Davis-Smith Y Monique, Boltri John Mark, Seale J Paul, Shellenberger Sylvia, Blalock Travis, Tobin Brian
Mercer University School of Medicine, Medical Center of Central Georgia/Family Medicine, Macon, GA 31206, USA.
J Natl Med Assoc. 2007 Apr;99(4):440-6.
The purpose of this study was to determine the feasibility of implementing a diabetes prevention program (DPP) in a rural African-American church.
A six-session DPP, modeled after the successful National Institutes of Health (NIH) DPP, was implemented in a rural African-American church. Adult members of the church identified as high risk for diabetes, based on results of a risk questionnaire, were screened with a fasting glucose. Persons with prediabetes, a fasting glucose of 100-125 mg/dL, participated in the six-session, Lifestyle Balance Church DPP. The primary outcomes were attendance rates and changes in fasting glucose, weight and body mass index measured at baseline, six- and 12-month follow-up.
Ninety-nine adult church members were screened for diabetes risk. Eleven had impaired fasting glucose. Ten of 11 participated in the six-session intervention, for an attendance rate of 78%. After the intervention and 12-month follow-up, there was a mean weight loss of 7.9 lbs and 10.6 lbs, respectively.
This pilot project suggests that a modified six-session DPP can be translated to a group format and successfully implemented in a church setting. Further randomized studies are needed to determine the effectiveness of such an intervention.
本研究旨在确定在一个农村非裔美国教会中实施糖尿病预防计划（DPP）的可行性。
在一个农村非裔美国教会中实施了一项为期六节的DPP，该计划以成功的美国国立卫生研究院（NIH）DPP为蓝本。根据风险问卷结果，教会中被确定为糖尿病高危人群的成年成员接受了空腹血糖筛查。空腹血糖为100 - 125 mg/dL的糖尿病前期患者参加了为期六节的“生活方式平衡教会DPP”。主要结局指标为出席率以及在基线、6个月和12个月随访时测量的空腹血糖、体重和体重指数的变化。
对99名成年教会成员进行了糖尿病风险筛查。其中11人空腹血糖受损。11人中有10人参加了为期六节的干预，出席率为78%。干预后及12个月随访时，体重平均分别减轻了7.9磅和10.6磅。
该试点项目表明，经过改良的六节DPP可以转化为小组形式，并在教会环境中成功实施。需要进一步进行随机研究以确定这种干预措施的有效性。
