Obesity Clinical Trial
Official title:
The Healthy Living Partnerships to Prevent Diabetes in Veterans Pilot Study
Diabetes and obesity are both major public health concerns and the prevalence of diabetes is even higher in the patient population of the Veterans Administration. This planning project is designed to adapt a successful weight-loss program for delivery through an existing outpatient clinic to reach local Veterans at risk for developing diabetes. The information gathered as a part of this project will be used to plan a larger trial designed to improve the health of Veterans by offering them a diabetes prevention program through their usual source of healthcare.
Type II diabetes and its complications disproportionately affect the patient population
served by the Department of Veterans Affairs (VA). Recent lifestyle interventions have
demonstrated that weight-loss achieved through reductions in calorie intake and increases in
physical activity can prevent or delay the onset of diabetes. The Healthy Living Partnerships
to Prevent Diabetes (HELP PD), a community-based adaptation of the lifestyle intervention
used in the Diabetes Prevention Program, achieved more than a 7% weight loss at 6 months.
In HELP Vets, researchers will test the feasibility of further translating the HELP PD
lifestyle intervention, tailored for use in the Veteran population, in the Kernersville
Community-Based Outpatient Clinic operated by the VA. The investigators plan to recruit 50
overweight or obese Veterans at high risk for developing diabetes from the existing patient
population to participate in a 6-month weight loss intervention led by community health
workers who are also Veterans. As VA outpatient clinics have the requisite infrastructure to
identify, screen, and enroll participants and access to Veteran community health workers from
within their patient populations, they are ideal potential homes for diabetes prevention
programming. Data gathered during this planning grant will be used to develop a large-scale
study to test implementing the HELP Vets intervention in a larger segment of the Veteran
population.
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