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

Not Applicable

Completed

• Conditions: Type 2 Diabetes
• Interventions: Behavioral: Behavioral Lifestyle Intervention; Behavioral: Usual Care

• Registration Number: NCT04264793
• Lead Sponsor: United Arab Emirates University

Brief Summary

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.

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 Timeline

• Study Start: 2011-11-20
• Primary Completion: 2013-11-28
• Study Completion: 2013-12-24
• Status Verified: 2020-02
• Study First Submitted: 2020-02-08
• Study First Submitted QC: 2020-02-08
• Last Update Submitted: 2020-02-08
• Study First Posted: 2020-02-11
• Last Update Posted: 2020-02-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 382

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 & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Behavioral Lifestyle 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.
Control	Usual Care	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.

Primary Outcome Measures

Name	Time	Method
Change in HbA1c	12 months

Secondary Outcome Measures

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

Trial Locations

Locations (1)

Ambulatory Healthcare Services, SEHA; 🇦🇪 Al Ain, United Arab Emirates