Applying Virtual Social Networking to Diabetes Prevention For Filipino Americans

描述（由申请人提供）：菲律宾裔美国人（FA）是美国第二大（340万）亚裔群体，是加州最大（150万）亚裔群体，与非西班牙裔白人、非洲裔美国人和西班牙裔美国人相比，其肥胖和2型糖尿病（T2 DM）患病率最高。然而，在FA中很少有健康相关的研究。改善体力活动（PA）和饮食可以预防或延迟T2 DM，如糖尿病预防计划（DPP）生活方式干预所证明的，从而降低T2 DM风险。然而，实施民进党一直是昂贵的和劳动密集型的。一个更具成本效益的方法可能是使用移动的技术和社交网络。菲律宾人（95%）是狂热的移动的手机用户和领先的Facebook用户。因此，我们建议在一项为期3个月的随机对照试验中，在40名超重FA中采用等待列表主动控制设计，测试一种文化能力强的基于移动的手机的糖尿病预防计划生活方式和社交网络干预（MeetUp-DPP）。目的是：1）评估可行性，2）获得MeetUp-DPP对改善BMI、腰围、空腹血糖、HgbA 1c、PA和饮食的短期效果的初步估计，3）进行项目后过程评估。据我们所知，这将是第一个专门针对超重FA的干预研究。如果 MeetUp-DPP干预证明了可行性和潜在疗效，它将为全规模RCT R18提案奠定基础，以证明干预的成本效益和可扩展性，以显著预防或延迟FA和其他高危人群中T2 DM的发作。

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.