ClinicalTrials.gg
CompletedNCT03382873Updated Apr 11, 2024Results posted

Augmented Care at Worksite for Diabetes Prevention

An interventional study of Group Lifestyle Balance (GLB) and Group Lifestyle Balance Plus (GLB+) in PreDiabetes, sponsored by Ohio State University. Completed at 1 site in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2024-04-11.

Sponsored by Ohio State University · Not applicable, Interventional, and Prevention

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Phase
Not applicable
Study type
Interventional
Enrollment
208
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 10 studies in Prediabetic State by Ohio State University — 1 open to participants now, 3 under way, none of them phase 3. Prediabetic State · Ohio State University.

Enrollment
2nd of 10
208 · median 72
Started
2018
the only one that year
No phase
9 of 10
1 open now
Registered
6th of 10
by date

Among the 10 studies in Prediabetic State by Ohio State University, this one is the 2nd largest by enrollment, is the only one that started in 2018, is one of 9 with no phase, and was the 6th registered.

Prediabetic State

918 studies on the registry are indexed under Prediabetic State; 231 are open to participants now.

Browse Prediabetic State studies →

Open to participants now

1 of the 10 studies in Prediabetic State by Ohio State University is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

Where they have run

Who these studies take

Of the 144 Prediabetic State studies recruiting now, 51 (35%) set no upper age limit and 83 (58%) stop at 75 or younger; 12 take children under 18; 54 take healthy volunteers.

This study: 21 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 10 studies in Prediabetic State by Ohio State University, or all of them as a file.
02

Study summary

The purpose of the study was to evaluate the impact of augmented care at the worksite through a lifestyle intervention for diabetes prevention among employees with prediabetes who were slower to respond to a standard diabetes prevention intervention.

Read the detailed description

Employees at the Ohio State University (OSU) with prediabetes participated in a standard lifestyle intervention (Group Lifestyle Balance) for diabetes prevention. Participants who did not achieve >2.5% weight loss at week 5 of the intervention were stratified to the augmented intervention (Group Lifestyle Balance Plus) at week 5. The impact of the augmented intervention compared to the standard intervention was determined at 4, 12 and 18 months from baseline to determine if implementing early enhanced training helped participants achieve and maintain weight loss similar to those who received the standard intervention.

03

Conditions studied

  • PreDiabetes

Keywords

  • Hyperglycemia
  • Obese
  • Overweight
04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Benefits-eligible Ohio State University (OSU) employee
  2. Intend to be employed by OSU through the length of the follow-up phase
  3. : >24 kg/m\^2 non-Asians; >22 kg/m\^2 Asians
  4. Fasting blood glucose of 100-125 mg/dL or an A1c of 5.7-6.4%
  5. Blood glucose of 110-199 (if non-fasting in previous 2 hours)

Exclusion criteria

Exclusion Criteria:

  1. Blood glucose level of ≥ 200 mg/dL
  2. Conditions that would limit adoption of light/moderate physical activity (i.e., cardiac event, severe , advanced arthritis, poorly controlled hypertension)
  3. Chronic use of medications that affect blood glucose levels (i.e., )
  4. Concurrent participation in a structured weight loss program or counseling for bariatric surgery
  5. Pregnant or breastfeeding
  6. Score of ≥ 10 on the Patient Health Questionnaire-8 indicating moderate to severe depressive symptoms
  7. Score of ≥ 27 on the Binge Eating Scale indicating the potential for binge eating
  8. Unwilling to accept randomization
  9. Planning to move from the area or changing employment.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
208 participants (actual)

Study arms

  • Active comparator
    Group Lifestyle Balance (GLB)

    Standard lifestyle intervention to promote weight loss

    Behavioral: Group Lifestyle Balance (GLB)

  • Experimental
    Group Lifestyle Balance Plus (GLB+)

    Augmented lifestyle intervention for early slow responders

    Behavioral: Group Lifestyle Balance Plus (GLB+)

Interventions

  • BehavioralGroup Lifestyle Balance (GLB)

    The intervention included the following key features: group-based sessions led by a lifestyle coach; a structured, state-of-the-art, 16-session core-curriculum that emphasized behavioral self-management strategies for weight loss and physical activity; 8-months of extended care with bimonthly or monthly sessions; self-monitoring of diet and physical activity.

