There are significant disparities in the prevalence of overweight/obesity, with African-American urban adolescents and young adults commnonly affected. Many of them develop metabolic arrangements characteristic of pre-type 2 diabetes and, without intervention, eventually progress to type 2 diabetes. Behavioral interventions are required to motivate behavioral change, reduce weight, and eventually prevent the development of type 2 diabetes. Cell phone text messaging has already shown promise in engaging diabetic youth and young adults to self monitor their blood glucose. Cell phones are portable, widely used and accepted by adolescents and young adults. Exciting preliminary evidence is available suggesting that use of Web-enabled cell phone technology is useful in the management of adult patients with diabetes. The overall objective of the proposed study is to implement and rigorously evaluate the preventive benefits in adolescents of this innovative program successfully applied in adult patient management that includes state of- the-art communications and networking technologies. To achieve this objective, the specific aim of this proposal is to compare the effectiveness of a lifestyle change intervention delivered either using state-of-theart communications and networking technologies or using Lifestyle Group Visits. Young adults 18-24 years of age with a diagnosis of pre- type 2 diabetes will be referred to the Howard University Hospital Diabetes Treatment Center for participation in this project. Participants will be recruited from clinics at Howard University Hospital, a minority-serving institution. Eligible and consenting youth will be randomized to one of the 2 treatment groups as described above. A validated measure of patient activation will be the primary outcome, and be assessed at baseline, three months, six months and one year following intervention. Both within and between group changes will be assessed, and additional biophysiologic outcomes (body mass index and hemoglobin AlC) will also be monitored at the same time points. Study findings have significant implications in addressing an important disparity in early health morbidity. Our analyses will test whether the extension of cell phone technology with access to health information through web-enabled PHR'and educational portals yield promise as a preventive intervention among African American late adolescents/young adults at risk for type 2 diabetes.

Public Health Relevance

Minority populations have been severely affected by obesity and type 2 diabetes. This study proposes the use of cell phone networking technology to enhance lifestyle skills to prevent type 2 diabetes in high risk African American adolescents/young adults. This program has already demonstrated to be effective in adult diabetes management.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Exploratory Grants (P20)
Project #
5P20MD000198-13
Application #
8676496
Study Section
Special Emphasis Panel (ZMD1-RN)
Project Start
Project End
Budget Start
2014-06-01
Budget End
2015-05-31
Support Year
13
Fiscal Year
2014
Total Cost
$219,813
Indirect Cost
$24,313
Name
Howard University
Department
Type
DUNS #
056282296
City
Washington
State
DC
Country
United States
Zip Code
20059
Amin, Dipti; Ford, Ronald; Ghazarian, Sharon R et al. (2016) Parent and Physician Perceptions Regarding Preventability of Pediatric Readmissions. Hosp Pediatr 6:80-7
Parker, Elizabeth M; Lindstrom Johnson, Sarah R; Jones, Vanya C et al. (2016) Discrepant Perspectives on Conflict Situations Among Urban Parent-Adolescent Dyads. J Interpers Violence 31:1007-25
Joyner, Brandi L; Oden, Rosalind P; Moon, Rachel Y (2016) Reasons for Pacifier Use and Non-Use in African-Americans: Does Knowledge of Reduced SIDS Risk Change Parents' Minds? J Immigr Minor Health 18:402-10
Das, Breanne B; Ronda, Jocelyn; Trent, Maria (2016) Pelvic inflammatory disease: improving awareness, prevention, and treatment. Infect Drug Resist 9:191-7
Lindstrom Johnson, Sarah; Reichenberg, Raymond; Bradshaw, Catherine P et al. (2016) Caregiver and Adolescent Discrepancies in Perceptions of Violence and Their Associations with Early Adolescent Aggression. J Youth Adolesc 45:2125-37
DeCamp, Lisa Ross; Leifheit, Kathryn; Shah, Harita et al. (2016) Cross-cultural validation of the parent-patient activation measure in low income Spanish- and English-speaking parents. Patient Educ Couns 99:2055-2062
Many, Gina M; Lutsch, Andrea; Connors, Kimberly E et al. (2016) Examination of Lifestyle Behaviors and Cardiometabolic Risk Factors in University Students Enrolled in Kinesiology Degree Programs. J Strength Cond Res 30:1137-46
Mathews, Anita; Oden, Rosalind; Joyner, Brandi et al. (2016) Differences in African-American Maternal Self-Efficacy Regarding Practices Impacting Risk for Sudden Infant Death. J Community Health 41:244-9
Allen, Delenya; Belcher, Harolyn M E; Young, Allen et al. (2016) BMI, Body Image, Emotional Well-Being and Weight-Control Behaviors in Urban African American Adolescents. Int J Child Health Nutr 5:55-104
Bixenstine, Paul J; Cheng, Tina L; Cheng, Diana et al. (2015) Association Between Preconception Counseling and Folic Acid Supplementation Before Pregnancy and Reasons for Non-Use. Matern Child Health J 19:1974-84

Showing the most recent 10 out of 67 publications