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Diabetes Prevention in a Faith-Based Setting: Results of Translational Research

Boltri, John Mark MD; Davis-Smith, Y. Monique MD; Seale, J. Paul MD; Shellenberger, Sylvia PhD; Okosun, Ike S. PhD; Cornelius, Monica E. MPH

Journal of Public Health Management and Practice: January-February 2008 - Volume 14 - Issue 1 - p 29–32
doi: 10.1097/01.PHH.0000303410.66485.91
Brief Report

Aim The purpose of this study was to translate the National Institutes of Health (NIH)-Diabetes Prevention Program (DPP) into a church-based setting.

Methods The lifestyle arm of the NIH-DPP was implemented in an African American Baptist church. Church members 18 years or older completed a risk screen during Sunday service followed by fasting glucose (FG) testing at the church during the week. Persons with prediabetes participated in a 16-session DPP conducted over 4 months. Participation rates, height, weight, blood pressure (BP) and FG were followed for 12 months post-intervention. Fifty participants completed the risk screen, 26 were at risk for diabetes, 16 of 26 received FG testing, and 8 had prediabetes (FG = 100– 125 mg/dL).

Results The mean participation rate was 10.4 (65%) sessions. Following the intervention, weight, systolic and diastolic BP, and FG decreased by 7.5 lb (3.6%), 16 mm Hg (11.7%), 12 mm Hg (14.0%), and 5 mg/dL (4.8%), respectively (P < .05). In comparison with baseline, significant reductions were evident at 6 and 12 months postintervention for all endpoints.

Conclusions This study demonstrated successful translation of the 16-session NIH-DPP into a church-based setting. Future studies should test this intervention in churches of different sizes and denominations.

This report demonstrates the feasibility of translating the 16-session National Institutes of Health–Diabetes Prevention Program into a church-based setting. Future studies should test this intervention in churches of different sizes and denominations.

John Mark Boltri, MD, is Professor, Department of Family Medicine, Mercer University School of Medicine and the Medical Center of Central Georgia, Macon, Georgia.

Y. Monique Davis-Smith, MD, is Assistant Professor, Family Medicine and Research Section Faculty, Department of Family Medicine, Mercer University School of Medicine and the Medical Center of Central Georgia, Macon, Georgia.

J. Paul Seale, MD, is Professor and Director of Research, Department of Family Medicine, Mercer University School of Medicine and the Medical Center of Central Georgia, Macon, Georgia.

Sylvia Shellenberger, PhD, is Professor and Director of Psychology, Department of Family Medicine, Mercer University School of Medicine and the Medical Center of Central Georgia, Macon, Georgia.

Ike S. Okosun, PhD, is Associate Professor, Institute of Public Health, Georgia State University, Atlanta, Georgia.

Monica E. Cornelius, MPH, is Research Coordinator, Department of Family Medicine, Mercer University School of Medicine, Macon, Georgia.

Corresponding Author: John M. Boltri, MD, Department of Family Medicine, Family Health Center, 3780 Eisenhower Pkwy, Macon, GA 31206 (boltri.john@mccg.org).

This project was supported in part by grants from the Hatcher Foundation, Macon, Georgia; the US Department of Health and Human Services, Health Resources and Services Administration, grant #5D12HP00159; and National Institutes of Health grant #1 K07 HL04305-01.

© 2008 Lippincott Williams & Wilkins, Inc.