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

John M. Boltri, Monique Davis-Smith, Ike S. Okosun, J. Paul Seale, Barbara Foster

Research output: Contribution to journalArticle

60 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)194-202
Number of pages9
JournalJournal of the National Medical Association
Volume103
Issue number3
DOIs
StatePublished - Mar 2011
Externally publishedYes

Keywords

  • Diabetes
  • Prevention
  • Research

ASJC Scopus subject areas

  • Medicine(all)

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