Translation of the National Institutes of Health Diabetes Prevention Program in African American churches.
J Natl Med Assoc
; 103(3): 194-202, 2011 Mar.
Article
em En
| MEDLINE
| ID: mdl-21671523
ABSTRACT
OBJECTIVE:
To translate the Diabetes Prevention Program (DPP) for delivery in African American churches.METHODS:
Two churches participated in a 6-week church-based DPP and 3 churches participated in a 16-week church-based DPP, with follow-up at 6 and 12 months. The primary outcomes were changes in fasting glucose and weight.RESULTS:
There were a total of 37 participants; 17 participated in the 6-session program and 20 participated in the 16-session program. Overall, the fasting glucose decreased from 108.1 to 101.7 mg/dL post intervention (p=.037), and this reduction persisted at the 12-month follow-up without any planned maintenance following the intervention. Weight decreased 1.7 kg post intervention with 0.9 kg regained at 12 months. Body mass index (BMI) decreased from 33.2 to 32.6 kg/m2 post intervention with a final mean BMI of 32.9 kg/m2 at the 12-month check (P<.05). Both the 6- and 16-session programs demonstrated similar reductions in glucose and weight; however, the material costs of implementing the modified 6-session DPP were $934.27 compared to $1075.09 for the modified 16-session DPP.CONCLUSION:
Translation of DPP can be achieved in at-risk African Americans if research teams build successful community-based relationships with members of African American churches. The 6-session modified DPP was associated with decreased fasting glucose and weight similar to the 16-session program, with lowered material costs for implementation. Further trials are needed to test the costs and effectiveness of church-based DPPs across different at-risk populations.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Negro ou Afro-Americano
/
Programas de Rastreamento
/
Diabetes Mellitus Tipo 2
/
Promoção da Saúde
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Screening_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Natl Med Assoc
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos