142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Participatory evaluation of a Nashville community program to enhance physical activity and care among African-American women with type 2 diabetes

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 8:45 AM - 9:00 AM

Ithar Hassaballa, B.S. , Work Group for Community Health and Development, University of Kansas, Lawrence, KS, KS
Nancy Mason , United Neighborhood Health Services, Nashville, TN
Jerry A. Schultz, PhD , KU Work Group for Community Health and Development, University of Kansas, Lawrence, KS
Background: African-American women in the East Bank area of Nashville, Tennessee experience disproportionately high rates of type 2 diabetes. Seventeen percent of residents do not own a vehicle and have transportation barriers. Culturally-sensitive approaches to addressing diabetes in East Bank are needed.


Intervention: United Neighborhood Health Services (UNHS) implemented the Women Connecting in the Community Program (WCCP) in an effort increase physical activity and promote diabetes self-management among African-American women. A patient-centered medical home model was used to deliver enhanced diabetes care to UNHS patients. Program components were delivered by a multi-disciplinary healthcare team and included individual assessment and culturally-sensitive counseling for participants on setting goals, developing strategies for physical activity and nutrition, and family or peer support. Barriers to physical activity were addressed through in-home access to a culturally-competent fitness instructor. This paper features the evaluation of the WCCP as part of the overall participatory evaluation of Bristol-Myers Squibb Foundation’s Together on Diabetes initiative.


Results/Lessons learned:

Implementation results demonstrated a marked increase in delivery of services when physical activity sessions were delivered to women within their homes. This change in service delivery was associated with increased participation in physical activity by program participants as well as a modest improvement in HbA1c levels.



Modifying access to physical activity through in-home and culturally-competent providers can enhance opportunities for physical activity for African American women. Addressing the barriers to lifestyle change can help reduce the diabetes burden among populations experiencing health disparities.

Learning Areas:

Chronic disease management and prevention
Diversity and culture
Public health or related education

Learning Objectives:
Discuss the value of providing physical activity sessions in the home as key strategy to diabetes self-management among African American Women. Describe the components of a patient centered medical home model approach to providing diabetes care to patients. Describe barriers to physical activity faced by African American women.

Keyword(s): Diabetes, Self-Management

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conducted and supported participatory evaluation for the evaluation of the Bristol Myers Squibb Foundation's Together on Diabetes Initiative.
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.