EMPOWER: A randomized trial using community health workers to deliver a lifestyle intervention program in African American women with Type 2 diabetes: Design, rationale, and baseline characteristics

2013 ◽  
Vol 36 (1) ◽  
pp. 147-153 ◽  
Author(s):  
Doyle M. Cummings ◽  
Lesley D. Lutes ◽  
Kerry Littlewood ◽  
Emily DiNatale ◽  
Bertha Hambidge ◽  
...  
2000 ◽  
Vol 26 (5) ◽  
pp. 796-805 ◽  
Author(s):  
Thomas C. Keyserllng ◽  
Alice S. Ammerman ◽  
Carmen D. Samuel-Hodge ◽  
Allyson F. Ingram ◽  
Anne H. Skelly ◽  
...  

PURPOSE this paper describes a clinic and community-based diabetes intervention program designed to improve dietary, physical activity, and self-care behaviors of older African American women with type 2 diabetes. It also describes the study to evaluate this program and baseline characteristics of participants. METHODS The New Leaf... Choices for Healthy Living With Diabetes program consists of 4 clinic-based health counselor visits, a community intervention with 12 monthly phone calls from peer counselors, and 3 group sessions. A randomized, controlled trial to evaluate the effectiveness of this intervention is described. RESULTS Seventeen focus groups of African American women were used to assessed the cultural relevance/acceptability of the intervention and measurement instruments. For the randomized trial, 200 African American women with type 2 diabetes were recruited from 7 practices in central North Carolina. Mean age was 59, mean diabetes duration was 10 years, and participants were markedly overweight and physically inactive. CONCLUSIONS Participants found this program to be culturally relevant and acceptable. Its effects on diet, physical activity, and self-care behaviors will be assessed in a randomized trial.


Obesity ◽  
2017 ◽  
Vol 25 (8) ◽  
pp. 1329-1335 ◽  
Author(s):  
Lesley D. Lutes ◽  
Doyle M. Cummings ◽  
Kerry Littlewood ◽  
Emily Dinatale ◽  
Bertha Hambidge

Diabetes Care ◽  
2002 ◽  
Vol 25 (9) ◽  
pp. 1576-1583 ◽  
Author(s):  
T. C. Keyserling ◽  
C. D. Samuel-Hodge ◽  
A. S. Ammerman ◽  
B. E. Ainsworth ◽  
C. F. Henriquez-Roldan ◽  
...  

2018 ◽  
Vol 63 (11) ◽  
pp. 1109-1117 ◽  
Author(s):  
José M. Uribe-Salazar ◽  
Julie R. Palmer ◽  
Stephen A. Haddad ◽  
Lynn Rosenberg ◽  
Edward A. Ruiz-Narváez

2000 ◽  
Vol 26 (5) ◽  
pp. 769-777 ◽  
Author(s):  
Anne H. Skelly ◽  
Carmen Samuel-Hodge ◽  
Tom Elasy ◽  
Alice S. Ammerman ◽  
Sandra W. Headen ◽  
...  

2019 ◽  
Vol 8 (6) ◽  
pp. 851 ◽  
Author(s):  
Elisa Reginato ◽  
Roberto Pippi ◽  
Cristina Aiello ◽  
Emilia Sbroma Tomaro ◽  
Claudia Ranucci ◽  
...  

Background: Non-alcoholic fatty liver disease (NAFLD) has an estimated prevalence of 20–30% in the general population and even higher in individuals with metabolic risk factors. The aim of this study was to evaluate the effect of a lifestyle intervention program on surrogate markers of hepatic steatosis in obesity and/or type 2 diabetes patients, enrolled in the C.U.R.I.A.Mo. (Centro Universitario di Ricerca Interdipartimentale Attività Motoria) trial. Methods: 102 subjects (56 females and 46 males, aged between 23 and 78) with type 2 diabetes, obesity or a BMI of at least 25 kg/m2 with comorbidities, participated in the intensive phase of a multidisciplinary lifestyle intervention program at the Healthy Lifestyle Institute of the University of Perugia (C.U.R.I.A.Mo.). Six indices related to NAFLD (Visceral Adiposity Index, Fatty Liver index, Non-Alcoholic Fatty Liver Disease liver fat score and liver fat equation, hepatic steatosis index and TyG index) were calculated before and after a three-month multidisciplinary lifestyle intervention. Results: The intervention improved the anthropometric and clinical parameters in the total population, the obese and/or diabetics. Data showed a significant weight loss, a reduced waist circumference, triglycerides, and an improvement in Mediterranean diet adherence. Hepatic steatosis indices were significantly reduced in the total population and in different subgroups (males, females, obesity and diabetes).


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