A Mobile Based Diabetes Prevention Program

Therapuetic Areas:Endocrinology
Age Range:35 - Any
Start Date:April 2012
Contact:Ami A Patel, MPH

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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 improving fasting plasma glucose
levels(FPG), weight loss, diet, and physical activity 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.

Inclusion Criteria:

- Sedentary lifestyle at work and/or during leisure time

- Intend to be physically active

- Are over 35 years of age

- Access to a home telephone or a mobile phone

- Speak and read English

- Are not physically active

- Have no disabilities that limit physical activity

- Have high blood sugar (fasting blood sugar 100-125) but do not have diabetes

Exclusion Criteria:

- Known medical conditions or other physical problems that need special attention in
an exercise program

- Plan a trip abroad during the first 5 months of the study period.

- Pregnant/Delivered a baby during the last 6 months

- Known severe hearing or speech problem

- Currently participate in lifestyle modification programs or research studies that
may potentially confound the results of the study

- History of gastric bypass surgery or future plans for gastric bypass surgery in the
next 5 months

- Already taking medication for diabetes

- Recovery from addiction

- Known eating disorders

- Bmi over 25 if non-Asian or over 23 if Asian
We found this trial at
533 Parnassus Ave
San Francisco, California 94122
(415) 476-9000
University of California - San Francisco The leading university exclusively focused on health, UC San...
San Francisco, CA
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