BMC Public Health
Volume 18, Issue 1, 2018

Protocol for a cluster randomized controlled trial to study the effectiveness of an obesity and diabetes intervention (PASOS) in an immigrant farmworker population (Article) (Open Access)

Borelli M.R. , Riden H.E. , Bang H. , Schenker M.B.*
  • a Department of Public Health Sciences, University of California, Davis, One Shields Ave., Med-Sci 1C, Davis, CA 95616, United States
  • b Department of Public Health Sciences, University of California, Davis, One Shields Ave., Med-Sci 1C, Davis, CA 95616, United States, Western Center for Agricultural Health and Safety, University of California, Davis, One Shields Ave., Davis, CA 95616, United States
  • c Department of Public Health Sciences, University of California, Davis, One Shields Ave., Med-Sci 1C, Davis, CA 95616, United States
  • d Department of Public Health Sciences, University of California, Davis, One Shields Ave., Med-Sci 1C, Davis, CA 95616, United States, Western Center for Agricultural Health and Safety, University of California, Davis, One Shields Ave., Davis, CA 95616, United States

Abstract

Background: Studies have shown that the prevalence of overweight, obesity and diabetes are higher in the largely Hispanic, immigrant farmworker population in California. Though to date, few interventional studies have focused on these issues in this at-risk population. The objective of this paper is to describe the study design of a cluster randomized controlled trial aimed at evaluating the effectiveness of an obesity and diabetes work place intervention in an immigrant farm worker population. Methods: PASOS is an obesity and diabetes intervention program that will be implemented on ranches where immigrant farmworkers spend a considerable amount of time each day. This cluster randomized controlled study will enroll approximately 600 farmworkers. Using a uniform distribution for random number generation, ranches are randomized using a 1:1 ratio as either control or intervention. Baseline data will be taken from eligible participants and analyzed against data collected at the post-intervention, 6-month, 1-year, and 1.5-year follow-ups. The enrollment period is 1.5 years. Discussion: Few studies have been conducted that aim to evaluate the effectiveness of a worksite intervention for obesity and diabetes prevention in a largely Hispanic, farmworker population. This study has been tailored to this population in order to enhance the feasibility of implementation and retention. If successful in reducing obesity and increasing healthy lifestyle choices to reduce diabetes, this study design can be implemented on a larger scale. Trial registration: NCT02480244 . Registered 24 June 2015. © 2018 The Author(s).

Author Keywords

Farmworker Obesity Immigrant intervention Cluster randomized control trial diabetes

Index Keywords

non insulin dependent diabetes mellitus Randomized Controlled Trials as Topic randomized controlled trial (topic) agricultural worker Diabetes Mellitus, Type 2 human obesity Occupational Health Services occupational health service Farmers ethnology Hispanic Americans cluster analysis Humans migrant Hispanic California male Emigrants and Immigrants female risk factor Risk Factors Weight Reduction Programs prevalence weight loss program adult

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85049801262&doi=10.1186%2fs12889-018-5560-0&partnerID=40&md5=73a21b71e84907f347824dd68d498e2f

DOI: 10.1186/s12889-018-5560-0
ISSN: 14712458
Cited by: 1
Original Language: English