Faith-based culturally-tailored diabetes prevention program for African Americans




Manning, Carol

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Background: The prevalence of prediabetes and type 2 diabetes mellitus (T2DM) in the United States (U.S.) continue to increase. African Americans (AAs) are disproportionately affected by T2DM, thus delivery of diabetes prevention programs (DPP) in a church setting is an effective way to disseminate health information and/or encouraging AAs to adopt healthy lifestyles. Purpose: The purpose of this study was to evaluate the effectiveness of an 8-week culturally-tailored DPP in mitigating the risks for the development of T2DM (also called “diabetes”) in a sample of AA church members through the implementation of the “Power to Prevent” DPP. The DPP was scripturally based and delivered in a church setting. The Diabetes Risk Test (DRT) was used to screen for eligible participants, with a score of five or greater indicating one’s risk for the development of T2DM. Methods: Baseline, and 8-week outcomes measures assessed: (a) knowledge of diabetes prevention strategies, (b) nutrition knowledge, (c) physical activity level, (d) body mass index (BMI) and, (d) weight loss of 5% to 7% of baseline bodyweight. Findings: Seventeen participants (56.6%) completed the study. The mean DRT score was 5.52. Knowledge of diabetes prevention strategies (p = 0.040), and healthy nutrition (p = 0.000) were significant. Physical activity (p = 0.188), and BMI (p = 0.109) did not improve significantly. Mean percentage weight reduction was 1.69%. Conclusion: Ongoing implementation of DPPs which target AAs in real-world settings such as their places of worship are needed to stem the tide of the diabetes epidemic in the U.S.


Doctor of Nursing Practice Scholarly Project


Diabetes, Diabetes mellitus, T2DM, Faith-based, Diabetes Risk Test (DRT), Church, Prediabetes, Power to prevent, Stetler Model of Research Utilization, Neuman systems model