Skills for Change: Nutrition Education Program for Emirati Adults With Type 2 Diabetes

February 8, 2020 updated by: Habiba I. Ali, United Arab Emirates University

Skills for Change: Implementation of a Community-based Diabetes Nutrition Education Program for Emirati Adults With Type 2 Diabetes

The "Skills for Change" Diabetes Nutrition Education Program was a one-year, community-based conducted in Ambulatory Health Care Services health centers in Al Ain. The project involved nutrition education to improve blood glucose control, diet and physical activity levels of Emirati adults with type 2 diabetes.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Despite the high prevalence of diabetes and its complications in the UAE, very few diabetes education intervention studies have been conducted in a representative population in the country. The Skills for Change Program was a one-year, community-based, cluster randomized study involving Emirati adults with type 2 diabetes. We implemented a behavioral lifestyle intervention to improve glycemic control, food choices, and physical activity levels and to decrease sedentarity. The project was culturally adapted to Emirati adults with type 2 diabetes and was driven by theoretical principles of behavior change and education to enhance intervention effectiveness.

Study Type

Interventional

Enrollment (Actual)

382

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

20 years to 70 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • United Arab Emirates national
  • Type 2 diabetes
  • Adults: Male and female
  • Age: 20-70 years
  • Attending one of the 7 health centers in Al Ain managed by the Ambulatory Healthcare Services.

Exclusion Criteria:

  • Type 1 diabetes
  • Age >70 Years
  • Medical conditions that prevent active participation in the program, based on recommendation of the attending physicians
  • Participating in other nutrition intervention programs

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention
Behavioral Lifestyle Intervention (3 health centers): In addition to usual care in the health center, the intervention included individual counseling and group education on nutrition and physical activity.
Behavioral: Behavioral Lifestyle Intervention
In addition to usual care in the health center, the intervention included 7 visits with the health center dietitian for individual nutrition counseling, invitation for group nutrition education (5 sessions), individual counseling for physical activity, invitation for a 6-weekly structured group physical activity, DVD on physical activity to perform physical activity at home.
Active Comparator: Control
Control (4 health centers): Patients received usual care including education as part of the diabetes management from their healthcare professionals (physicians and nurses), normally every 2-3 months. Visits with the health center dietitian were arranged as per physician referral.
Behavioral: Usual Care
Patients received usual care including education as part of the diabetes management from their healthcare professionals (physicians and nurses), normally every 2-3 months. Visits with the health center dietitian were arranged as per physician referral.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Change in HbA1c
Time Frame: 12 months
12 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Total Cholesterol, LDL, HDL and Triglycerides
Time Frame: 12 months
12 months
Change in Dietary Intake (Total Calories, Saturated Fat, Cholesterol, Dietary Fiber and Sodium)
Time Frame: 12 months
Dietary intake was assessed using 24 hour recall with USDA Multiple Pass Method
12 months
Change in Physical Activity (total METs and total duration)
Time Frame: 12 months
Physical Activity was assessed using International Physical Activity Questionnaire Short Form.
12 months
Change in Sitting time (minutes)
Time Frame: 12 months
Sitting time was assessed using International Physical Activity Questionnaire Short Form.
12 months
Change in Weight
Time Frame: 12 months
12 months
Change in BMI
Time Frame: 12 months
12 months
Change in Nutrition Knowledge
Time Frame: 12 months
Questionnaire was used to assess knowledge of food sources of carbohydrates and dietary fiber
12 months
Change in Diabetes Treatment Satisfaction Score
Time Frame: 12 months
Diabetes Treatment Satisfaction Questionnaire (Bradley,C) was used
12 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

United Arab Emirates University

Collaborators

Ambulatory Healthcare Services, Al Ain, UAE
Sheikh Hamdan bin Rashid Al Maktoum Award for Medical Sciences

Investigators

  • Principal Investigator: Habiba I. Ali, PhD, RD,CDE, United Arab Emirates University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 20, 2011

Primary Completion (Actual)

November 28, 2013

Study Completion (Actual)

December 24, 2013

Study Registration Dates

First Submitted

February 8, 2020

First Submitted That Met QC Criteria

February 8, 2020

First Posted (Actual)

February 11, 2020

Study Record Updates

Last Update Posted (Actual)

February 11, 2020

Last Update Submitted That Met QC Criteria

February 8, 2020

Last Verified

February 1, 2020

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 10/48

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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