Translation of the National Institutes of Health Diabetes Prevention Program in African American Churches

被引：66

作者：

Boltri, John M. ^{[1
]}

Davis-Smith, Monique ^{[1
]}

Okosun, Ike S. ^{[2
]}

Seale, J. Paul ^{[1
]}

Foster, Barbara ^{[3
]}

机构：

[1] Mercer Univ, Sch Med, Dept Family Med, Macon, GA USA

[2] Georgia State Univ, Coll Hlth & Human Sci, Inst Publ Hlth, Atlanta, GA 30303 USA

[3] Univ Texas SW Med Ctr Dallas, Dept Family & Community Med, Dallas, TX USA

来源：

JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION | 2011年 / 103卷 / 03期

基金：

美国国家卫生研究院;

关键词：

diabetes; prevention; research;

D O I：

10.1016/S0027-9684(15)30301-1

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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/m(2) 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.

引用

页码：194 / 202

页数：9