230334 Building resilence in Diabetes: Gaining education and strength

Tuesday, November 9, 2010 : 9:10 AM - 9:30 AM

Janice Collins-McNeil, PhD, APRN, BC , Nursing, Winston Salem State University, Charlotte, NC
Paul Davis, PhD , School of Health & Human Performance, University of North Carolina Greensboro, Greensboro, NC
Christopher L. Edwards, PhD , Psychiatry and Behavioral Sciences / Medical Psychology, Duke University Medical Center, Durham, NC
Aims: The purpose of this longitudinal quasi-experimental study is to determine the feasibility of a church-based, culturally-tailored diabetes education (DE) and physical activity (PA) intervention (strength training) for African Americans (AA) with type 2 diabetes mellitus (T2DM). Specific aims are to: (1) determine the efficacy of conducting a integrated church-based culturally-tailored diabetes intervention and; (2) determine the impact of a culturally-tailored DE and PA intervention on the self-appraisal of diabetes management, levels of diabetes self management (DSM), PA and psychological distress (depressive symptoms and perceived life stress), and on health (blood pressure (B/P), glucose (HbA1C) and lipid control (TC, LDL-C, HDL-C, triglycerides); body mass index (BMI) and waist. circumference (WC).

Methods: This quasi-experimental pilot study incorporates quantitative and qualitative methodologies across two time points (baseline & week16). Each bi-weekly intervention session includes DE and 30 minutes of PA training. The nonrandomized convenience sample will consist of approximately 20-30 AA's between 21-79 years of age. Measures include: Self Appraisal of DSM Scale; Center for Epidemiological Studies Depression Scale; Perceived Stress Scale; Diabetes Self-Care Practices Measure; and the Aerobics Center Longitudinal Study PA Questionnaire. Paired t-tests will examine pre-post-intervention comparison scores, and health status variables

Results: Study is currently in progress. Preliminary recruitment indicates that church-based culturally-targeted DE and PA may be feasible in AA communities. Two churches have been recruited to date and N=15 participants enrolled. Data collection began in January, 2010 and is ongoing.

Conclusions: Church-based, culturally-tailored DE and PA interventions may potentially help reduce risk for cardiovascular disease complications, reduce psychological distress and improve glycemic control and increase physical activity participation in AA's with T2DM.

Learning Areas:
Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related nursing

Learning Objectives:
1. Describe the efficacy of conducting a integrated church-based culturally-tailored diabetes education (DE) and physical activity(PA) intervention for African-American adults with type 2 diabetes. 2. Explain the impact of a culturally-tailored DE and PA intervention on the self-appraisal of diabetes managemen and levels of diabetes self management (DSM) for African-American adults with type 2 diabetes.

Keywords: Diabetes, Access and Services

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conduct and oversee this study and also serve as the primary investigator on this study.
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.

Back to: 4062.0: Disease Prevention and Management