Dance and Peer Support to Improve Diabetes Outcomes in African American Women

Murrock, Carolyn J.; Higgins, Patricia A.; Killion, Cheryl

doi:10.1177/0145721709343322

Cited by 54 publications

(63 citation statements)

References 28 publications

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“…Third, our follow-up rate of 60% was lower than the 67% to 85% range reported in other studies targeting the African American community. [10][11][12][13] While this 15-month intervention was lengthier [11][12][13] than some other studies, our low retention rate still raises questions concerning acceptability and sustainability. Towards the end of the intervention, some participants appeared to experience intervention "burnout."…”

Section: S33mentioning

confidence: 63%

“…In fact, only 3 of 14 randomized controlled trials analyzed in a 2012 systematic review of peer support interventions in diabetes targeted the African American community. 7,[9][10][11] While the few peer support trials in the African American community have generally yielded positive findings, [10][11][12][13] the majority of these interventions have been short-term rather than longer-term diabetes self-management support (DSMS) programs. Accordingly, the objective of this study, the Peer-Led, Empowerment-Based Approach to SelfManagement Efforts in Diabetes (PLEASED) Study, was to investigate whether a peer support model could sustain improvements achieved in a short-term diabetes self-management education (DSME) program for African American adults with type 2 diabetes.…”

Section: W Ith 13% Of African Americans Known To Have Diabetes Africanmentioning

confidence: 99%

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Peer-Led, Empowerment-Based Approach to Self-Management Efforts in Diabetes (PLEASED): A Randomized Controlled Trial in an African American Community

Tang

Funnell

Sinco

et al. 2015

The Annals of Family Medicine

113

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PURPOSE We compared a 3-month diabetes self-management education (DSME) program followed by a 12-month peer support intervention with a 3-month DSME program alone in terms of initial and sustained improvements in glycated hemoglobin (HbA 1c ). Secondary outcomes were risk factors for cardiovascular disease (CVD), diabetes distress, and social support. METHODSWe randomized 106 community-dwelling African American adults with type 2 diabetes to a 3-month DSME program followed by 12 months of weekly group sessions and supplementary telephone support delivered by peer leaders or to a 3-month DSME program with no follow-up peer support. Assessments were conducted at baseline, 3, 9, and 15 months. RESULTSNo changes in HbA 1c were observed at 3 months or at 15 months for either group. The peer support group either sustained improvement in key CVD risk factors or stayed the same while the control group worsened at 15 months. At 15 months, the peer-support group had significantly lower low-density lipoprotein cholesterol levels (-15 mg/dL, P = .03), systolic blood pressure (-10 mm Hg, P = .01), diastolic blood pressure (-8.3 mm Hg, P = .001), and body mass index (-0.8 kg/m 2 , P = .032) than the DSME-alone group.CONCLUSIONS In this population of African American adults, an initial DSME program, whether or not followed by 12 months of peer support, had no effect on glycemic control. Participants in the peer-support arm of the trial did, however, experience significant improvements in some CVD risk factors or stay approximately the same while the control group declined.

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Section: S33mentioning

confidence: 63%

Section: W Ith 13% Of African Americans Known To Have Diabetes Africanmentioning

confidence: 99%

Peer-Led, Empowerment-Based Approach to Self-Management Efforts in Diabetes (PLEASED): A Randomized Controlled Trial in an African American Community

Tang

Funnell

Sinco

et al. 2015

The Annals of Family Medicine

113

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“…In adults, dance has demonstrated beneficial effects on anxiety, depression, physical function, disability, and memory (Jeong et al, 2005; Koch, Morlinghaus, & Fuchs, 2007; Murrock & Graor, 2014; Weuve et al, 2004). Previously studied dance interventions have decreased BMI, body fat, and blood pressure and improved quality of life in African American communities (Murrock & Gary, 2008; Murrock, Higgins, & Killion, 2009; Robinson et al, 2010), a population that is affected by multiple health disparities (Agency for Healthcare and Research Quality, 2013). Importantly, members of the African American community have reported dance to be culturally relevant (Murrock & Gary, 2010).…”

Section: Introductionmentioning

confidence: 99%

Dance for Health: An Intergenerational Program to Increase Access to Physical Activity

Schroeder

Ratcliffe

Pérez

et al. 2017

Journal of Pediatric Nursing

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Purpose The purpose of this study was to evaluate Dance for Health, an intergenerational program to increase access to physical activity in an underserved, high risk urban community. Design and Methods Dance for Health was developed using community-based participatory research methods and evaluated using an observational study design. The program entailed two hour line dancing sessions delivered by trained dance instructors in the neighborhood recreation center. The weekly sessions were delivered for one month in the spring and one month in the fall from 2012-2016. Nurse practitioner students mentored local high school students to assess outcomes: achievement of target heart rate, Borg Rating of Perceived Exertion, number of pedometer steps during dance session, Physical Activity Enjoyment Scale, and adiposity. Analytic methods included descriptive statistics and mixed effects models. Results From 2012-2016, 521 participants ranging from 2-79 years attended Dance for Health. Approximately 50% of children and 80% of adults achieved target heart rate. Achievement of target heart rate was not related to perceived exertion, though it was related to pedometer steps in adults. All participants rated the program highly for enjoyment. There was no change in adiposity. Conclusions Dance for Health demonstrated high levels of community engagement and enjoyment. It led to adequate levels of exertion, particularly for adults. Our evaluation can inform program refinement and future intergenerational physical activity programs. Practice Implications Dance is an enjoyable, culturally appropriate, low cost method for increasing access to physical activity for children and families.

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“…The participants voiced that the most difficult part of managing diabetes was changing dietary habits, which is supported by other studies (Murrock, Higgins, & Killion, 2009;New, 2010). Many articulated the need to have basic and understandable diabetes education, especially early in the diagnostic and treatment process, to help them feel less overwhelmed and more in control of the entire self-management process.…”

Section: Discussionmentioning

confidence: 72%

Dietary Challenges of Managing Type 2 Diabetes in African-American Women

2013

Self Cite

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The purpose of this qualitative study was to explore the challenge of self-management of diet in African-American women living with type 2 diabetes. Specifically, the women were asked to talk about dietary challenges of managing diabetes in the context of their personal lifestyle factors, such as daily routines, family responsibilities, and individual needs. Using a phenomenological approach, a descriptive, exploratory design was implemented using four facilitated focus groups. A convenience sample of 24 African-American women was recruited from a family practice center in the midwest. Data from each of the four focus groups were audiotaped and transcribed verbatim. Themes were compared and contrasted within and across each of the four focus groups until consensus was reached. Four themes were identified: frequent difficulties in changing dietary habits, need for individual guidance, support, and misinformation gaps. Overall, the participants expressed the need for more attention to the personal lifestyle factors they viewed as obstacles to managing diabetes.

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Dance and Peer Support to Improve Diabetes Outcomes in African American Women

Cited by 54 publications

References 28 publications

Peer-Led, Empowerment-Based Approach to Self-Management Efforts in Diabetes (PLEASED): A Randomized Controlled Trial in an African American Community

Peer-Led, Empowerment-Based Approach to Self-Management Efforts in Diabetes (PLEASED): A Randomized Controlled Trial in an African American Community

Dance for Health: An Intergenerational Program to Increase Access to Physical Activity

Dietary Challenges of Managing Type 2 Diabetes in African-American Women

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