percentile for age and sex
Exclusion
- Type 2 diabetes: (standard American Diabetes Association criteria)
- Taking medication(s) or diagnosed with a condition that influences carbohydrate metabolism, physical activity, and/or cognition
- Currently enrolled in (or within previous 12 months) a formal diabetes prevention or weight loss program
- Self-identify as American Indian
- Unstable depression or other mental health condition that may impact QoL
II. Inclusion/Exclusion Criteria - Parents
Inclusion
• Parent of a child who meets the above child inclusion/exclusion criteria
Exclusion
- Currently enrolled in (or within previous 12 months) a formal diabetes prevention or weight loss program
- Self-identify as American Indian