Scaling Up the Small Steps for Big Changes Diabetes Prevention Program in Canadian Urban Communities Evaluating Implementation and Health Outcomes for Adults with Prediabetes

What this Trial Is About

Researchers are evaluating the Small Steps for Big Changes SSBC program, a diet and exercise counseling initiative aimed at reducing the risk of developing Type 2 Diabetes T2D among adults with prediabetes. This study partners with YMCAs across eight Canadian provinces to scale up and assess both the implementation and effectiveness of SSBC in diverse urban communities. The research focuses on how well the program is delivered and its impact on patient health outcomes over time. Participants engage in the SSBC program, which includes six sessions over four consecutive weeks. Each session offers 20 to 30 minutes of counseling to build self-regulation skills for healthy eating and exercise, followed by 20 to 30 minutes of supervised aerobic exercise. The program is delivered by YMCA community facility trainers, and participants also complete three additional exercise sessions independently. There is no randomization all enrolled individuals receive the same intervention. During the study, participants are observed for up to two years after completing the program. Researchers measure changes in diabetes status, blood sugar levels, weight, fitness, diet, and exercise habits. They also track program adoption, attendance, delivery costs, and participant satisfaction. Assessments include health questionnaires, physical measures, and healthcare resource use, helping to understand both the clinical and cost-effectiveness of SSBC over time.

Small Steps for Big Changes - Healthy Cities Implementation Science