Physical Activity Clinical Trial
Official title:
mDPP Pilot RCT of a Motivational Mobile Diabetes Prevention Program (mDPP)
The goals of the study are to:
1. Assess effect sizes of our mDPP intervention on weight loss, physical activity, dietary
intake, and fasting plasma glucose (FPG) levels from baseline to 5 months as compared
to a control group.
2. To explore the association between low heath-literacy levels at baseline and adherence
to mobile phone usage.
3. To conduct process evaluation to gain insights into patient compliance to the mobile
intervention, including usage barriers and acceptability of our mDPP, at 1 and 5 months
using a semi-structured interview method.
The prevalence of type 2 diabetes (T2DM) continues to rise at an alarming rate in the United
States. A greater risk of diabetes is observed for ethnic/racial minority and lower
socioeconomic status (SES)groups as compared to Caucasians of similar ages. Several clinical
trials have tested intensive lifestyle interventions or pharmacologic agents in preventing
or delaying T2DM in adults at risk. These trials (e.g.the Diabetes Prevention Program)
consistently show impressive diabetes risk reductions using lifestyle interventions, such as
relatively modest amounts of weight loss and exercise. However these programs have been
expensive to implement and sustain over time in clinical settings or communities.
Mobile technologies are ideal platforms to deliver and disseminate such lifestyle
modification programs to a much broader ethnic/racial minority population, making them more
cost effective. Today, 87% of adults in the U.S. own a mobile phone. In particular, usage of
non-voice services (such as text messaging or mobile internet) in African-Americans and
non-white Hispanics is significantly higher than their Caucasian counterparts. In contrast,
ethnic /racial minority populations are much less likely to own a computer at home compared
to their Caucasian counterparts. Given the rapid diffusion of mobile technologies in
ethnic/racial minority populations, we need to understand how to apply mobile persuasive
technologies to such lifestyle modification programs.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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