Online Program

Comparison of Baseline Characteristics between Adolescents Recruited in Community versus Clinical Sites in a Pilot Diabetes Prevention Study

Sunday, November 1, 2015

Nita Vangeepuram, MD, MPH, Icahn School of Medicine at Mount Sinai, New York, NY
Kenya Townsend, BS, Icahn School of Medicine at Mount Sinai, New York, NY
LaTanya Phelps-Waldropt, PhD, Icahn School of Medicine at Mount Sinai, New York, NY
Guedy Arniella, LCSW, Institute for Family Health, New York, NY
Carol R. Horowitz, MD, MPH, Population health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY
BACKGROUND:  We used a community-based participatory research approach to develop TEEN HEED (Help Educate to Eliminate Diabetes), a peer-led diabetes prevention program for pre-diabetic ethnic minority adolescents from a low income urban community.

METHODS:  We screened 56 overweight/obese adolescents for pre-diabetes using oral glucose tolerance testing, and administered adiposity and blood pressure measurements and a health and lifestyle survey. We analyzed survey data for 55 adolescents (excluding one girl diagnosed with diabetes) using descriptive statistics and bivariate analyses (chi-square and t-tests) to compare baseline attitudes and behaviors among adolescents recruited in community versus clinical sites.

 RESULTS: Previously undiagnosed pre-diabetes was found in 9/34 (27%) adolescents from community sites and 10/21 (48%) adolescents from clinical sites, p=0.1. Demographic characteristics (gender, race/ethnicity, age, and level of parent education) and BMI did not vary across groups. Adolescents from community sites reported eating smaller portions of cereal (p=0.01) and fast food (p=0.05), greater weekly hours of vigorous physical activity (p=0.03), and fewer hours playing video games (p=0.04). Adolescents from community sites also had higher physical activity self-efficacy (p=0.05), higher self-esteem (p=0.08), greater body satisfaction (p=0.08), less media internalization of body image (p=0.007), and higher levels of friend support (p=0.006). Adolescents from clinical sites were more likely to eat meals with their family >4 times per week (p=0.06) and reported higher levels of family support for healthy behaviors (p=0.05).  

 CONCLUSION: Adolescents recruited in community sites had lower prevalence of previously un-diagnosed pre-diabetes, and overall healthier self-reported behaviors and attitudes than those recruited in clinical sites.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
Compare diet and physical activity behaviors and determinants of these behaviors among adolescents recruited for a pilot diabetes prevention program in community versus clinical sites. Discuss potential implications of these differences on youth diabetes risk.

Keyword(s): Youth, Community-Based Research (CBPR)

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an Assistant Professor in the Departments of Pediatrics and Population Health Science and Policy at the Icahn School of Medicine at Mount Sinai. I am currently principal investigator of an NIH funded study to develop, implement and evaluate a community-based youth diabetes prevention program in East Harlem, New York.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.