Clinical trial Recruiting at 1 site Observational Ages 18 and up

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 typeObservational
Ages18 Years and up
SexAll
Enrollment4400 (estimated)
SponsorUniversity of British Columbia
Academic / other
Locations12 sites (Edmonton, Alberta and 11 other locations)
StatusRecruiting
StartedJune 3, 2024
Main results expectedSeptember 2029
Study endsSeptember 2029
Registry record updatedAugust 3, 2026
Trial IDNCT06440395 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

  • 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
  • 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

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.