Taking Action Together- A Diabetes Prevention Program
Condition: Type 2 Diabetes
MeSH terms: Diabetes Mellitus; Diabetes Mellitus, Type 2
Study type: Interventional

Summary: 
      The purpose of this study was to determine whether once-weekly exposure to a program that
      fostered self-esteem building, and improvements in nutrition and physical activity behaviors
      would reduce risk of type 2 diabetes in overweight, inner-city, African American children
      when compared to a control group.
    

Detailed description: 
      In the United States and, indeed, worldwide the prevalence of overweight and obesity has
      increased at an unprecedented rate. Concomitant with this demographic change are increases in
      diseases including type 2 diabetes, cardiovascular disease and some cancers that are
      associated with body fatness. Strategies to reduce body weight have been largely
      unsuccessful, making it unlikely that our population will be made healthy simply by
      recommending that overweight people reduce their body fatness. There is evidence, however,
      that the impact of body fat on human health can be significantly attenuated by potentially
      achievable strategies. Such strategies require adequate intakes of essential nutrients,
      regular physical activity and strong self-esteem. The goal of the project is to reduce the
      risk of type 2 diabetes mellitus (T2DM) in overweight 9- to 10-year-old African American
      children through a multi-component community-based program. The specific objectives are to
      (1).Implement a randomly controlled 2-phase intervention involving a 2-week summer camp, and
      weekly & monthly reinforcement sessions over 2 years, that include nutrition education,
      physical activity promotion, and self-esteem and self-efficacy building and (2) Test
      effectiveness of the program after 1 and 2 years of intervention on insulin sensitivity, the
      primary outcome, and on secondary outcomes including body fatness, dietary intakes, physical
      activity, and self-esteem. Identifying an effective, community-based program that could
      reduce risk of type 2 diabetes in high-risk children would promote health, reduce disease and
      reduce health-care costs in the future.
    

Intervention name(s): High Intensity; Low Intensity
Intervention type(s): Behavioral; Behavioral
Intervention description(s): High-intensity intervention, Experimental. Participating children were invited to attend a 2 week summer day camp at the beginning of each intervention year, and to attend a weekly, 2 hr interactive session for children. Activities provided hand-on experiences preparing and tasting healthy food alternatives, engaging in a range of physical activities and self-esteem boosting via activities that promoted communication and positive behavioral development.; Low-intensity intervention, Active comparator. Participants were provided with educational materials 4 times yearly.
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Prevention
Keywords: obesity; nutrition; type 2 diabetes; community-based.