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The Diabetes Educator
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Feasibility of a Health Promotion Intervention for a Group of Predominantly African American Women With Type 2 Diabetes

James H. Rimmer, PhD

Center on Health Promotion Research for Persons with Disabilities, Department of Disability and Human Development, University of Illinois at Chicago, 1640 West Roosevelt Road, Chicago, IL 60608-6904 jrimmer{at}uic.edu

Katie Silverman, PhD

Department of Pediatrics, University of Illinois at Chicago

Carol Braunschweig, PhD

Department of Human Nutrition, University of Illinois at Chicago

Laurie Quinn, PhD

Department of Medical Surgical Nursing, University of Illinois at Chicago

Yang Liu, MD

Department of Biostatistics, University of Illinois at Chicago

PURPOSE

this feasibility study was undertaken to determine if a group of predominantly low-income, low-education, African American women with type 2 diabetes could achieve good compliance and improved health outcomes with a carefully structured health promotion intervention.

METHODS

The sample consisted of 30 participants from an urban setting who were diagnosed with type 2 diabetes but also had multiple chronic conditions (eg, obesity, hypertension, joint pain, and depression). Participants attended a university-based health promotion program where they completed a 12-week intervention that addressed diet, nutrition, and health behavior. Transportation was provided at no cost to the participants.

RESULTS

Compliance with the 12-week program was 72.5%. Participants made significant improvements in total cholesterol and LDL-cholesterol levels, cardiovascular fitness, muscular strength and endurance, and nutrition knowledge.

CONCLUSIONS

African American women with type 2 diabetes residing in difficult living environments (ie, poverty, high crime, and lack of family support) can achieve good compliance and health outcomes with a structured health promotion program provided that barriers to participation (eg, transportation, cost, and commitment) are removed prior to and during the intervention.

The Diabetes Educator, Vol. 28, No. 4, 571-580 (2002)
DOI: 10.1177/014572170202800411


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