Perceptions and Practices of Diabetes Prevention Among African Americans Participating in a Faith-Based Community Health Program

Brown, Cynthia; Alexander, Dayna S.; Ellis, Suzanne; Roberts, Dionne; Booker, Marian Anderson

doi:10.1007/s10900-019-00667-0

Cited by 6 publications

(17 citation statements)

References 21 publications

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“…Despite being aware of the possibility of preventing diabetes, people do not necessarily change their behavior [ 51 ]. Even if someone attempted to change behavior, lack of sustained and consistent effort at the maintenance stage of behavior change can lead to ‘relapse’ as described by the transtheoretical model [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

How Did People with Prediabetes Who Attended the Diabetes Prevention Education Program (DiPEP) Experience Making Lifestyle Changes? A Qualitative Study in Nepal

Shakya

Bajracharya

Skovlund

et al. 2023

IJERPH

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Diabetes can be prevented through lifestyle modification in the prediabetic phase. A group-based lifestyle intervention called ‘Diabetes Prevention Education Program’ (DiPEP) was tested recently in Nepal. The present study aimed to explore experiences of making lifestyle changes among people with prediabetes participating in the DiPEP. This qualitative study, with semi-structured interviews of 20 participants, was conducted 4–7 months following DiPEP intervention. Data analysis was performed by thematic analysis. The results included four themes, understanding that diabetes could be prevented, lifestyle changes made, hurdles to overcome, and experiencing benefits leading to sustained change. Some participants said they felt relieved to know that they had a chance to prevent diabetes. The participants talked mostly about making changes in diet (reducing carbohydrate intake) and physical activity (starting exercises). Obstacles mentioned included a lack of motivation and a lack of family support to implement changes. Experiencing benefits such as weight loss and reduced blood sugar levels were reported to lead them to maintain the changes they had made. Understanding that diabetes could be prevented was a key motivator for implementing changes. The benefits and hurdles experienced by the participants of the present study can be taken into consideration while designing lifestyle intervention programs in similar settings.

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Section: Discussionmentioning

confidence: 99%

How Did People with Prediabetes Who Attended the Diabetes Prevention Education Program (DiPEP) Experience Making Lifestyle Changes? A Qualitative Study in Nepal

Shakya

Bajracharya

Skovlund

et al. 2023

IJERPH

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“…IMPACT: Participants in post-study focus groups reported that: (Brown et al, 2019;Zhou et al, 2017). Focus groups of AA church members following a small pilot study (The Biomedical/Obesity Reduction Trial) identified barriers to dietary change including flavor preferences, cost and time commitment to healthy eating, lack of knowledge regarding recipes or cooking methods, and maintaining motivation (Zhou et al, 2017).…”

Section: Impact Statementmentioning

confidence: 99%

“…Focus groups of AA church members following a small pilot study (The Biomedical/Obesity Reduction Trial) identified barriers to dietary change including flavor preferences, cost and time commitment to healthy eating, lack of knowledge regarding recipes or cooking methods, and maintaining motivation (Zhou et al, 2017). Only one study reported on post-study focus groups after a large, multisite diabetes prevention intervention, the Hosea Project (the Hosea Project; Brown et al, 2019). Participants in this study were diagnosed with prediabetes and identified uninteresting content and difficulty traveling to fitness centers as barriers to program engagement.…”

Section: Impact Statementmentioning

confidence: 99%

“…Elicitation of qualitative feedback may help address these impact and implementation issues in AA faith-based obesity prevention programs, including Project FIT. However, there are limited qualitative reports on feedback from participants who have engaged in faith-based obesity, physical activity, or dietary interventions to understand how to refine and improve such interventions (Brown et al, 2019; Zhou et al, 2017). Focus groups of AA church members following a small pilot study (The Biomedical/Obesity Reduction Trial) identified barriers to dietary change including flavor preferences, cost and time commitment to healthy eating, lack of knowledge regarding recipes or cooking methods, and maintaining motivation (Zhou et al, 2017).…”

Section: Refining Faith-based Diabetes Heart Disease and Stroke Preve...mentioning

confidence: 99%

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Feasibility and Acceptability of the Project Faith Influencing Transformation Intervention in Faith-Based Settings

Bauer,

Shah,

Johnson

et al. 2023

Health Educ Behav

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African Americans (AAs) are disproportionately burdened with diabetes and prediabetes. Predominately AA churches may be optimal settings for reaching AAs at greatest diabetes risk, along with related morbidities and mortalities. The current study used the RE-AIM framework to qualitatively examine the feasibility, acceptability, and satisfaction with the Project Faith Influencing Transformation (FIT) intervention, a diabetes risk reduction intervention in AA churches. Participants were ( N = 21) church and community members who also participated in the larger Project FIT intervention and were primarily female, with an average age of 60 years ( SD = 11.1). Participants completed a brief survey and focus group discussion. Participants discussed intervention effectiveness in changing health behaviors and outcomes, with high rates of adoption, acceptability, and satisfaction across churches that conducted the intervention. Participants also discussed outreach to members of the broader community, the role of the pastor, and challenges to intervention implementation and maintenance-tailored strategies to improve intervention effectiveness are discussed. Given the significant diabetes disparities that exist for AAs, it is imperative to continue to investigate best practices for reaching communities served by churches with sustainable, relevant health programming. This study has the potential to inform more effective, tailored diabetes prevention interventions for high-risk AAs in faith-based settings.

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“…Lifestyle interventions yield some promising improvements in clinical outcomes relevant to chronic disease, such as blood pressure or dietary choices (Lemacks et al, 2013); however, additional strategies are needed to cultivate broader environmental and systems supports (Kumanyika, 2019), as well as enhance program engagement and retention (Lemacks et al). To date, faith-based organizations (FBOs) have been an underutilized setting for health promotion (Levin, 2014), although success of these settings in achieving improved health outcomes across a variety of indicators has been shown (Brown et al, 2019;DeHaven et al, 2004;Hardison-Moody & Stallings, 2012;Hardison-Moody & Yao, 2019;Whisenant et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Engaging Faith-Based Organizations to Promote Health Through Health Ministries in Washington, DC

et al. 2022

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This article describes capacity building and formative assessments completed at five faith-based organizations (FBOs) in Washington, DC to inform sustainable health promotion programming led by certified health ministers. Five FBO partners were recruited with two congregation members from each FBO completing a health minister certificate program. A series of health assessments were conducted to assess each FBO's capacity to implement evidence-based lifestyle change programs that are responsive to congregation members' health needs. Results indicated a need for programming to support older adults in managing high blood pressure and arthritis. Health ministers represent a significant opportunity for building capacity within FBOs to deliver programming that can improve health outcomes.

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Perceptions and Practices of Diabetes Prevention Among African Americans Participating in a Faith-Based Community Health Program

Cited by 6 publications

References 21 publications

How Did People with Prediabetes Who Attended the Diabetes Prevention Education Program (DiPEP) Experience Making Lifestyle Changes? A Qualitative Study in Nepal

How Did People with Prediabetes Who Attended the Diabetes Prevention Education Program (DiPEP) Experience Making Lifestyle Changes? A Qualitative Study in Nepal

Feasibility and Acceptability of the Project Faith Influencing Transformation Intervention in Faith-Based Settings

Engaging Faith-Based Organizations to Promote Health Through Health Ministries in Washington, DC

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