Small Steps for Big Changes - Healthy Cities Implementation Science

Patients Inclusion Criteria: * Community-dwelling adults aged 18 years or older * able to read and speak English * has prediabetes assessed by one of the following means: (a) physician-diagnosed prediabetes, (b) HbA1c values between 5.7 - 6.4% (American Diabetes Association, 2012), (c) an American Diabetes Association risk questionnaire score indicating increased risk (\>5) * Individuals who have previously been diagnosed with type 2 diabetes but who are in remission (defined as achieving glycated hemoglobin (A1C) of \< 6.4% without any diabetes-related medications for a minimum of 3 months) will be eligible to participate. Exclusion Criteria: \- Patients currently diagnosed type 2 diabetes with an HbA1c of 6.5% or greater. Organizational partners Inclusion criteria: \- Senior leadership and/or management of our Canadian YMCA delivery partner organizations Exclusion criteria: N/A Site leads/managers Inclusion criteria: \- YMCA staff who manage/coordinate programs (e.g., general manager of health programs) for each site willing to act as SSBC site lead champion. Exclusion criteria: N/A Coaches Inclusion criteria: Site staff certified as SSBC coaches to deliver the program. Exclusion criteria: N/A