TY - JOUR
T1 - Better Me Within Randomized Trial
T2 - Faith-Based Diabetes Prevention Program for Weight Loss in African American Women
AU - Kitzman, Heather
AU - Mamun, Abdullah
AU - Dodgen, Leilani
AU - Slater, Donna
AU - King, George
AU - King, Alene
AU - Slater, J. Lee
AU - DeHaven, Mark
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was registered at https://clinicaltrials.gov/ : NCT 04082702. This study was funded by a National Institutes of Health grant P20MD006882-2.
Publisher Copyright:
© The Author(s) 2020.
PY - 2021/2
Y1 - 2021/2
N2 - Purpose: Previous DPP translations in African American women have been suboptimal. This trial evaluated a community-based participatory research developed faith-based diabetes prevention program (DPP) to improve weight loss in African American women. Design: This cluster randomized trial allocated churches to faith-based (FDPP) or standard (SDPP) DPP interventions. Setting. African American churches. Subjects. Eleven churches with 221 African American women (aged 48.8 ± 11.2 years, BMI = 36.7 ± 8.4) received the FDPP (n = 6) or SDPP (n = 5) intervention. Intervention: FDPP incorporated 5 faith-based components, including pastor involvement, into the standard DPP curriculum. The SDPP used the standard DPP curriculum. Lay health leaders facilitated interventions at church sites. Measures: Weight and biometrics were collected by blinded staff at baseline, 4- and 10-months. Analysis: A multilevel hierarchical regression model compared the FDPP and SDPP groups on outcomes. Results: FDPP and SDPP churches significantly lost weight at 10-months (overall −2.6%, p <.01). Women in FDPP churches who attended at least 15 sessions lost an additional 6.1 pounds at 4-months compared to SDPP corresponding to a 5.8% reduction at 10-months (p <.05). Both groups had significant improvements in health behaviors and biometrics. Conclusions: Faith-based and standard DPP interventions led by lay health leaders successfully improved weight, health behaviors, and chronic disease risk. However, the faith-based DPP when fully implemented met the CDC’s recommendation for weight loss for diabetes prevention in African American women.
AB - Purpose: Previous DPP translations in African American women have been suboptimal. This trial evaluated a community-based participatory research developed faith-based diabetes prevention program (DPP) to improve weight loss in African American women. Design: This cluster randomized trial allocated churches to faith-based (FDPP) or standard (SDPP) DPP interventions. Setting. African American churches. Subjects. Eleven churches with 221 African American women (aged 48.8 ± 11.2 years, BMI = 36.7 ± 8.4) received the FDPP (n = 6) or SDPP (n = 5) intervention. Intervention: FDPP incorporated 5 faith-based components, including pastor involvement, into the standard DPP curriculum. The SDPP used the standard DPP curriculum. Lay health leaders facilitated interventions at church sites. Measures: Weight and biometrics were collected by blinded staff at baseline, 4- and 10-months. Analysis: A multilevel hierarchical regression model compared the FDPP and SDPP groups on outcomes. Results: FDPP and SDPP churches significantly lost weight at 10-months (overall −2.6%, p <.01). Women in FDPP churches who attended at least 15 sessions lost an additional 6.1 pounds at 4-months compared to SDPP corresponding to a 5.8% reduction at 10-months (p <.05). Both groups had significant improvements in health behaviors and biometrics. Conclusions: Faith-based and standard DPP interventions led by lay health leaders successfully improved weight, health behaviors, and chronic disease risk. However, the faith-based DPP when fully implemented met the CDC’s recommendation for weight loss for diabetes prevention in African American women.
KW - African American
KW - community-based participatory research
KW - diabetes prevention program
KW - faith-based
KW - weight loss
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U2 - 10.1177/0890117120958545
DO - 10.1177/0890117120958545
M3 - Article
C2 - 32945175
AN - SCOPUS:85091172563
SN - 0890-1171
VL - 35
SP - 202
EP - 213
JO - American Journal of Health Promotion
JF - American Journal of Health Promotion
IS - 2
ER -