Diabetes prevention in a faith-based setting: results of translational research

J Public Health Manag Pract. Jan-Feb 2008;14(1):29-32. doi: 10.1097/01.PHH.0000303410.66485.91.


Aim: The purpose of this study was to translate the National Institutes of Health (NIH)-Diabetes Prevention Program (DPP) into a church-based setting.

Methods: The lifestyle arm of the NIH-DPP was implemented in an African American Baptist church. Church members 18 years or older completed a risk screen during Sunday service followed by fasting glucose (FG) testing at the church during the week. Persons with prediabetes participated in a 16-session DPP conducted over 4 months. Participation rates, height, weight, blood pressure (BP) and FG were followed for 12 months post-intervention. Fifty participants completed the risk screen, 26 were at risk for diabetes, 16 of 26 received FG testing, and 8 had prediabetes (FG = 100- 125 mg/dL).

Results: The mean participation rate was 10.4 (65%) sessions. Following the intervention, weight, systolic and diastolic BP, and FG decreased by 7.5 lb (3.6%), 16 mm Hg (11.7%), 12 mm Hg (14.0%), and 5 mg/dL (4.8%), respectively (P < .05). In comparison with baseline, significant reductions were evident at 6 and 12 months postintervention for all endpoints.

Conclusions: This study demonstrated successful translation of the 16-session NIH-DPP into a church-based setting. Future studies should test this intervention in churches of different sizes and denominations.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • African Americans*
  • Diabetes Mellitus, Type 2 / ethnology*
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Exercise / physiology
  • Female
  • Glucose Tolerance Test
  • Health Promotion / methods
  • Health Promotion / organization & administration*
  • Humans
  • Male
  • Mass Screening / methods
  • Mass Screening / organization & administration*
  • Middle Aged
  • National Institutes of Health (U.S.)
  • Pilot Projects
  • Prediabetic State / diagnosis*
  • Prediabetic State / ethnology
  • Program Evaluation
  • Protestantism*
  • Religion and Medicine*
  • Southeastern United States
  • United States / epidemiology
  • Urban Health
  • Weight Loss / physiology