Early access
Sign in
Not yet taking people in United StatesNo phase

An Enhanced Diabetes Prevention Program for African American Adults With Prediabetes

Tests a tailored lifestyle program for weight loss in African American adults with prediabetes.

Key facts

Who runs it
University of Missouri, Kansas City
Where
Kansas City, United StatesSee the site
Trial code
Registry title
Addressing Food Access and Physical Activity to Improve Diabetes Prevention Outcomes Among Underserved African Americans
Status
Not yet recruiting
People taking part
408 people, planned
Starts
4 Jan 2027
Expected to end
28 Feb 2031
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Culturally-tailored, enhanced adaption of Diabetes Prevention Program
Record updated
9 June 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for African American adults with prediabetes who belong to, or use the outreach services of, a participating church. It compares two diabetes prevention programs for weight loss.

Age
18 years or older
Sex
All sexes can join
Disease stage
Prediabetes, shown by a risk score of 5 or higher, or by body mass index above 24 or past gestational diabetes together with a blood sugar test in the prediabetes range (A1c 5.7-6.4, fasting glucose 100-125 mg/dL (5.6–6.9 mmol/L), or oral glucose tolerance test 140-149 mg/dL (7.8–8.3 mmol/L))

Main reasons for not taking part

  • Pregnant, breastfeeding or planning pregnancy in the next year
  • Blood pressure of 160 systolic or higher, or 100 diastolic or higher, without medical clearance
  • Cannot do low-impact physical activity
  • Does not speak English
  • Lives in the same household as a participant from a different church

The registry criteria, word for word

Show all 8 criteriaShow less

Who can take part

  • Members of a participating church or user of a participating church's outreach services
  • Age 18 years or older
  • Prediabetic (score of 5 or higher in the National Diabetes Prevention Program Risk Score or ([body mass index > 24 or history of gestational diabetes] and (5.7-6.4 A1v, 100-125 mg/dL fasting plasma glucose, or 140-149 mg/dL oral glucose tolerance test)

Who cannot take part

  • Individuals with unsafe blood pressure levels (160 systolic or higher or 100 diastolic or higher) without a medical clearance firn
  • Individuals who are pregnant, breastfeeding or planning to become pregnant in the next year
  • Individuals who are not able to engage in low-impact physical activity
  • Individuals who do not speak English
  • Individuals who live in a household with a participant in this study at a different church

Where in United States

  • University of Missouri-Kansas CityKansas City, United StatesContact: Jenifer E Allsworth, PhDNot yet recruiting

About the trial

What the trial wants to find out

The goal of this clinical trial is to learn if an enhanced, culturally, socially, and structurally tailored Diabetes Prevention Program (E-DPP) can improve weight loss and related diabetes risk factors in African American adults with prediabetes living in low-income, socially vulnerable communities.

Read full original descriptionShow less

The main questions it aims to answer are:

* Does the enhanced DPP (E-DPP) lead to greater percent weight loss at 6 and 12 months compared to the standard culturally tailored DPP (S-DPP)? * How do social determinants (e.g., food insecurity, stigma, access to resources) influence weight loss and engagement in lifestyle behaviors?

Researchers will compare a standard culturally tailored DPP (S-DPP) to an enhanced DPP (E-DPP) to see if improving access to healthy food, physical activity, and community resources increases weight loss and improves diabetes-related outcomes.

Participants will

1. Attend DPP sessions delivered in community settings (e.g., churches) 2. Receive lifestyle education focused on diet, physical activity, and weight loss 3. Engage in physical activity (including in-class exercise sessions [E-DPP only] and community-based options) 4. Receive support for healthy eating, including food deliveries ([E-DPP only]), food selection guidance, and referrals to food assistance programs 5. Receive information and support for accessing community resources for food and physical activity

The 2 groups in the trial

  • Standard Diabetes Prevention Program (S-DPP)Existing treatment, for comparison

    Standard DPP (S-DPP) is a 12-month, in-person lifestyle intervention based on the CDC PreventT2 curriculum, delivered by community peer coaches across 22 sessions (16 core, 6 maintenance). Coaches conduct pre-program outreach and a pre-session addressing diabetes disparities, goal setting, and attendance barriers. Each session includes weigh-ins with REDCap capture, review of self-monitoring logs for diet, activity, and goals, and guided delivery of the curriculum. Participants receive Wi-Fi scales and fitness trackers to support weight loss and physical activity tracking. Certain sessions provide information on local, low- or no-cost food and physical activity resources to support and maintain behavior change.

    Treatment: Culturally-tailored, enhanced adaption of Diabetes Prevention Program

  • Enhanced Diabetes Prevention Program (E-DPP)Treatment being tested

    Enhanced DPP (E-DPP) is a 12-month intervention based on the CDC PreventT2 curriculum that integrates digital tools, community resources, and culturally tailored supports across 22 sessions (16 core, 6 maintenance). Coaches conduct pre-program outreach and a pre-session addressing diabetes disparities, goal setting, and attendance barriers. Sessions include weigh-ins with REDCap capture, review of self-monitoring logs, and guided curriculum delivery. Participants receive Wi-Fi scales and fitness trackers and access tailored text messages with DPP content and resource links. Coaches provide additional messaging support. The model also includes in-class healthy food distribution and culturally tailored physical activity sessions, as well as information on local low- or no-cost resources to support sustained behavior change.

    Treatment: Culturally-tailored, enhanced adaption of Diabetes Prevention Program

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Addressing Food Access and Physical Activity to Improve Diabetes Prevention Outcomes Among Underserved African Americans
Plain-language title
An Enhanced Diabetes Prevention Program for African American Adults With PrediabetesGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Record updated
9 June 2026