Applying Virtual Social Networking to Diabetes Prevention For Filipino Americans

描述(申请人提供)：菲律宾裔美国人(FA)是美国第二大(340万)亚裔群体，在加利福尼亚州(150万)是最大的亚裔群体，与非西班牙裔白人、非裔美国人和西班牙裔美国人相比，他们肥胖症和2型糖尿病(T2 DM)的患病率最高。然而，在FA中与健康相关的研究很少。改善体力活动(PA)和饮食可以预防或延迟T2 DM，糖尿病预防计划(DPP)的生活方式干预证明了这一点，从而降低了T2 DM的风险。然而，实施民进党一直是昂贵和劳动密集型的。一种更具成本效益的方法可能是将移动技术与社交网络结合使用。菲律宾人(95%)是狂热的手机用户，也是Facebook的主要用户。因此，我们建议在一项为期3个月的试验性随机对照试验中测试基于手机的糖尿病预防计划生活方式和社交网络干预(Meetup-DPP)的文化能力，该试验在40名超重FA中进行了等待名单主动对照设计。目的是：1)评估可行性，2)获得Meetup-DPP在改善BMI、腰围、空腹血糖、HgbA1c、PA和饮食方面的短期效果的初步估计，以及3)进行计划后过程评估。据我们所知，这将是第一个有意针对超重足总的干预研究。如果 Meetup-DPP干预证明了可行性和潜在的有效性，它将为全面的RCT R18提案奠定基础，以展示干预的成本效益和可扩展性，显著预防或延迟FA和其他高危人群中T2 DM的发病。

DESCRIPTION (provided by applicant): Filipino Americans (FA) are the second largest (3.4 million) Asian group in the US, and the largest (1.5 million) in California, and have the highest prevalence of obesity and type 2 diabetes mellitus (T2DM) compared to non-Hispanic whites, African Americans and Hispanics. However, there has been little health related research among FA. Improving physical activity (PA) and diet can prevent or delay T2DM, as evidenced by the Diabetes Prevention Program (DPP) lifestyle intervention, resulting in reducing T2DM risks. However, implementing the DPP has been expensive and labor intensive. A more cost-effective approach may be the use of mobile technologies coupled with social networking. Filipinos (95%) are avid mobile phone users and the leading Facebook users. Thus, we propose to test a culturally competent mobile phone-based Diabetes Prevention Program lifestyle and social networking intervention (MeetUp-DPP) in a pilot 3-month RCT with a wait list active control design in 40 overweight FA. Aims are to: 1) assess feasibility, 2) obtain preliminary estimates of the short-term effect of the MeetUp-DPP on improving BMI, waist circumference, fasting plasma glucose, HgbA1c, PA, and diet, and 3) conduct post-program process evaluations. To our knowledge, this will be the first such intervention study intentionally targeting overweight FA. If the MeetUp-DPP intervention demonstrates feasibility and potential efficacy, it will lay the foundation for a full scale RCT R18 proposal to demonstrate intervention cost-effectiveness and scalability to significantly prevent or delay the onset of T2DM in FA and other high-risk populations.