  • BehavioralGroup Lifestyle Balance Plus (GLB+)

    The GLB+ intervention arm included participants who did not achieve the targeted percent weight loss by week 5 and incorporated enhanced training in values clarification, mindful decision making, planning, and problem solving. GLB+ included the same number of group-based sessions as GLB.

06

What researchers measure

Primary outcomes

  1. Percent Weight Change

    Change in weight as measured in light clothing and shoes removed

    Time frame: baseline and 4-months

  2. Percent Weight Change

    Change in weight as measured in light clothing and shoes removed

    Time frame: baseline and 12-months

  3. Percent Weight Change

    Change in weight as measured in light clothing and shoes removed

    Time frame: 12-months and 18-months

Secondary outcomes

  1. Fasting Glucose

    Fasting glucose from a fingerstick sample

    Time frame: baseline and 4-months

  2. Fasting Glucose

    Fasting glucose from a fingerstick sample

    Time frame: baseline and 12-months

  3. Fasting Glucose

    Fasting glucose from a fingerstick sample

    Time frame: 12-months and 18-months

07

Results

Posted Apr 11, 2024
Limitations and caveats
Four participant cohorts did not complete the 18-month visit due to pandemic-related restrictions during the SARS-CoV-2 pandemic. Thus, the 18-month outcomes include a smaller sample and should be interpreted with caution.

Participant flow

Employees from a Midwestern university with overweight or obesity and prediabetes were recruited from 2018-2021.

Participant flow — Overall Study
MilestoneGroup Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)
Started86122
Completed 4-months80111
Randomized at 5-months9496
Completed 12-months8788
Completed 18-months5560
Completed5560
Not completed3162
Withdrew: Lost to follow-up910
Withdrew: Withdrawal by subject611
Withdrew: Visit not completed due to pandemic1641

Outcome measures

PrimaryPercent Weight Change

Change in weight as measured in light clothing and shoes removed

Time frame:
baseline and 4-months
Reported as:
Least squares mean · percent change
Percent Weight Change
percent changeGroup Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)
Percent Weight Change-8.13 ± 0.48-3.46 ± 0.31
Statistical analysis
  • Group Lifestyle Balance (GLB) vs Group Lifestyle Balance Plus (GLB+) · ANOVA · p = <0.0001
PrimaryPercent Weight Change

Change in weight as measured in light clothing and shoes removed

Time frame:
baseline and 12-months
Reported as:
Least squares mean · percent change
Percent Weight Change
percent changeGroup Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)
Percent Weight Change-9.55 ± 0.96-4.00 ± 1.05
Statistical analysis
  • Group Lifestyle Balance (GLB) vs Group Lifestyle Balance Plus (GLB+) · ANOVA · p = 0.0001Intervention sequence and sex were used as independent predictors in the model.
PrimaryPercent Weight Change

Change in weight as measured in light clothing and shoes removed

Time frame:
12-months and 18-months
Reported as:
Least squares mean · percent change
Percent Weight Change
percent changeGroup Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)
Percent Weight Change2.22 ± 0.592.28 ± 0.56
Statistical analysis
  • Group Lifestyle Balance (GLB) vs Group Lifestyle Balance Plus (GLB+) · ANOVA · p = 0.9476Intervention sequence and sex used as independent predictors in the model.
SecondaryFasting Glucose

Fasting glucose from a fingerstick sample

Time frame:
baseline and 4-months
Reported as:
Least squares mean · mg/dL
Fasting Glucose
mg/dLGroup Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)
Fasting Glucose-7.01 ± 1.13-3.18 ± 0.98
Statistical analysis
  • Group Lifestyle Balance (GLB) vs Group Lifestyle Balance Plus (GLB+) · ANOVA · p = 0.0112Treatment group, time and their interaction were fixed effects and participants were random effects
SecondaryFasting Glucose

Fasting glucose from a fingerstick sample

Time frame:
baseline and 12-months
Reported as:
Least squares mean · mg/dL
Fasting Glucose
mg/dLGroup Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)
Fasting Glucose-4.30 ± 1.57-4.04 ± 1.70
Statistical analysis
  • Group Lifestyle Balance (GLB) vs Group Lifestyle Balance Plus (GLB+) · ANOVA · p = 0.9085Intervention sequence and sex used as independent predictors in the model.
SecondaryFasting Glucose

Fasting glucose from a fingerstick sample

Time frame:
12-months and 18-months
Reported as:
Least squares mean · mg/dL
Fasting Glucose
mg/dLGroup Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)
Fasting Glucose-1.21 ± 2.282.71 ± 2.08
Statistical analysis
  • Group Lifestyle Balance (GLB) vs Group Lifestyle Balance Plus (GLB+) · ANOVA · p = 0.2063Intervention sequence and sex used as independent predictors in the model.

