Small Steps for Big Changes - Healthy Cities Implementation Science

Launched by UNIVERSITY OF BRITISH COLUMBIA · May 27, 2024

Keywords

ClinConnect Summary

The "Small Steps for Big Changes" trial is exploring a program designed to help people with prediabetes make healthy lifestyle changes through diet and exercise counseling. This program, called SSBC, aims to lower the risk of developing Type 2 Diabetes by teaching participants how to improve their eating habits and increase physical activity. The study is taking place in partnership with YMCAs across Canada and will look at how well the program is delivered and its impact on participants' health over two years.

To join the trial, individuals must be at least 18 years old, able to read and speak English, and have prediabetes either diagnosed by a doctor or indicated by specific blood test results. People who are in remission from Type 2 Diabetes can also participate. Participants can expect to receive support in making healthier choices, and their progress will be monitored to see how their health improves. This study is currently recruiting participants and aims to help many people take important steps toward better health.

Gender

ALL

Eligibility 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