A Randomized Trial of an Intervention to Improve Self-Care Behaviors of African-American Women With Type 2 Diabetes: Impact on physical activity

dc.contributor.authorKeyserling, T. C.
dc.contributor.authorSamuel-Hodge, C. D.
dc.contributor.authorAmmerman, A. S.
dc.contributor.authorAinsworth, B. E.
dc.contributor.authorHenriquez-Roldan, C. F.
dc.contributor.authorElasy, T. A.
dc.contributor.authorSkelly, A. H.
dc.contributor.authorJohnston, L. F.
dc.contributor.authorBangdiwala, S. I.
dc.date.accessioned2019-08-14T15:04:21Z
dc.date.available2019-08-14T15:04:21Z
dc.date.issued2002
dc.description.abstractOBJECTIVE—To determine whether a culturally appropriate clinic- and community-based intervention for African-American women with type 2 diabetes will increase moderate-intensity physical activity (PA). RESEARCH DESIGN AND METHODS—In this randomized controlled trial conducted at seven practices in central North Carolina, 200 African-American women, ≥40 years of age with type 2 diabetes, were randomized to one of three treatment conditions: clinic and community (group A), clinic only (group B), or minimal intervention (group C). The clinic-based intervention (groups A and B) consisted of four monthly visits with a nutritionist who provided counseling to enhance PA and dietary intake that was tailored to baseline practices and attitudes; the community-based intervention (group A) consisted of three group sessions and 12 monthly phone calls from a peer counselor and was designed to provide social support and reinforce behavior change goals; and the minimal intervention (group C) consisted of educational pamphlets mailed to participants. The primary study outcome was the comparison of PA levels between groups assessed at 6 and 12 months by accelerometer, which was worn while awake for 7 days. RESULTS—Totals of 175 (88%) and 167 (84%) participants completed PA assessment at 6 and 12 months, respectively. For comparison of PA, the P value for overall group effect was 0.014. Comparing group A with C, the difference in the average adjusted mean for PA was 44.1 kcal/day (95% CI 13.1–75.1, P = 0.0055). Comparing group B with C, the difference in the average adjusted mean was 33.1 kcal/day (95% CI 3.3–62.8, P = 0.029). The intervention was acceptable to participants: 88% were very satisfied with clinic-based counseling to enhance PA, and 86% indicated that the peer counselor’s role in the program was important. CONCLUSIONS—The intervention was associated with a modest enhancement of PA and was acceptable to participants.
dc.description.urihttp://dx.doi.org/10.2337/diacare.25.9.1576
dc.identifierhttps://doi.org/10.13016/cdsr-7ydn
dc.identifier.citationKeyserling, T. C. and Samuel-Hodge, C. D. and Ammerman, A. S. and Ainsworth, B. E. and Henriquez-Roldan, C. F. and Elasy, T. A. and Skelly, A. H. and Johnston, L. F. and Bangdiwala, S. I. (2002) A Randomized Trial of an Intervention to Improve Self-Care Behaviors of African-American Women With Type 2 Diabetes: Impact on physical activity. Diabetes Care, 25 (9). pp. 1576-1583.
dc.identifier.issn0149-5992
dc.identifier.otherEprint ID 3065
dc.identifier.urihttp://hdl.handle.net/1903/23681
dc.subjectDiabetes
dc.subjectinterventions
dc.subjectCDA
dc.subjectcommunity diabetes advisor
dc.subjectCHD
dc.subjectcoronary heart disease
dc.subjectHPLC
dc.subjecthigh-performance liquid chromatography
dc.subjectPA
dc.subjectphysical activityPAA
dc.subjectPA assessment
dc.titleA Randomized Trial of an Intervention to Improve Self-Care Behaviors of African-American Women With Type 2 Diabetes: Impact on physical activity
dc.typeArticle

Files