Implementation of the power to prevent diabetes prevention educational curriculum into rural African American communities: a feasibility study

Diabetes Educ. 2013 Nov-Dec;39(6):776-85. doi: 10.1177/0145721713507114. Epub 2013 Oct 15.

Abstract

Purpose: The purpose of this study was to describe the feasibility of using a community-based participatory research (CBPR) approach to implement the Power to Prevent (P2P) diabetes prevention education curriculum in rural African American (AA) settings.

Methods: Trained community health workers facilitated the 12-session P2P curriculum across 3 community settings. Quantitative (based on the pre- and post-curriculum questionnaires and changes in blood glucose, blood pressure [BP], and weight at baseline and 6 months) and qualitative data (based on semi-structured interviews with facilitators) were collected. Indicators of feasibility included: demand, acceptability, implementation fidelity, and limited efficacy testing.

Results: Across 3 counties, 104 AA participants were recruited; 43% completed ≥ 75% of the sessions. There was great demand for the program. Fifteen community health ambassadors (CHAs) were trained, and 4 served as curriculum facilitators. Content and structure of the intervention was acceptable to facilitators but there were challenges to implementing the program as designed. Improvements were seen in diabetes knowledge and the impact of healthy eating and physical activity on diabetes prevention, but there were no significant changes in blood glucose, BP, or weight.

Conclusion: While it is feasible to use a CBPR approach to recruit participants and implement the P2P curriculum in AA community settings, there are significant challenges that must be overcome.

Publication types

  • Clinical Trial
  • Multicenter Study

MeSH terms

  • Adult
  • African Americans*
  • Aged
  • Aged, 80 and over
  • Blacks
  • Blood Glucose / metabolism
  • Blood Pressure
  • Body Mass Index
  • Community Health Services
  • Community Health Workers
  • Community-Based Participatory Research
  • Curriculum
  • Diabetes Mellitus, Type 2 / ethnology
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Diabetes Mellitus, Type 2 / psychology
  • Feasibility Studies
  • Female
  • Health Behavior* / ethnology
  • Health Education* / organization & administration
  • Humans
  • Male
  • Middle Aged
  • Obesity / ethnology
  • Obesity / prevention & control*
  • Patient Acceptance of Health Care / ethnology
  • Patient Acceptance of Health Care / psychology
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Patient Education as Topic
  • Program Evaluation
  • Religion and Medicine
  • Rural Population
  • Self Care* / psychology
  • Self Care* / statistics & numerical data
  • Weight Loss

Substances

  • Blood Glucose