Small Steps for Big Changes - Healthy Cities Implementation Science
PreDiabetesSmall 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 YMCASurrey, British Columbia
Canada
Contact Study Team
Ches Penney Family YMCA
Ches Penney Family YMCASaint John's, Newfoundland and Labrador
Canada
Contact Study Team
YMCA of Regina Health, Fitness and Aquatics Centre
YMCA of Regina Health, Fitness and Aquatics CentreRegina, Saskatchewan
Canada
Contact Study Team
Prince George Family YMCA
Prince George Family YMCAPrince George, British Columbia
Canada
Contact Study Team
Saint John Regional Y
Saint John Regional YSaint John, New Brunswick
Canada
Contact Study Team
YMCA of Greater Toronto - Scarborough Health and Fitness Centre
YMCA of Greater Toronto - Scarborough Health and Fitness CentreScarborough, Ontario
Canada
Contact Study Team
Castle Downs Family YMCA
Castle Downs Family YMCAEdmonton, Alberta
Canada
Contact Study Team
YMCA of Brandon Health and Fitness Centre
YMCA of Brandon Health and Fitness CentreBrandon, Manitoba
Canada
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John W. Lindsay YMCA
John W. Lindsay YMCAHalifax, Nova Scotia
Canada
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Health and Exercise Psychology Laboratory
Health and Exercise Psychology LaboratoryKelowna, British Columbia
Canada
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Elmwood-Kildonan
Elmwood-KildonanWinnipeg, Manitoba
Canada
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YMCA 3 Rivers
YMCA 3 RiversKitchener, Ontario
Canada
Contact Study Team
- Study Sponsored By
- University of British Columbia
- Participants Required
- More Information
- Study ID:
NCT06440395