Adverse events

Collected over 18 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group Lifestyle Balance (GLB)0/86 (0%)2/86 (2.3%)4/86 (4.7%)
Group Lifestyle Balance Plus (GLB+)1/122 (0.8%)3/122 (2.5%)13/122 (10.7%)
Most frequent serious events
Most frequent serious events
EventGroup Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)
Colon abscessGastrointestinal disorders1/860/122
Hand surgerySurgical and medical procedures1/860/122
Hamstring tearMusculoskeletal and connective tissue disorders0/861/122
Hip replacementSurgical and medical procedures0/861/122
ArrythmiaCongenital, familial and genetic disorders0/861/122
Most frequent other events
Most frequent other events
EventGroup Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)
Muscle sorenessMusculoskeletal and connective tissue disorders2/868/122
Knee or hip painMusculoskeletal and connective tissue disorders4/865/122

Baseline characteristics

Excludes people who withdrew from the study following stratification to treatment group

Age, Continuous
Age, Continuous(years)Group Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)Total
Mean52.7 ± 10.051.5 ± 10.252.1 ± 10.1
Sex: Female, Male
Sex: Female, Male(Participants)Group Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)Total
Female5090140
Male302151
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Group Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)Total
Hispanic or Latino145
Not Hispanic or Latino79105184
Unknown or Not Reported022
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Group Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)Total
American Indian or Alaska Native011
Asian5813
Native Hawaiian or Other Pacific Islander000
Black or African American51823
White7081151
More than one race011
Unknown or Not Reported022
Body weight
Body weight(kg)Group Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)Total
Least squares mean102.6 ± 2.7102.5 ± 2.3102.5 ± 1.8
Fasting glucose
Fasting glucose(mg/dL)Group Lifestyle Balance (GLB)Group Lifestyle Balance Plus (GLB+)Total
Least squares mean109.24 ± 1.14107.58 ± 0.99108.1 ± 0.71
08

Study locations

1 site
  • The Ohio State University
    Columbus, Ohio 43210, United States
09

References and documents

Publications

  • Miller CK, Nagaraja HN, Cheavens J, Fujita K, Lazarus S. Impact of a Novel Diabetes Prevention Intervention for Early Slow Weight Loss Responders Among Adults With Prediabetes: An Adaptive Trial. Diabetes Care. 2022 Oct 1;45(10):2452-2455. doi: 10.2337/dc22-0824. PubMed 36041053 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — De-identified data will be released to other researchers using a data-sharing agreement that specifies that the data will be used only for research purposes and only by the specified individuals to whom the data are released. Documentation of Institutional Review Board approval for the proposed use must be provided in advance to the PI. The data must be either destroyed or returned to the PI after all analyses are completed.

Supporting information: Clinical study report

Time frame: The data will be available following all analyses and publication of primary and secondary study results. The data will be available upon request.

Access criteria: To be developed

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2018 to primary completion in Apr 2022, 50 months.

Results were first posted in Apr 2024, 1 year 11 months after primary completion.

Of 378 non-industry interventional studies with no phase under Prediabetic State, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 38. This study's 50 months is above that.

Counting every sponsor, half of 424 studies reached it within 23 months; a quarter within 11 and three quarters within 37.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 19, 2017
First posted
Dec 26, 2017
StartActual
Feb 8, 2018
Primary completionActual
Apr 15, 2022
CompletionActual
Apr 15, 2022
Results first posted
Apr 11, 2024
Last update
Apr 11, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 11, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03382873
Responsible party
Carla Miller (Professor (current affiliation at Indiana University), Indiana University) — Principal investigator
First posted
Dec 26, 2017
Start date
Feb 8, 2018
Primary completion
Apr 15, 2022
Completion
Apr 15, 2022
Results posted
Apr 11, 2024
Last update
Apr 11, 2024

Study contacts

Carla Miller, Ph.D.
principal investigator · The Ohio State University (during study implementation)

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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