Community Health Worker Diabetes Prevention Intervention

Study Overview
=================
Brief Summary
-----------------
The primary goal of this study is to develop, implement, and test a community health worker (CHW) program designed to promote diabetes prevention among Korean and South Asian Americans in New York City. In particular, the specific aims of this study are: To utilize community based participatory research (CBPR) methods to expand upon an existing campus-community partnership to develop and implement a CHW program among Korean and South Asian Americans that promotes diabetes prevention; To develop, implement, and assess the efficacy of a CHW intervention to promote diabetes prevention and access to care among NYC Koreans and South Asians.

Official Title
-----------------
Community Health Worker Diabetes Prevention Intervention

Conditions
-----------------
Diabetes Prevention

Intervention / Treatment
-----------------
* Behavioral: Educational group trainings
* Behavioral: Community Health Care Worker


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: is a South Asian or Korean American immigrant; is identified as at-risk by a diabetes risk assessment is between 18-75 years of age; and is willing to be randomized to either treatment or control groups. Exclusion Criteria: is a confirmed diabetic; is on renal dialysis; has an acute or terminal illness or serious mental illness; has a history of recent coronary event within the last 12 months; has a recent history of acute medical problem or admission to hospital; has any other severe medical conditions that might make it difficult to attend educational sessions; has poor short-term prognosis (expected death in <2 years); is planning to travel for longer than 6 weeks during the 6-month intervention period; or is participating in another CVD study.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group 1<br>Participants will receive 6 two and a half hour educational group trainings over the course of 6 months. | Behavioral: Educational group trainings<br>* Participants will receive 6 two and a half hour educational group training's over the course of 6 months. These sessions will be led by a trained CHW in your language and will be held on a monthly basis in a community based location. Session 1: What is Diabetes Why is Prevention Important Session 2: Nutrition Session 3: Physical Activity Session 4: Cardiovascular Disease & Diabetes Complication Session 5: Stress Management Session 6: Access to Service<br>|
| Active Comparator: Group 2<br>A community health worker will answer your questions about diabetes and refer participant if you need one. | Behavioral: Community Health Care Worker<br>* A community health care worker answer your questions about diabetes and refer participant to a physician. Survey will be completed at the start of the study and during the 3rd, 6th and 12th months<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in weight |  | 3 Months, 6 Months, 12 Months | 
| Change in Body Mass Index |  | 3 Months, 6 Months, 12 Months | 
| Change in hip-to-waist ratio measurements |  | 3 Months, 6 Months, 12 Months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Diabetes Prevention