WEIGHT LOSS IN INNER CITY BLACK WOMEN WITH DIABETES

本研究的目的是确定利用 一个在市中心以教堂为基础的网络， 黑人女性糖尿病患者。 一个由39名市中心黑人组成的网络 美国健康协会（American Health Association） 大都会芝加哥。 一个黑人护士联盟已经成立， 与心脏协会合作， 教会网络 提供高血压患者教育计划 加入一些教会 因为糖尿病是一个危险因素， 心脏病，该财团的成员表示有兴趣在 与芝加哥糖尿病研究和培训中心合作， 路径，一个针对市中心糖尿病妇女的减肥计划， 他们教会的成员。 然而，没有进行任何调查， 确定是否可以对路径计划进行示范研究， 在以教会为基础的网络中。 具体而言， 本研究的主要目的是：1）对39名内- 城市黑人教堂，以确定潜在的人数， 可能有兴趣参与路径示范研究， 2）制定一种方法，将教会随机分为 示范研究的实验和控制条件。 功率 分析表明，至少有240名受试者，嵌套在一个样本中， 在24座教堂中，将被要求检测平均体重减轻6 在一年结束时，80%的功率。 因为 研究辍学的可能性，480名黑人妇女的初始样本将 被要求。 本可行性研究旨在确定 这样的样品是否可以获得。

The purpose of this study is to determine the feasibility of utilizing a church based network within the inner-city to deliver a weight loss program to Black women with diabetes. A network of 39 inner-city Black churches has been established by the American Health Association of Metropolitan Chicago. A consortium of Black nurses has been formed to work with the Heart Association to conduct blood pressure screenings in the church network. Hypertension patient education programs are offered to memberships in some churches. Because diabetes is a risk factor in heart disease, members of the consortium have expressed an interest in working with the Chicago Diabetes Research and Training Center to offer PATHWAYS, a weight-loss program for inner-city women with diabetes, to members of their churches. However, no survey has been conducted to ascertain whether a demonstration study of the PATHWAYS program could be conducted within the church-based network. Specifically, the aims of this study are to: 1) Conduct a survey of the membership of 39 inner- city Black churches to identify the potential number of subjects who might be interested in participating in a PATHWAYS demonstration study, and, 2) to develop a methodology for randomizing the churches into experimental and control conditions for a demonstration study. Power analysis suggests that minimum of 240 subjects, nested within a sample of 24 churches, will be required to detect a mean weight loss of six pounds at the end of one year with 80 percent power. Because of the likelihood of study dropouts, an initial sample of 480 Black women will be required. It is the intent of this feasibility study to determine whether such a sample can be acquired.