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Beliefs About Preventive Care, Individual Health, and Lifestyle Change Among Low-Income African American Women at Risk for Diabetes

Bernstein, Adam M. MD, ScD; Rudd, Natalie RN; Gendy, Gina MD; Moffett, Kristie MHA; Adams, Jacquelyn BS; Steele, Scott BA; Frietchen, Michelle MA, BBA

doi: 10.1097/HNP.0000000000000006

Focus groups were held to better understand conceptions of disease prevention among low-income African American women at risk for diabetes. Mental calm was associated with health more than nutrition, exercise, or social connection. This finding suggests that prioritizing stress reduction will help with successful implementation of community holistic diabetes prevention programs.

Wellness Institute, Cleveland Clinic, Lyndhurst, Ohio (Drs Bernstein and Gendy); Community Outreach, Cleveland Clinic, Warrensville Heights, Ohio (Ms Rudd); Center for Clinical Research (Ms Moffett) and Market Research and Analytics (Mr Steele and Ms Frietchen), Cleveland Clinic, Cleveland, Ohio; and Stephanie Tubbs Jones Health Center, Cleveland Clinic, East Cleveland, Ohio (Ms Adams).

Correspondence: Adam M. Bernstein, MD ScD, Wellness Institute, Cleveland Clinic, 1950 Richmond Rd/TR2-203, Lyndhurst, OH 44124 (

This work was supported by funds from the Stephanie Tubbs Jones Health Center, East Cleveland, Ohio.

The authors thank Alison Kobs, Jonathan Doyle, Jerry Sims, Sue Cotey, Jessica Leslie, Jeanne Mattern, Emily Fox, Mladen Golubic, and Michael F. Roizen, all of Cleveland Clinic, for their valuable discussions on the subject matter and methodology before and after the focus groups were held.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2014 by Wolters Kluwer Health | Lippincott Williams & Wilkins