Reaching high-risk Black adults for diabetes prevention programming during a pandemic: The design of Fit & Faithful a randomized controlled community trial.
Reaching high-risk Black adults for diabetes prevention programming during a pandemic: The design of Fit & Faithful a randomized controlled community trial.
复制标题
DOI：
10.1016/j.cct.2022.106973
复制
发表时间：
2022-12
影响因子：
2.2
通讯作者：
Kriska AM
中科院分区：
文献类型：
--
作者：
Williams LB;Moser DK;Gustafson A;Waters TM;Rayens MK;Karle ER;Kriska AM
肥胖是 2 型糖尿病 (T2D) 的一个关键危险因素。令人担忧的是，87% 的美国成年人超重或肥胖，非西班牙裔黑人成年人的肥胖和 T2D 患病率高于非西班牙裔白人。糖尿病预防计划 (DPP) 证明了生活方式干预 (LI) 的临床益处。虽然 DPP LI 是有效的，但一些参与者在当前基于群体的翻译范式中并未实现临床上显着的体重减轻。在所有种族/族裔群体中，黑人成年人的调整后体重减轻最低（3.2%）。早期干预无反应定义为干预第 4 周体重减轻≤1%，与实现减肥目标的可能性较低有关。本文描述了一项针对 20 个社区场所（主要是教堂）的黑人减肥无反应者进行的整群随机对照试验的设计和方法。还包括对在 COVID-19 大流行期间将该计划转变为虚拟格式所做的调整的描述。经过培训的社区卫生工作者通过 Zoom 通过 18 次会议提供为期 6 个月的小组 DPP。此外，增强组中的无反应者每周都会收到电话支持，以提供个人层面的干预，以帮助克服减肥障碍。结果包括体重、体力活动水平、血压和饮食行为；这些是在强化干预组的无反应者和主动对照组的无反应者之间进行比较的。探讨了成本、中介因素和调节因素。如果发现有效，这些增强策略可以标准化为补充方案，用于 DPP 无反应者。
Obesity is a key risk factor for Type 2 diabetes (T2D). Alarmingly, 87% of US adults have overweight or obesity, with non-Hispanic black adults having higher obesity and T2D prevalence than non-Hispanic white. The Diabetes Prevention Program (DPP) demonstrated the clinical benefits of lifestyle intervention (LI). While the DPP LI is effective, some participants don’t achieve clinically significant weight loss in the current group-based translation paradigm. Black adults have the lowest adjusted weight loss (3.2%) among all racial/ethnic groups. Early intervention nonresponse defined as ≤1% weight loss at intervention week 4 is linked to lower probability of achieving weight loss goals. This paper describes the design and methods of a cluster randomized controlled trial among black weight loss nonresponders nested in 20 community sites (primarily churches). Descriptions of the adaptations made to transition the program to virtual format during the COVID-19 pandemic are also included. Trained community health workers deliver a group-based, 6-month long DPP over 18 sessions via Zoom. Additionally, nonresponders in the enhanced group receive weekly telephone support to provide individual-level intervention to help overcome weight loss barriers. Outcomes include weight, physical activity level, blood pressure, and dietary behaviors; these are compared between nonresponders in the enhanced intervention group and nonresponders in the active control group. Cost, mediators, and moderators are explored. If found to efficacious, these enhanced strategies could be standardized as a supplement for use with DPP nonresponders.
登录
查看更多内容
影响因子：
37.8
作者：
Jensen MD;Ryan DH;Apovian CM;Ard JD;Comuzzie AG;Donato KA;Hu FB;Hubbard VS;Jakicic JM;Kushner RF;Loria CM;Millen BE;Nonas CA;Pi-Sunyer FX;Stevens J;Stevens VJ;Wadden TA;Wolfe BM;Yanovski SZ;Jordan HS;Kendall KA;Lux LJ;Mentor-Marcel R;Morgan LC;Trisolini MG;Wnek J;Anderson JL;Halperin JL;Albert NM;Bozkurt B;Brindis RG;Curtis LH;DeMets D;Hochman JS;Kovacs RJ;Ohman EM;Pressler SJ;Sellke FW;Shen WK;Smith SC Jr;Tomaselli GF;American College of Cardiology/American Heart Association Task Force on Practice Guidelines;Obesity Society
通讯作者：
Obesity Society
影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
3.1
作者：
Carels, Robert A.;Wott, Carissa B.;Koball, Afton
通讯作者：
Koball, Afton
DOI：
10.1249/01.mss.0000218138.91812.f9
发表时间：
2006-05-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Kriska, Andrea M.;Edelstein, Sharon L.;Regensteiner, Judith G.
通讯作者：
Regensteiner, Judith G.