pre-start intervention - trial of an interactive family based lifestyle programme

Conditions: Type 2 Diabetes; Chronic Disease; Obesity

Summary: to investigate whether the interactive family based lifestyle programme leads to behaviour change at 6 months with the primary outcome being increased levels of moderate to vigorous physical activity (mvpa).

to investigate whether the lifestyle programme results in changes to the following outcomes 3 and 6 months after baseline assessment (child) * an increase in objectively measured total amount of physical activity * an increase in the proportion meeting mvpa guidelines (measured objectively) * reduction in time spent sedentary (measured objectively and self-reported) * change in self-reported physical activity * reduction in measures of adiposity (body mass index percentile, per cent body fat) * improvement in psychological factors that may mediate physical activity participation (self-efficacy, motivation, attitudes, social support and enjoyment of physical activity; and physical self-perceptions) * change in healthy food provision and parenting practices for healthy food * improvement in diet composition. * improvement in knowledge of physical activity and nutrition. * improvement in cardio-metabolic variables (blood pressure, glucose, hba1c, cholesterol) the investigators will also include qualitative data collected from: * evaluation forms following each intervention workshop session which will be completed by the parent/guardian, child and facilitator * feedback from focus groups to be held following completion of the total intervention i.e. 8 sessions to investigate whether the lifestyle programme results in changes to the following outcomes 3 and 6 months after baseline assessment (parent(s)/guardian(s)) * an increase in objectively measured total volume of physical activity * an increase in the proportion meeting mvpa guidelines (measured objectively) * reduction in time spent sedentary (measured objectively and self-reported) * change in self-reported physical activity * reduction in measures of adiposity (body mass index percentile, per cent body fat) * change in healthy food provision and parenting practices for healthy food * improvement in diet composition. * improvement in knowledge of physical activity and nutrition.

Eligibility criteria:
inclusion criteria: parents/guardians will answer questions in the eligibility questionnaire about their child and family health history. participants will be invited to participate if they are 12-14 years old inclusive (12 years 0 days to 14 years 354 days old) and are identified as having the following risk factors for development of type 2 diabetes (which will be identified from the eligibility questionnaire): bmi \> 95th percentile for age and gender or bmi \> 85th percentile plus one other from the following list: * family history of diabetes (first degree relative). * non-white ethnicity. * watching tv/play computer games for more than 2 hours a day (self-report). * sugar intake more than 1.5 cans (or 532 ml) of fizzy pop/fruit juice per day (self-report). exclusion criteria: young people will not be eligible for participation in the study if they are outside the age range of interest (\ 14 years and 1 day), have an existing diagnosis of type 1 or type 2 diabetes, \< 85th percentile. young people will also be excluded if they themselves do not provide written assent or their parent/guardian does not provide written consent.