Minority Health Archive

A Randomized Trial of a Church-Based Diabetes Self-management Program for African Americans With Type 2 Diabetes

Samuel-Hodge, C. D. and Keyserling, T. C. and Park, S. and Johnston, L. F. and Gizlice, Z. and Bangdiwala, S. I. (2009) A Randomized Trial of a Church-Based Diabetes Self-management Program for African Americans With Type 2 Diabetes. The Diabetes Educator, 35 (3). p. 439. ISSN 0145-7217

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Abstract

PURPOSE: This study developed and tested a culturally appropriate, church-based intervention to improve diabetes self-management. Research Design and Methods This was a randomized trial conducted at 24 African American churches in central North Carolina. Churches were randomized to receive the special intervention (SI; 13 churches, 117 participants) or the minimal intervention (MI; 11 churches, 84 participants). The SI included an 8-month intensive phase, consisting of 1 individual counseling visit, 12 group sessions, monthly phone contacts, and 3 encouragement postcards, followed by a 4-month reinforcement phase including monthly phone contacts. The MI received standard educational pamphlets by mail. Outcomes were assessed at 8 and 12 months; the primary outcome was comparison of 8-month A1C levels. RESULTS: At baseline, the mean age was 59 years, A1C 7.8%, and body mass index 35.0 kg/m(2); 64% of participants were female. For the 174 (87%) participants returning for 8-month measures, mean A1C (adjusted for baseline and group randomization) was 7.4% for SI and 7.8% for MI, with a difference of 0.4% (95% confidence interval [CI], 0.1-0.6, P = .009). In a larger model adjusting for additional variables, the difference was 0.5% (95% CI, 0.2-0.7, P < .001). At 12 months, the difference between groups was not significant. Diabetes knowledge and diabetes-related quality of life significantly improved in the SI group compared with the MI group. Among SI participants completing an acceptability questionnaire, intervention components and materials were rated as highly acceptable. CONCLUSIONS: The church-based intervention was well received by participants and improved short-term metabolic control.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: church-based intervention, diabetes self-management, African American churches
Subjects: Health > Public Health > Chronic Illness & Diseases > Diabetes
Practice > interventions
Research > studies
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Depositing User: Users 141 not found.
Date Deposited: 07 Jul 2011 13:26
Last Modified: 07 Jul 2011 13:26
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/2672

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