PreDiabetes Clinical Trial
Official title:
Small Steps for Big Changes: A Lifestyle Program to Reduce the Risk of Developing Type 2 Diabetes in the Community
The purpose of this study is to address whether inactive individuals with prediabetes who take part in the Small Steps for Big Changes program, which is a 3-week supervised exercise and lifestyle change program with brief counseling, will be more adherent to regular exercise one year after program completion compared to before they took part in the program.
The study is a one-group repeated measures design and the primary outcome is exercise
adherence at 12 months post the 3-week supervised exercise program. There is no randomization
of individuals to conditions. Exercise adherence will be measured using self-report physical
activity (using the Godin leisure time exercise questionnaire) and a subsample will also wear
tri-axial accelerometers to measure total time spent in moderate-to-vigorous physical
activity assessed over 7 days. Secondary outcomes include physical fitness, haemoglobin A1C,
quality of life, self-regulatory efficacy, anthropometrics, diet and exercise-related
cognitive errors.
The 3-week lifestyle program includes six sessions with a lifestyle coach and exercise
sessions performed at home. These sessions will focus on regular healthy lifestyle that
includes walking (or exercise of any kind) at least three times per week and will highlight
simple dietary strategies that are linked to reduced risk of T2D. The 3-week supervised
exercise program includes brief exercise counseling sessions that teach participants
self-regulatory skills to promote independence and long-term adherence to exercise and a
healthy diet. At the conclusion of the three-week program, participants will be asked to
continue exercising a minimum of three times per week for twelve months on their own.
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