Clinical Research Directory

Inclusion Criteria: 1. Family 1.a.) Black Parent/Guardian: age 18 years or older residing in the same household with child (i.e., biological or have legal guardianship for child) 1.b.) Child: age 8-15 years old 2. Parent/Guardian have HbA1c level 5.7-6.4% (prediabetes) 3. Parent/Guardian willing to commit to participation in a 20-month research study and have no plans to move from the area over the next 20-months 4. Parent/child are ambulatory and able to participate in physical activity Exclusion Criteria: 1. Individuals with severe psychological disorders that may prevent/interfere with study participation 2. Physical impairments that may prevent participation in moderate intensity physical activity; 3. Previous diagnosis of diabetes 4. History of congestive heart failure, renal failure, or recent (\<12 months) cardiovascular events such as myocardial infarction or stroke; 5. Person taking medications that may affect endpoint analyses 6. Persons with co-morbid contraindications to physical activity or dietary changes. 7. Currently pregnant or planning to become pregnant in the next year.