WEIGHT LOSS IN INNER CITY BLACK WOMEN WITH DIABETES

这项研究的目的是确定利用 市中心以教堂为基础的网络提供减肥服务 为患有糖尿病的黑人女性提供的项目。由39个市中心黑人组成的网络 教堂是由美国卫生协会 大都会芝加哥。一个黑人护士联盟已经成立，以 与心脏协会合作进行血压筛查 教会网络。提供高血压患者教育计划 一些教会的会员资格。因为糖尿病是一种危险因素 心脏病，该财团的成员已经表达了对 与芝加哥糖尿病研究和培训中心合作提供 为市中心患有糖尿病的女性提供的减肥计划--路径 他们教会的成员。然而，还没有进行任何调查，以 确定是否可以对路径计划进行示范研究 在基于教会的网络内进行。具体地说， 本研究的目的是：1)对39名企业内部成员进行调查。 城市黑人教堂，以确定潜在的臣民数量 可能有兴趣参与路径演示研究， 以及，2)开发一种方法，将教会随机分配到 进行实证研究的实验和控制条件。电源 分析表明，至少240名受试者嵌套在一个样本中 在24个教堂中，将被要求检测平均体重减轻6个 在一年结束时体重达到80%的电力。因为 研究辍学的可能性，480名黑人女性的初始样本将 是必需的。这项可行性研究的目的是确定 是否能获得这样的样本。

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.