A program to prevent Type 2 Diabetes through diet and exercise
Official title: Small Steps for Big Changes: Implementing an Evidence-Based Diabetes Prevention Program Into Diverse Urban Communities
Run by University of British Columbia · NCT06440395 · Data updated 2026-11-12
This study is testing a program that helps people lower their chances of getting Type 2 Diabetes by teaching them about healthy eating and exercise.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 4400 (estimated) |
| Sponsor | University of British Columbia Academic / other |
| Locations | 12 sites (Edmonton, Alberta and 11 other locations) |
| Status | Recruiting |
| Started | June 3, 2024 |
| Main results expected | September 2029 |
| Study ends | September 2029 |
| Registry record updated | August 3, 2026 |
| Trial ID | NCT06440395 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this program are community-dwelling adults aged 18 and older with prediabetes or those in remission from Type 2 Diabetes.
✕Probably not a fit
Patients currently diagnosed with Type 2 Diabetes and having an HbA1c of 6.5% or greater will not benefit from this program.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Small Steps for Big Changes (SSBC) is an observational program aimed at reducing the risk of developing Type 2 Diabetes (T2D) through diet and exercise counseling. Conducted in partnership with YMCAs across 8 provinces in Canada, the study evaluates both the implementation and effectiveness of the SSBC program. It involves training staff, enrolling patients, and measuring various health outcomes such as blood glucose levels, weight, and exercise habits over a two-year period. The program consists of six sessions delivered over four weeks, focusing on enhancing participants' self-regulatory skills for healthier lifestyle choices.
Why it matters
Potential benefit: If successful, this program could significantly lower the incidence of Type 2 Diabetes among at-risk individuals.
How similar studies have gone: Previous studies have shown success with similar behavioral interventions for diabetes prevention, indicating a promising approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Patients Inclusion Criteria: * Community-dwelling adults aged 18 years or older * able to read and speak English * has prediabetes assessed by one of the following means: (a) physician-diagnosed prediabetes, (b) HbA1c values between 5.7 - 6.4% (American Diabetes Association, 2012), (c) an American Diabetes Association risk questionnaire score indicating increased risk (\>5) * Individuals who have previously been diagnosed with type 2 diabetes but who are in remission (defined as achieving glycated hemoglobin (A1C) of \< 6.4% without any diabetes-related medications for a minimum of 3 months) will be eligible to participate. Exclusion Criteria: \- Patients currently diagnosed type 2 diabetes with an HbA1c of 6.5% or greater. Organizational partners Inclusion criteria: \- Senior leadership and/or management of our Canadian YMCA delivery partner organizations Exclusion criteria: N/A Site leads/managers Inclusion criteria: \- YMCA staff who manage/coordinate programs (e.g., general manager of health programs) for each site willing to act as SSBC site lead champion. Exclusion criteria: N/A Coaches Inclusion criteria: Site staff certified as SSBC coaches to deliver the program. Exclusion criteria: N/A
Where it's running
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Health and Exercise Psychology Laboratory
Kelowna, British Columbia, Canada Recruiting -
Castle Downs Family YMCA
Edmonton, Alberta, Canada Not yet recruiting -
Prince George Family YMCA
Prince George, British Columbia, Canada Not yet recruiting -
Tong Louie Family YMCA
Surrey, British Columbia, Canada Not yet recruiting -
YMCA of Brandon Health and Fitness Centre
Brandon, Manitoba, Canada Not yet recruiting -
Elmwood-Kildonan
Winnipeg, Manitoba, Canada Not yet recruiting
Show 6 more locations
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Saint John Regional Y
Saint John, New Brunswick, Canada Not yet recruiting -
Ches Penney Family YMCA
St. John's, Newfoundland and Labrador, Canada Not yet recruiting -
John W. Lindsay YMCA
Halifax, Nova Scotia, Canada Not yet recruiting -
YMCA 3 Rivers
Kitchener, Ontario, Canada Not yet recruiting -
YMCA of Greater Toronto - Scarborough Health and Fitness Centre
Scarborough Village, Ontario, Canada Not yet recruiting -
YMCA of Regina Health, Fitness and Aquatics Centre
Regina, Saskatchewan, Canada Not yet recruiting
Similar studies
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.