TY - JOUR
T1 - Community Trial of a Faith-Based Lifestyle Intervention to Prevent Diabetes Among African-Americans
AU - Sattin, Richard Warren
AU - Williams, Lovoria B.
AU - Dias, James
AU - Garvin, Barbara Jane Threatt
AU - Marion, Lucy Nelle
AU - Joshua, Thomas Vayalinkara
AU - Kriska, Andrea
AU - Kramer, M. Kaye
AU - Venkat Narayan, K. M.
N1 - Funding Information:
Details regarding the design and methodology of this trial have been reported elsewhere []. This study was conducted in 20 AA churches located in Augusta (Richmond County), Georgia between October 2009 and April 2013. These 20 churches were the first of the 35 churches with ≥200 AA members, pastors who accepted randomization, and an existing health ministry, to agree to participate. Congregation size ranged from 200 to 3000. The target recruitment goal was to enroll up to 40 participants from each church. Each church received monetary compensation for participating in the study and for providing the space for group sessions and data collections. Churches were recruited as pairs in the study based on congregation size. These pairs were included in six cohorts with each cohort including either two or four churches. Each church pair was then randomized to the FBAS behavioral lifestyle intervention or health education (HE) comparison group. The authors designed, conducted, and analyzed data from the study. Our Institutional Review Board (IRB) approved this study. Written informed consent was obtained from all participants before their enrollment. Evaluators were blinded to intervention allocation and to outcome measures, and participants were instructed not to disclose the intervention they received. The authors vouch for the accuracy and completeness of this report to the trial protocol. The study was sponsored and supported by the National Institutes of Health alone. There were no corporate sponsors.
Publisher Copyright:
© 2015, Springer Science+Business Media New York.
PY - 2016/2/1
Y1 - 2016/2/1
N2 - About 75 % of African-Americans (AAs) ages 20 or older are overweight and nearly 50 % are obese, but community-based programs to reduce diabetes risk in AAs are rare. Our objective was to reduce weight and fasting plasma glucose (FPG) and increase physical activity (PA) from baseline to week-12 and to month-12 among overweight AA parishioners through a faith-based adaptation of the Diabetes Prevention Program called Fit Body and Soul (FBAS). We conducted a single-blinded, cluster randomized, community trial in 20 AA churches enrolling 604 AAs, aged 20–64 years with BMI ≥ 25 kg/m2 and without diabetes. The church (and their parishioners) was randomized to FBAS or health education (HE). FBAS participants had a significant difference in adjusted weight loss compared with those in HE (2.62 vs. 0.50 kg, p = 0.001) at 12-weeks and (2.39 vs. −0.465 kg, p = 0.005) at 12-months and were more likely (13 %) than HE participants (3 %) to achieve a 7 % weight loss (p < 0.001) at 12-weeks and a 7 % weight loss (19 vs. 8 %, p < 0.001) at 12-months. There were no significant differences in FPG and PA between arms. Of the 15.2 % of participants with baseline pre-diabetes, those in FBAS had, however, a significant decline in FPG (10.93 mg/dl) at 12-weeks compared with the 4.22 mg/dl increase in HE (p = 0.017), and these differences became larger at 12-months (FBAS, 12.38 mg/dl decrease; HE, 4.44 mg/dl increase) (p = 0.021). Our faith-based adaptation of the DPP led to a significant reduction in weight overall and in FPG among pre-diabetes participants. ClinicalTrials.gov Identifier NCT01730196.
AB - About 75 % of African-Americans (AAs) ages 20 or older are overweight and nearly 50 % are obese, but community-based programs to reduce diabetes risk in AAs are rare. Our objective was to reduce weight and fasting plasma glucose (FPG) and increase physical activity (PA) from baseline to week-12 and to month-12 among overweight AA parishioners through a faith-based adaptation of the Diabetes Prevention Program called Fit Body and Soul (FBAS). We conducted a single-blinded, cluster randomized, community trial in 20 AA churches enrolling 604 AAs, aged 20–64 years with BMI ≥ 25 kg/m2 and without diabetes. The church (and their parishioners) was randomized to FBAS or health education (HE). FBAS participants had a significant difference in adjusted weight loss compared with those in HE (2.62 vs. 0.50 kg, p = 0.001) at 12-weeks and (2.39 vs. −0.465 kg, p = 0.005) at 12-months and were more likely (13 %) than HE participants (3 %) to achieve a 7 % weight loss (p < 0.001) at 12-weeks and a 7 % weight loss (19 vs. 8 %, p < 0.001) at 12-months. There were no significant differences in FPG and PA between arms. Of the 15.2 % of participants with baseline pre-diabetes, those in FBAS had, however, a significant decline in FPG (10.93 mg/dl) at 12-weeks compared with the 4.22 mg/dl increase in HE (p = 0.017), and these differences became larger at 12-months (FBAS, 12.38 mg/dl decrease; HE, 4.44 mg/dl increase) (p = 0.021). Our faith-based adaptation of the DPP led to a significant reduction in weight overall and in FPG among pre-diabetes participants. ClinicalTrials.gov Identifier NCT01730196.
KW - African-American
KW - Diabetes prevention
KW - Obesity
KW - Translation research
UR - http://www.scopus.com/inward/record.url?scp=84954366970&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84954366970&partnerID=8YFLogxK
U2 - 10.1007/s10900-015-0071-8
DO - 10.1007/s10900-015-0071-8
M3 - Article
C2 - 26215167
AN - SCOPUS:84954366970
VL - 41
SP - 87
EP - 96
JO - Journal of Community Health
JF - Journal of Community Health
SN - 0094-5145
IS - 1
ER -