Adapting and Assessing the Feasibility of a Telehealth Diabetes Prevention Program for Hispanic Adolescents
Baylor College of Medicine
Summary
Hispanic adolescents are disproportionately burdened by type 2 diabetes (T2D). Social determinants of health (SDoH) serve as barriers to behavior change and participation in disease prevention efforts, especially among vulnerable adolescents. Telehealth is a potentially effective approach for delivering disease prevention programs as it addresses some SDoH like transportation, childcare needs, and parent work schedules. Unfortunately, there are no theory- or evidence-based telehealth diabetes prevention program for Hispanic adolescents. Therefore the purpose of this study is to adapt an evidence-based diabetes prevention program for delivery via telehealth and to test the feasibility of this study among Hispanic adolescents (12-16 years) with obesity.
Description
Hispanic adolescents (N=24) and parents (N=24) will be invited to participate in at least three study activities across Phases 1-3 and will be compensated. In Phase 1, adolescents and parents will participate in separate focus groups. As an alternative to the focus group, youth will have the opportunity to answer the same questions via an interactive survey. The purpose of these focus groups is to elicit perceptions of Self-Determination Theory (SDT), text messages, desired program features, and gather quantitative data (survey) on technology use. For this study, the SDT constructs will includ…
Eligibility
- Age range
- 14–16 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Self-report as Hispanic * obese, defined as body mass index percentile (BMI%) ≥ 95th percentile * ages of 12-16 years * owns his or her own cellphone Exclusion Criteria: * Taking a medication (i.e. steroids) or diagnosed with a condition (i.e. sleep apnea) that influences activity, sleep, and/or cognition * Recent hospitalization or injury that prevents normal physical activity * Pregnant * Currently enrolled in an exercise program or currently using a personal activity monitoring device like Fitbit * Taking medications or diagnosed with a condition that influences act…
Interventions
- BehavioralFit24+
This is a digital diabetes prevention program for adolescents that leverages a Fitbit device, rule-based chatbot, and eLearning platform to deliver a comprehensive nutrition and physical activity lifestyle intervention to Hispanic adolescents with obesity.
Location
- USDA/ARS Children's Nutrition Research Center, Baylor College of MedicineHouston, Texas