United for Health: Type 2 Diabetes Prevention in Latino Teens
Condition: Prediabetic State; Insulin Resistance; Type2 Diabetes; Stress; Adolescent Development; Family Research
MeSH terms: Diabetes Mellitus; Diabetes Mellitus, Type 2; Insulin Resistance; Prediabetic State
Study type: Interventional

Summary: 
      This study pilots the feasibility and acceptability of a family-based lifestyle intervention
      for decreasing diabetes risk called "Salud sin Barreras" (meaning, "Health without Barriers")
      delivered in the community to Latino teens at risk for type 2 diabetes. This program combines
      traditional lifestyle intervention to change eating and physical activity with learning
      mindfulness-based stress reduction tools. We also are exploring how Salud sin Barreras lowers
      stress and improves insulin resistance in Latino teens, as compared to lifestyle-only
      intervention, the "La Vida Saludable" (meaning, the Healthy Living Program; HeLP).
    

Detailed description: 
      This study is a comparative effectiveness pilot trial to evaluate the feasibility and
      acceptability of a 12-session community-delivered, family-based type 2 diabetes preventative
      lifestyle intervention, delivered over 6 weeks, that includes mindfulness-based stress
      reduction training - "Salud sin Barreras" (meaning, "Health without Barriers") - in up to 50
      Hispanic/Latino adolescents who are at-risk for developing type 2 diabetes. We also will
      estimate the effectiveness of Salud sin Barreras for lowering perceived stress and improving
      insulin resistance as compared to a time-matched lifestyle-only intervention, the "La Vida
      Saludable" (meaning, the Healthy Living Program; HeLP) in Hispanic/Latino adolescents at-risk
      for type 2 diabetes. In addition, we will estimate the impact of the Salud sin Barreras
      program, relative to HeLP, on the secondary outcomes of mindfulness, depressive symptoms,
      disinhibited eating behavior, sleep quality, physical activity, cortisol, and perceived
      impact of discrimination.
    

Intervention name(s): CookingMatters; Parent Education; Physical Activity; Health Education; Mindfulness-based Stress Reduction; Brief Mindfulness Intervention
Intervention type(s): Behavioral; Behavioral; Behavioral; Behavioral; Behavioral; Behavioral
Intervention description(s): Nutrition education and hands-on cooking lessons for the whole family; Parenting, physical activity and nutrition education, and family health education for parents; Physical fitness activities for teens; Health knowledge curriculum for adolescents; Adolescent mindfulness curriculum; Parent-based education and experiential learning of mindfulness-based tools
Other intervention name(s): Hey Durham; Learning to Breathe; Learning to Breathe, Parent Education
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Participants are assigned to one of two or more group conditions in parallel for the duration of the study - (1) Salud sin Barreras or (2) La Vida Saludable. Both of these programs meet for 6 weeks, twice per week for 12 total 2-hour sessions. Youth are assessed at baseline, post-treatment, and 6-month follow-up.
Masking: None (Open Label)
Primary purpose: Prevention