9 hours ago
A #Digital #Diabetes Prevention Program for Hispanic Adolescents (Fit24+): #Protocol for a Feasibility #RCT #ClinicalTrial
Background: Hispanic youth are disproportionately impacted by obesity and subsequent type 2 #Diabetes (T2D) yet remain underrepresented in #Diabetes prevention #Research. #Digital health interventions hold promise for increasing the accessibility to and engagement in disease prevention programming, particularly among high-risk populations. However, there is a significant gap in the literature regarding #Digital T2D prevention programs for adolescents or Hispanic youth. Objective: The objective of this article is to describe the #Protocol for examining the feasibility of a 12-week #Digital #Diabetes prevention program among Hispanic adolescents with obesity. Methods: Participants (N=40; aged 12-16 years) will be randomized (1:1) to a 12-week intervention group or a control group. Youth in the intervention group will receive access to an e-learning platform with 12 nutrition and wellness video content sessions, a Fitbit Charge 5, and daily SMS text messages grounded in the self-determination theory to promote physical activity. Youth in the standard control group will receive information on diet and physical activity guidelines and guidance on setting behavior change goals. The #Study findings will focus on the evaluation of feasibility criteria: (1) recruitment of 40 Hispanic adolescents aged 12 to 16 years; (2) retention of 80% of the participants for postassessments; (3) integrity of the #Study #Protocol, defined as 70% or higher completion of content sessions and Fitbit wear on 5 days per week or more with response to 80% of SMS text messages when prompted; (4) 10% or lower incidence of technical issues; and (5) 80% or higher satisfaction among participants. Results: This #Study was funded in August 2022 and intervention implementation is ongoing. To date, 35 participants have been enrolled. #Study findings will be available before December 2026 and will focus on an evaluation of the a priori feasibility criteria on participant recruitment, data collection, integrity of the #Study #Protocol, technical issues, and satisfaction. #Study findings will also focus on secondary outcomes. Conclusions: The feasibility and process evaluation data obtained from this #Study will provide novel insights on the use of #Digital T2D prevention strategies among Hispanic youth and families and will inform the development of future #Digital health interventions among high-risk pediatric populations. Trial Registration: ClinicalTrials.gov NCT06943001; https://clinicaltrials.gov/#Study/NCT06943001 International Registered Report Identifier (IRRID): PRR1-10.2196/75331
JMIR Res Protocols: A #Digital #Diabetes Prevention Program for Hispanic Adolescents (Fit24+): #Protocol for a Feasibility #RCT #ClinicalTrial
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