title: Lessons Learned from a Community Based Lifestyle Intervention for Youth at Risk for Type 2 Diabetes.
abstract: OBJECTIVE
  This pilot study examined the feasibility and acceptability of a peer led diabetes prevention intervention for youth in an underserved community.
  
  
  METHODS
  Children and adolescents randomized to the intervention group participated in a one year program which included peer support, physical activity, and family nutrition, and behavior modification sessions. Participants were asked about their satisfaction with the study and possible benefits, what they learned, and whether they would recommend participation to a friend. Youth randomized to the control group received monthly healthy lifestyle educational materials through the mail.
  
  
  RESULTS
  Children and adolescents (n=67) with an average age of 12.5 years and BMI greater than or equal to 85 percentile for age and sex were enrolled in the study. The average monthly participation rate varied between 90 and 50 percent with a mean rate of 82 percent. Ninety four percent of parents reported being very satisfied with the program and all (100%) reported they would recommend the program to a friend. All the children and adolescents (100%) reported that they enjoyed working with the youth peer coaches and 94% felt their assigned coach was a good role model. The observed changes in BMI z-score trended towards improvement in the intervention group, but this study was underpowered to detect differences between groups.
  
  
  CONCLUSIONS
  The peer led diabetes prevention program was feasible and acceptable and demonstrated potential for improving health behaviors.
authors.affiliation: University of Wisconsin-Madison, School of Pharmacy, Madison, USA.
authors.forename: Eva M
authors.initials: EM
authors.lastname: Vivian
authors.affiliation: Departments of Kinesiology and Population Health Sciences, 2035 Gymnasium-Natatorium, 2000 Observatory Drive, Madison, USA.
authors.forename: Lisa H
authors.initials: LH
authors.lastname: Colbert
authors.affiliation: UW School of Medicine and Public Health, Health Sciences Learning Center, Room 4263, 750 Highland Avenue Madison, USA.
authors.forename: Patrick L
authors.initials: PL
authors.lastname: Remington
keywords: Adolescents; Children; Obesity; Prevention; Type 2 diabetes; Youth