196807 Community Action to Prevent Diabetes

Monday, November 9, 2009

Barbara Brenner, DrPH, MSW , Department of Community and Preventive Medicine, Mount Sinai School of Medicine, New York, NY
Crispin Goytia, BA , Charles Bronfman Institute for Personalized Medicine, Mount Sinai School of Medicine, New York, NY
Robinson Mimsie, MA , Bethel Gospel Assembly, New York, NY
Sandra Talavera, LMSW , Senior Health Partners, New York, NY
Carol Horowitz, MD, MPH , Department of Health Policy, Mount Sinai School of Medicine, New York, NY
The East Harlem Partnership for Diabetes Prevention, a community-academic partnership, was formed to plan and carry out an intervention to prevent or control diabetes in a predominantly non-English speaking, low socio-economic Latino and African American community with a high incidence of the disease. A 20 member Community Action Board (CAB), composed of community residents, clergy, health and social service providers and medical school faculty, used community based participatory research(CBPR) methods to address pre-diabetes among overweight adults and (then) piloted and evaluated a peer led diabetes prevention intervention led program in English and Spanish. CBPR research principles were used to form the CAB, assess the community's health, select the research questions, develop a study design, methodology, and recruitment/enrollment strategies and translate the results for community and academic audiences. Through partner-led recruitment efforts, 99 pre-diabetes study participants were enrolled and randomly assigned to an intervention group (a facilitated lifestyle intervention) or control group (delayed intervention). Participants were followed at three, six and twelve months to assess weight loss outcomes. Both the intervention and control groups lost weight at the twelve month follow up (n=72) however, the intervention group lost a significant percentage of their body weight (4.3%) in comparison to the control group (2.4%)(p<0.01) Community partner-led recruitment efforts were the most successful strategy, with 72% of participants recruited versus 0% recruited through physician referrals. Based on the positive pilot study results, the community-academic partnership wrote and was awarded a five-year grant to expand the pilot into a large-scale community-based diabetes prevention intervention.

Learning Objectives:
Identify three strategies used by a community-academic partnership to conduct successful radomized controlled trial research

Keywords: Community Research, Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am co-investigator of a federally funded study using community based participatory research principles and models to test the effectiveness of a non-medical intervention to reduce diabetes among those at risk.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.