Multilevel Lifestyle Intervention to Improve Physical Function in Older Adults With Type 2 Diabetes

Purpose

The purpose of this study is to explore strategies to effectively implement senior-center-based multilevel lifestyle interventions adapted from evidence-based lifestyle interventions to promote physical function and quality of life in diverse older adults with Type 2 Diabetes (T2D).

Condition

  • Type 2 Diabetes

Eligibility

Eligible Ages
Over 60 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  1. Adults aged ≥60 years 2. Self-reported T2D diagnosis with verification from a health report 3. Live within the census tract of the selected senior center, or a member of the senior center 4. No significant cognitive impairment as defined by MMSE (score≥20) (46) which may influence diabetes self-management 5. Can speak and understand either English or Spanish 6. Agree to participate in the study procedures

Exclusion Criteria

  1. Severe chronic conditions without physician's permission to participate (e.g., severe heart disease and end-stage renal disease); 2. Unwillingness to sign the consent form; and 3. Enrollment in other diabetes management programs

Study Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Intervention Model Description
A pre-post-test study to assess the implementation outcomes and preliminary health responses
Primary Purpose
Health Services Research
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Lifestyle intervention group
The study team will assess improvements in physical function assessed by the short physical performance battery and other health-related measures (diabetes knowledge, self-efficacy, social support, physical activity, diet consumption, HbA1c, and quality of life).
  • Other: Adapted Look Ahead Lifestyle Intervention
    Participants will be educated about improving healthy lifestyles involving physical activity and healthy eating to improve physical function and improve glycemic control.
    Other names:
    • Multilevel Lifestyle Intervention

Recruiting Locations

University Health System Texas Diabetic Institute
San Antonio, Texas 78207
Contact:
Yan Du, PhD MPH RN
duy@uthscsa.edu

More Details

Status
Recruiting
Sponsor
The University of Texas Health Science Center at San Antonio

Study Contact

Yan Du, PhD, MPH
210-567-2170
duy@uthscsa.edu

Detailed Description

Aim 1: Work with community stakeholders including individuals with T2D, family members, and senior center staff to adapt evidence-based lifestyle interventions, and develop implementation strategies. Aim 2: Conduct a senior-center-based 24-week pre- and post-pilot study and collect recruitment, enrollment, retention rate, fidelity, program satisfaction and experience, and stakeholder acceptance using quantitative and qualitative data. Aim 3: Assess the preliminary health-related responses to the intervention in older adults with T2D in the 24-week trial.