ArticleContemporary clinical trials communications2026
Design of a digital health intervention to promote prediabetes health literacy and behavior change among young adults.
Article in Contemporary clinical trials communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Young adulthood and college life are important periods for establishing health behaviors but are also associated with weight gain, reduced physical activity, dietary changes, and increased stress, which may elevate future risk for prediabetes and type 2 diabetes. Students attending institutions in under-resourced settings may face additional environmental barriers to adopting and maintaining healthy behaviors. Despite the promise of digital health interventions, few programs are specifically tailored or designed for young adults to navigate health behavior promotion and change in their immediate environment and often characterized as low-resourced areas. Methods: BeFAB-NCCU (Be Fit, Active, & Balanced) is a tailored, multi-component digital health intervention adapted from a previously tested mobile health (BeFAB [Be Fit After Baby]) program that leveraged the diabetes prevention program (DPP) to support postpartum weight and diabetes risk. The intervention also based on the DPP integrates health literacy, nutrition, physical activity, stress management, and social support using a combination of app- and web-based, and in-person community events. Development includes formative mixed-methods research, community advisory board input, and iterative co-creation with students. The intervention will be evaluated in a randomized controlled trial (RCT) over 24 weeks. Results: BeFAB-NCCU was designed to address behavioral and contextual determinants of health, including self-efficacy, perceived norms, health literacy, social support, and environmental barriers. Digital engagement and intervention dosage will be examined as potential mechanisms linking intervention exposure to weight-related and behavioral outcomes. Conclusions: BeFAB-NCCU is a theory-driven, contextually tailored digital intervention designed to promote healthy weight management and reduce future diabetes risk among university students. Findings will inform the feasibility, effectiveness, and future adaptation of digitally delivered health-promotion interventions for students attending institutions in under-resourced settings.
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