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A Diabetes Management Program for African American Women With Type 2 Diabetes

Department of Medicine, School of Medicine, CB# 8140, 1700 Airport Road, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 tkeyserling{at}med.unc.edu

Alice S. Ammerman, DrPH, RD

Carmen D. Samuel-Hodge, MPH, RD

Department of Nutrition, Schools of Medicine and Public Health, University of North Carolina at Chapel Hill

Allyson F. Ingram, MPH, RD

Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill

Anne H. Skelly, RN, PhD

School of Nursing, University of North Carolina at Chapel Hill

Tom A. Elasy, MD

Larry F. Johnston, MA

Anne S. Cole, BA

Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill

Carlos F. Henriquez-Rolddn, MS

PURPOSE

this paper describes a clinic and community-based diabetes intervention program designed to improve dietary, physical activity, and self-care behaviors of older African American women with type 2 diabetes. It also describes the study to evaluate this program and baseline characteristics of participants.

METHODS

The New Leaf... Choices for Healthy Living With Diabetes program consists of 4 clinic-based health counselor visits, a community intervention with 12 monthly phone calls from peer counselors, and 3 group sessions. A randomized, controlled trial to evaluate the effectiveness of this intervention is described.

RESULTS

Seventeen focus groups of African American women were used to assessed the cultural relevance/acceptability of the intervention and measurement instruments. For the randomized trial, 200 African American women with type 2 diabetes were recruited from 7 practices in central North Carolina. Mean age was 59, mean diabetes duration was 10 years, and participants were markedly overweight and physically inactive.

CONCLUSIONS

Participants found this program to be culturally relevant and acceptable. Its effects on diet, physical activity, and self-care behaviors will be assessed in a randomized trial.

The Diabetes Educator, Vol. 26, No. 5, 796-805 (2000)
DOI: 10.1177/014572170002600508


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