PilAm Go4Health Weight Loss Program to Prevent Heart Disease
Condition: Type2 Diabetes
MeSH terms: Heart Diseases; Diabetes Mellitus, Type 2; Weight Loss
Study type: Interventional

Summary: 
      This is a pilot randomized controlled trial intervention to improve lifestyle behaviors
      (physical activity and health diet) for Filipino Americans with type 2 diabetes on metformin.
      If the PilAm Go4Health intervention demonstrates potential efficacy, it may identify
      effective intervention strategies to significantly reduce risks for heart disease risks
      (i.e., metabolic syndrome) in Filipino Americans.
    

Detailed description: 
      Filipino Americans are the second largest Asian population and fastest growing racial group
      in the United States. They have one of the highest rates of insulin resistance (type 2
      diabetes = T2DM) and central obesity (fat distributions primarily in the abdominal region).
      T2DM and central obesity are two of five major risk factors for metabolic syndrome that lead
      to cardiovascular disease and stroke. Key factors contributing to obesity and T2DM in
      Filipinos are their physical inactivity, and a diet high in fat and soda intake. However,
      there are very few research studies on improving health behaviors to reduce risks for
      metabolic syndrome in Filipino Americans. To help reduce the risk of developing metabolic
      syndrome in overweight/obese Filipino Americans with T2DM, the proposed project will test a
      culturally appropriate health behavior intervention program to reduce weight and waist
      circumference, through increasing physical activity, and lowering fat and sugar sweetened
      beverage intake. This intervention uses a mobile phone health app and social networking to
      encourage adherence to target health behaviors. The goals are to:

        1. To assess feasibility and acceptability of the culturally appropriate PilAm Go4Health
           Weight Loss Program

        2. To obtain preliminary estimates of the effect of the intervention on weight

        3. To conduct post-program process evaluations too improve the intervention relevancy for
           the target population.
    

Intervention name(s): PilAm Go4Health Weight-loss Program; Active Control
Intervention type(s): Behavioral; Behavioral
Intervention description(s): This is a 3-month lifestyle intervention program promoting weight loss through physical activity and health diet using a mobile health application (app), pedometer to track daily step-counts, and social networking (in-person and virtual social networking through Facebook) to reduce risks for metabolic syndrome in Filipino Americans with type 2 diabetes on metformin. Subjects will be asked: 1) to use a mobile app diary every day to input their weight, and calories (food and drink intake) and 2) wear a pedometer everyday to monitor their physical activity (step-counts).; This is a 3-month active control using a pedometer only without any education related to wt loss, physical activity, health eating, or tracking healthy behaviors
Other intervention name(s): PilAm Go4Health Program; pedometer only
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Prevention
Keywords: Type 2 diabetes; cardiovascular disease prevention; weight loss lifestyle intervention; physical activity; diet; Filipinos