Elizabeth B. Lynch|Laurin Mack|Elizabeth Avery|Yamin Wang|Rebecca Dawar|DeJuran Richardson|Kathryn S. Keim|Jennifer Ventrelle|Bradley M. Appelhans|Bettina Tahsin|Leon Fogelfeld
Randomized Trial of a Lifestyle Intervention for Urban Low-Income African Americans with Type 2 Diabetes
Rush University Medical Center|Rush University Medical Center|Rush University Medical Center|Rush University Medical Center|Rush University Medical Center|Rush University Medical Center|Rush University Medical Center|Rush University Medical Center|Rush University Medical Center|Rush University Medical Center|Rush University Medical Center
african americans suffer nonhispanic whites type 2 diabetes diabetes selfmanagement education dsme less effective improving glycemic control african americans objective determine whether novel culturally tailored dsme intervention would result sustained improvements glycemic control lowincome africanamerican patients public hospital clinicsthis randomized controlled trial n 211 compared changes hemoglobin a1c a1c 6 12 18 months two arms 1 lifestyle improvement food exercise life culturally tailored 28session communitybased intervention focused diet physical activity 2 standard care comparison group receiving two group dsme classes clusteradjusted ancova modeling used assess a1c changes baseline 6 12 18 months respectively armsat 6 months a1c decreased significantly intervention group control group 076 vs 021 p 003 however 12 18 months difference longer significant 12 months 063 intervention vs 045 control p 052 decrease a1c 18 months intervention 0026 p 0003 comparison arm 0018 p 0048 difference trend p 0472 arms intervention group greater improvements nutrition knowledge 111 vs 60 point change p 0002 diet quality 40 vs 05 point change p 0018 comparison group participants improved medication adherence 24 vs 10 p 005 12 monthsthe life intervention resulted improved nutrition knowledge diet quality comparison intervention resulted improved medication adherence life participants showed greater a1c reduction standard care 6 months difference groups longer significant 12 18 monthsnct01901952