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Small Steps for Big Changes - Healthy Cities Implementation Science

PreDiabetes

Small Steps for Big Changes (SSBC) is a diet and exercise counselling program that significantly reduces the risk of developing Type 2 Diabetes (T2D). In partnership with YMCAs in Canada spanning 8 provinces, the aim of this study is to scale-up program delivery and evaluate the implementation and effectiveness of SSBC. To evaluate implementation, the number of staff trained/patients enrolled, attendance, sessions delivered as planned, delivery costs, and number of sites continuing to deliver the program will be examined. To evaluate program effectiveness, changes in patient health (e.g., T2D status, blood glucose, weight, exercise, diet) will be measured over 2 years following program completion.

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Participation Requirements

  • Sex:

    ALL
  • Eligible Ages:

    18 and up

Participation Criteria

Patients

Inclusion Criteria:

* Community-dwelling adults aged 18 years or older
* able to read and speak English
* has prediabetes assessed by one of the following means: (a) physician-diagnosed prediabetes, (b) HbA1c values between 5.7 - 6.4% (American Diabetes Association, 2012), (c) an American Diabetes Association risk questionnaire score indicating increased risk (\>5)
* Individuals who have previously been diagnosed with type 2 diabetes but who are in remission (defined as achieving glycated hemoglobin (A1C) of \< 6.4% without any diabetes-related medications for a minimum of 3 months) will be eligible to participate.

Exclusion Criteria:

- Patients currently diagnosed type 2 diabetes with an HbA1c of 6.5% or greater.

Organizational partners

Inclusion criteria:

- Senior leadership and/or management of our Canadian YMCA delivery partner organizations

Exclusion criteria: N/A

Site leads/managers

Inclusion criteria:

- YMCA staff who manage/coordinate programs (e.g., general manager of health programs) for each site willing to act as SSBC site lead champion.

Exclusion criteria: N/A

Coaches

Inclusion criteria:

Site staff certified as SSBC coaches to deliver the program.

Exclusion criteria: N/A

Study Location

Tong Louie Family YMCA
Tong Louie Family YMCA
Surrey, British Columbia
Canada

Contact Study Team

Primary Contact

Alyssa O'Connor

[email protected]
604.320-5846
Ches Penney Family YMCA
Ches Penney Family YMCA
Saint John's, Newfoundland and Labrador
Canada

Contact Study Team

Primary Contact

Sherry Squires

[email protected]
YMCA of Regina Health, Fitness and Aquatics Centre
YMCA of Regina Health, Fitness and Aquatics Centre
Regina, Saskatchewan
Canada

Contact Study Team

Primary Contact

Steve Compton

[email protected]
Prince George Family YMCA
Prince George Family YMCA
Prince George, British Columbia
Canada

Contact Study Team

Primary Contact

Alyssa O'Connor

[email protected]
250 562 9341
Saint John Regional Y
Saint John Regional Y
Saint John, New Brunswick
Canada

Contact Study Team

Primary Contact

Sherry Fitzgerald

[email protected]
YMCA of Greater Toronto - Scarborough Health and Fitness Centre
YMCA of Greater Toronto - Scarborough Health and Fitness Centre
Scarborough, Ontario
Canada

Contact Study Team

Primary Contact

Samantha Casmey

[email protected]
Castle Downs Family YMCA
Castle Downs Family YMCA
Edmonton, Alberta
Canada

Contact Study Team

Primary Contact

Jody Kyle

[email protected]
YMCA of Brandon Health and Fitness Centre
YMCA of Brandon Health and Fitness Centre
Brandon, Manitoba
Canada

Contact Study Team

Primary Contact

Lon Cullen

[email protected]
John W. Lindsay YMCA
John W. Lindsay YMCA
Halifax, Nova Scotia
Canada

Contact Study Team

Primary Contact

Joy Chiekwe

[email protected]
Health and Exercise Psychology Laboratory
Health and Exercise Psychology Laboratory
Kelowna, British Columbia
Canada

Contact Study Team

Primary Contact

Mary E June, PhD

[email protected]
250-807-8419
Elmwood-Kildonan
Elmwood-Kildonan
Winnipeg, Manitoba
Canada

Contact Study Team

Primary Contact

Casie Nishi

[email protected]
204-831-2972
YMCA 3 Rivers
YMCA 3 Rivers
Kitchener, Ontario
Canada

Contact Study Team

Primary Contact

Crystal Hughes

[email protected]
(613) 921-4159
Study Sponsored By
University of British Columbia
Participants Required
More Information
Study ID: NCT06440395