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The Aboriginal Youth Mentorship Program (AYMP)

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ClinicalTrials.gov Identifier: NCT01820377
Recruitment Status : Completed
First Posted : March 28, 2013
Last Update Posted : September 5, 2016
Sponsor:
Collaborators:
Manitoba Institute of Child Health
The Lawson Foundation
Information provided by (Responsible Party):
Jon McGavock, University of Manitoba

Brief Summary:
Building on the successes of a communal, relationship based approach to Aboriginal youth mentoring in an after school physical activity program (AYMP), the investigators are evaluating a peer-led approach for diabetes prevention.

Condition or disease Intervention/treatment Phase
Type 2 Diabetes Obesity Behavioral: Aboriginal Youth Mentorship Program Not Applicable

Detailed Description:
Building on the successes of a communal, relationship based approach to Aboriginal youth mentoring in an after school physical activity program (AYMP), the investigators are evaluating a peer-led approach for diabetes prevention. High school students volunteer as mentors, and develop an after-school program that they then deliver to children in grade 4. The mentors meet twice a week. The first day, they develop an activity plan and decide roles and responsibilities to ensure successful delivery of each activity. The second day, they deliver the program to the grade 4s, which incorporates a healthy snack, 45-minutes of physical activity, and educational games/activities. Our primary goal is to determine the health benefits of AYMP; guided by our youth mentors and community advisors, the investigators will also develop a number of research questions that will help us to better understand the social, emotional, physical and spiritual outcomes of the peer-led mentor program. To answer these questions, the investigators will train community members in both qualitative and quantitative methods. The quantitative outcomes of this study include physical activity, waist circumference, obesity rates, and self-esteem. Qualitative methods may include photovoice and focus group interviews. All of these will be used to assess the social determinants of health and contextual features of the program.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 246 participants
Allocation: Non-Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Northern Lights Physical Activity Program for Management of Type 2 Diabetes Early in Life: Aboriginal Youth Mentorship Program
Study Start Date : October 2010
Actual Primary Completion Date : June 2016
Actual Study Completion Date : June 2016

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Aboriginal Youth Mentorship Program
High school students volunteer as mentors, and develop an after-school program that they then deliver to children in grade 4. The mentors meet twice a week. The first day, they develop an activity plan and decide roles and responsibilities to ensure successful delivery of each activity. The second day, they deliver the program to the grade 4 students, which incorporates a healthy snack, 45-minutes of physical activity, and educational games/activities. Grade 4s act as the intervention group.
Behavioral: Aboriginal Youth Mentorship Program
High school students volunteer as mentors, and develop an after-school program that they then deliver to children in grade 4. The mentors meet twice a week. The first day, they develop an activity plan and decide roles and responsibilities to ensure successful delivery of each activity. The second day, they deliver the program to the grade 4s, which incorporates a healthy snack, 45-minutes of physical activity, and educational games/activities. Grade 4s are our intervention group
Other Name: AYMP

No Intervention: Control Group
This group acts as a control, and are not apart of the Aboriginal Youth Mentorship Program



Primary Outcome Measures :
  1. Waist Circumference [ Time Frame: 5 months ]
    The primary outcome will be waist circumference measured at the level of the iliac crest. Waist circumference is a clinically relevant outcome as it is a robust predictor of Type 2 Diabetes in youth and other cardiometabolic outcomes in youth.


Secondary Outcome Measures :
  1. Daily Physical Activity [ Time Frame: 5 months ]
    The secondary outcomes include daily physical activity measured using a pedometer

  2. Rates of overweight/obesity between groups [ Time Frame: 5 months ]
    Rates of overweight and obesity between the groups will be measured before and after the intervention

  3. Self-Efficacy in Peer Interactions [ Time Frame: 5 months ]
    This scale is designed to measure youths' perceptions of their ability to be successful in social interactions. This includes their ability to be persuasive towards peers in positive ways. The questionnaire contains two subscales that measure social self-efficacy in conflict and non-conflict situations. The subscales can be used separately or combined into a total score.

  4. Civic Responsibility Survey [ Time Frame: 5 months ]
    This scale measures youths' community awareness, knowledge, and investment in helping to improve their community.

  5. Teacher-on-Pupil Strengths and Difficulties Questionnaire [ Time Frame: 5 months ]
    The Teacher on Pupil Questionnaire for the Child Cohort recorded specific information about the Study child, such as temperament, academic performance and school preparedness.

  6. Parent Lifestyle Behaviours Questionnaire [ Time Frame: 5 months ]
    Questions about Socioeconomic status, as well as daily physical activity and dietary habits.


Other Outcome Measures:
  1. Social Determinants of Health [ Time Frame: 5 months ]
    The investigators recognize that the structural social determinants of health including income inequality, local wealth, sex and ethnic inequalities are key aspects to adolescent health in Aboriginal adolescents. The investigators also recognize that these are unlikely to change with the AYMP. Therefore the investigators will focus on a series of proximal factors. Using Indigenous approaches (i.e. sharing circles, storytelling) the investigators will explore the influence of the AYMP on (1) respect (a major theme in pilot testing), (2) perceived changes in the school environment, (3) family connectedness, (4) peer influence and (5) health behaviours. If youth prefer to discuss issues in a private setting, opportunities will be provided.



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Ages Eligible for Study:   8 Years to 11 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Grade 4 students. We chose to intervene with youth in grade 4 for four primary reasons: (1) the large majority of youth in grade 4 are in tanner stage 1 and will not experience puberty-related weight gain during the school year; (2) previous experience by our group revealed that attendance throughout the school year is higher in students in grade 4 relative to students in grade 5 or 6; (3) students in grade 4 are old enough to perform low organized games included in the intervention; and (4) retention rates in the intervention are greater than students in grades 5 and 6.

Exclusion Criteria:

  • While all students will be invited to participate in the intervention, for measurement purposes, we will exclude data from those students who may not respond to the intervention or would be unable to participate in the physical activity aspects of the component. This includes children with: (1) musculoskeletal injuries that limit physical activities; (2) treatment for chronic conditions that would elicit weight gain or limit participation in physical activity (insulin, corticosteroids, blood pressure medications); (3) poor attendance (<60% of school days) in the first semester; (4) children whose parents are unwilling to provide consent. Note: the intervention will be offered to youth with chronic conditions, however their data will not be included in the final analysis, due to confounding effects of medications.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01820377


Locations
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Canada, Manitoba
Children's Hospital Research Institute of Manitoba
Winnipeg, Manitoba, Canada, R3E 3P4
Sponsors and Collaborators
University of Manitoba
Manitoba Institute of Child Health
The Lawson Foundation
Investigators
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Principal Investigator: Jonathan M McGavock, PhD University of Manitoba, Manitoba Institute of Child Health
Principal Investigator: Joannie Halas, PhD. University of Manitoba

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Jon McGavock, Associate Professor, University of Manitoba
ClinicalTrials.gov Identifier: NCT01820377     History of Changes
Other Study ID Numbers: H2008:060
First Posted: March 28, 2013    Key Record Dates
Last Update Posted: September 5, 2016
Last Verified: September 2016
Keywords provided by Jon McGavock, University of Manitoba:
Peer-mentoring
Obesity
Type 2 Diabetes
Physical Activity
After-school program
Additional relevant MeSH terms:
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Diabetes Mellitus, Type 2
Diabetes Mellitus
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases