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Social Determinants and a Diabetes Prevention Program Tailored for African Americans
Addressing Social Determinants of Health to Improve Diabetes Prevention Program Outcomes Among Underserved African Americans (FIT4ALL Project)
Who can join
Ages 18 and older · All sexes · Healthy volunteers welcome
Full eligibility criteria
Inclusion Criteria: * Black/African American * Overweight (\[BMI\> 24); and * Diagnosed with prediabetes OR pre-diagnosed with gestational diabetes OR high risk result on prediabetes risk test Exclusion Criteria: * Diagnosed with diabetes * Pregnant * Not fluent in English * Currently pregnant, planning a pregnancy in the next year, currently breastfeeding or have given birth in the last 6 months * Currently participating in a weight loss program * Currently have a medical condition that causes drastic weight loss * Bariatric weight loss surgery in last year * Cannot walk a 1-block distance without assistance and without stopping due to pain, tightness, or pressure in the chest * Had heart failure * Not willing to use a fitness tracker, wi-fi scale, and the internet * Not available in the evening one day each week to participate in a class
About the study
African Americans (AAs) have rates of diabetes mellitus (DM) twice that of Whites and are disproportionately affected by leading risk factors for DM - obesity and low-income. A critical strategy in the battle against DM is the Diabetes Prevention Program (DPP), an evidence-based intervention that significantly delays or prevents Type 2 diabetes through the promotion of diet change, exercise and modest weight loss. However, weight loss from the DPP among AAs is about half that of White participants, and suboptimal AA attendance is a critical contributor. The investigators propose to conduct a study that will address social determinants (SD) that challenge DPP attendance with underserved African Americans from a safety net hospital. The investigators will examine DPP attendance and weight loss with participants randomized to 3 groups: standard DPP, a culturally-tailored DPP to address acceptability, and a culturally-tailored DPP enhanced to address socioeconomic-related barriers to DPP participation. This novel study is the first to tailor the DPP to address SD cultural and socioeconomic barriers that limit DPP attendance and reduce its effectiveness on outcomes. The proposed multidimensional, SD tailored DPP has great potential to be a feasible and scalable model to reduce DM risks among urban, African Americans and ultimately reduce DM disparities.
What is being tested
- Culturally Tailored Diabetes Prevention Program (behavioral)
- Culturally Tailored DPP Enhanced with Socioeconomic Supports (behavioral)
- Diabetes Prevention Program (behavioral)
Sponsor: University of Missouri, Kansas City · Participants: 360 · Started: Jul 20, 2022
Contact the study team
- Christopher Winders · Phone: 18162355370
- Carole Bowe Thompson · Phone: 8162356062
Official record on ClinicalTrials.gov — NCT05301413
Locations in the U.S.
| Missouri | University Health, Kansas City (Not yet recruiting) University of Missouri-Kansas City, Kansas City |
Conditions
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.