PASO A PASO: Tailored Diabetes Prevention Program for Spanish-Speaking Communities Feasibility Study
PASO A PASO Pilot Study: Tailored Diabetes Prevention Program for Spanish-Speaking Communities Feasibility Study
1 other identifier
interventional
45
1 country
1
Brief Summary
The interdisciplinary and interprofessional community-academic partnership (CAP) has been working with Spanish-speaking H/L Salt Lake City residents and organization leaders to adapt the National Diabetes Prevention Program to meet the needs of this population. This next collaboration phase attempts to finalize the adapted diabetes prevention program, "Paso a Paso," and evaluate its feasibility and implementation strategies. The purpose of this pilot study is to inform the necessary modifications to the Paso a Paso diabetes prevention intervention, ensuring that the full-scale future intervention is both feasible and effective for the target community.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jul 2025
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2025
CompletedFirst Submitted
Initial submission to the registry
January 7, 2026
CompletedFirst Posted
Study publicly available on registry
February 6, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2026
CompletedFebruary 6, 2026
January 1, 2026
9 months
January 7, 2026
January 29, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Weight percent change
Will be measured in kilograms using a calibrated Tanita WB-100A scale.
Baseline, 4-month, 12-month (exploratory)
Secondary Outcomes (1)
% HbA1c
Baseline, 4-month, 12-month (exploratory)
Other Outcomes (5)
Waist circumference
Baseline, 4-month, 12-month (exploratory)
Physical activity
Baseline, 4-month, 12-month (exploratory)
Dietary intake
Baseline, 4-month, 12-month (exploratory)
- +2 more other outcomes
Study Arms (1)
Community-based organizations leaders and community members
EXPERIMENTALPaso a Paso is a 12-month program designed for H/L community members who are at high risk for T2D and want to lower their risk.
Interventions
Cultural components will include fostering a sense of belonging, collaboration, support, interaction, and respect. Program structure: Paso a Paso is designed to include weekly 90-minute in-person sessions over the first 4 months of the program, which will transition to monthly sessions over the final 8 months of the intervention. All sessions will include hands-on skill development, group and social activities, and addressing assets for diabetes prevention available in the community. Finally, the intervention also includes an online community forum to support ongoing social support and information provision.
Eligibility Criteria
You may not qualify if:
- Bariatric surgery in the last 2 years or planned during the next year
- Edematous state that interferes with body weight assessment (e.g., severe congestive heart failure, end-stage renal disease, or ascites)
- Current or planned pregnancy in the next year
- Current breastfeeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Utah
Salt Lake City, Utah, 84132, United States
Related Publications (13)
Wells R, Yates L, Morgan I, deRosset L, Cilenti D. Using the Wilder Collaboration Factors Inventory to Strengthen Collaborations for Improving Maternal and Child Health. Matern Child Health J. 2021;25(3):377-84. Epub 2020/11/29. doi: 10.1007/s10995-020-03091-2. PubMed PMID: 33247823; PMCID: PMC7956933.
BACKGROUNDRitchie ND, Sauder KA, Phimphasone-Brady P, Amura CR. Rethinking the National Diabetes Prevention Program for low-income whites. Diabetes care. 2018;41(4):e56-e7. doi: 10.2337/dc17-2230.
BACKGROUNDMattessich PW, Johnson KM. Collaboration: What Makes It Work: Turner Publishing Company; 2018.
BACKGROUNDRitchie ND, Christoe-Frazier L, McFann KK, Havranek EP, Pereira RI. Effect of the National Diabetes Prevention Program on weight loss for English- and Spanish-speaking Latinos. Am J Health Promot. 2017;32(3):812-5. doi: 10.1177/0890117117698623.
BACKGROUNDTuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Rastas M, Salminen V, Uusitupa M. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. The New England journal of medicine. 2001;344(18):1343-50. Epub 2001/05/03. doi: 10.1056/nejm200105033441801. PubMed PMID: 11333990.
BACKGROUNDThe National Registry of Recognized Diabetes Prevention Programs 2024: Centers for Disease Control and Prevention; [cited 2024 March 24]. Available from: https://dprp.cdc.gov/Registry.
BACKGROUNDRitchie ND, Baucom KJ, Sauder KA. Current perspectives on the impact of the National Diabetes Prevention Program: building on successes and overcoming challenges. Diabetes Metab Syndr Obes. 2020;13:2949-57. doi: 10.2147/dmso.s218334.
BACKGROUNDDiabetes Prevention Program Research Group. The Diabetes Prevention Program (DPP): description of lifestyle intervention. Diabetes care. 2002;25(12):2165-71. doi: 10.2337/diacare.25.12.2165. PubMed PMID: 12453955; PMCID: PMC1282458.
BACKGROUNDLópez L, Golden SH. A new era in understanding diabetes disparities among U.S. Latinos-all are not equal. Diabetes care. 2014;37(8):2081-3. doi: 10.2337/dc14-0923.
BACKGROUNDNational diabetes statistics report: Centers for Disease Control and Prevention; 2024 [updated May 5, 2024; cited 2024 June 30]. Available from: https://www.cdc.gov/diabetes/php/data-research/index.html#:~:text=Among%20the%20U.S.%20population%20overall,Table%201a%3B%20Table%201b).
BACKGROUNDAlemán JO, Almandoz JP, Frias JP, Galindo RJ. Obesity among Latinx people in the United States: A review. Obesity. 2023;31(2):329-37. doi: 10.1002/oby.23638.
BACKGROUNDVespa J, Medina L, Armstrong D. Demographic turning points for the United States: population projections for 2020 to 2060: US Census Bureau; 2020 [updated February 2020; cited 2024 July 27]. Available from: https://www.census.gov/content/dam/Census/library/publications/2020/demo/p25-1144.pdf.
BACKGROUNDCommunity Research Collaborative. (2021). In it together: Community-based research guidelines for communities and higher education. Salt Lake City, UT: University of Utah.
BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Molly B Conroy, MD, MPH
University of Utah
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor and Chief, Division of General Internal Medicine
Study Record Dates
First Submitted
January 7, 2026
First Posted
February 6, 2026
Study Start
July 1, 2025
Primary Completion
March 31, 2026
Study Completion
March 31, 2026
Last Updated
February 6, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL
- Time Frame
- 01/2027-01/2028
- Access Criteria
- Access will be limited to investigators with demonstrated scientific merit and the capacity to securely manage human subjects data. Shared data will exclude direct identifiers and comply with IRB approvals and HIPAA requirements for data-sharing expectations.
De-identified individual participant data (IPD) will be shared with qualified researchers upon reasonable request, following publication of the primary study results.