Couple-based lifestyle intervention to prevent type 2 diabetes

PreventT2 Together: Examining the Efficacy of Couple-based Lifestyle Intervention to Prevent Type 2 Diabetes

This study is testing if a lifestyle program for couples can help high-risk adults prevent type 2 diabetes by encouraging healthy changes together.

Quick facts

• Phase: NA
• Study type: Interventional
• Enrollment: 324 (estimated)
• Ages: 18 Years and up
• Sex: All
• Sponsor: University of Utah (other)
• Locations: 1 site (Salt Lake City, Utah)
• Trial ID: NCT06690788 on ClinicalTrials.gov

What this trial studies

This research aims to evaluate the effectiveness of a couple-based lifestyle intervention designed to prevent type 2 diabetes among partnered adults at high risk. The intervention focuses on enhancing lifestyle changes through the support of romantic partners, addressing both individual behaviors and the shared environment of couples. The study will recruit 162 couples from community and healthcare settings, assessing the impact of relationship satisfaction and perceived partner support on lifestyle changes. By engaging couples, the study seeks to improve retention rates and health outcomes in populations disproportionately affected by diabetes.

Who should consider this trial

Good fit: Ideal candidates are couples where both partners are at high risk for type 2 diabetes and have lived together for at least one year.

Not a fit: Patients who already have a diagnosis of type 2 diabetes or other chronic diseases may not benefit from this intervention.

Why it matters

Potential benefit: If successful, this intervention could significantly reduce the incidence of type 2 diabetes among at-risk couples by fostering healthier lifestyles through mutual support.

How similar studies have performed: Previous studies have shown promise in couple-based interventions for health behavior change, suggesting potential success for this approach.

Eligibility criteria

Inclusion Criteria:

1. "Target partner" is eligible for the National DPP per CDC eligibility requirements:

   * BMI ≥ 25 kg/m² (≥ 23 kg/m² if Asian American), and
   * Do not have a diagnosis of type 1 or type 2 diabetes, and
   * Not currently pregnant, and
   * High risk for type 2 diabetes based on: (i) CDC Prediabetes Risk Test score ≥ 5, (ii) clinically diagnosed Gestational Diabetes during a previous pregnancy (for women), or (iii) a blood test result indicative of prediabetes in the past year (i.e., fasting blood glucose 100-125 mg/dl; plasma glucose 140-199 mg/dl measured 2 hours after a 75 g glucose load; or HbA1c 5.7%-6.4%).
2. The couple has lived together for 1+ years.
3. Both partners are willing to participate in the research.
4. Both partners are at least 18 years old.
5. Both partners are fluent in English.

EXCLUSION CRITERIA:

1. "Supporting partner" has a diagnosis of Type 2 Diabetes.
2. Either partner:

   * Has a diagnosis of another chronic disease (unless no major events/changes for 3+ months), or
   * Is currently on medication or engaged in lifestyle intervention for prediabetes or obesity, or
   * Has previously participated in the National DPP, or
   * Reports discomfort participating in a lifestyle program with their partner, or
   * Reports a low level of relationship commitment (i.e., "4" or lower on a scale from 1 (do not agree at all) to 7 (agree completely) on the item "I want this relationship to stay strong no matter what rough times we encounter."; Owen et al., 2011).

Where this trial is running

Salt Lake City, Utah

• University of Utah — Salt Lake City, Utah, United States (RECRUITING)

Study contacts

• Principal investigator: Katherine JW Baucom, PhD — University of Utah
• Study coordinator: Elizabeth Z Beaulieu, B.S.

Conditions: Prediabetic State, Life Style, Intervention Study, Social Support, Physical Activity, Obesity, Lifestyle Intervention, Prevention