Empowering Rural African American Women and Communities to Improve Diabetes Outcomes
| Status: | Completed |
|---|---|
| Conditions: | Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 19 - 75 |
| Updated: | 4/21/2016 |
| Start Date: | January 2012 |
| End Date: | July 2014 |
The EMPOWER diabetes program is a year-long, community-based program designed to enhance
diabetes management in rural African American women with uncontrolled diabetes. The
treatment is delivered by community peers and follows a relative Small Changes approach.
diabetes management in rural African American women with uncontrolled diabetes. The
treatment is delivered by community peers and follows a relative Small Changes approach.
East Carolina University, along with established community partners, is implementing a
community-based and culturally-tailored intervention to reduce diabetes disparities in 200
rural African American women with uncontrolled diabetes using our unique
behaviorally-centered small changes approach to diabetes self-management, delivered by
community health workers. The focus is on moderation and patient-selected small changes in
eating, activity, and care management that decrease feelings of deprivation and failure and
increase feelings of confidence and success. The intervention is specifically tailored to
overcome psychosocial and environmental barriers to behavioral change through a strong focus
on emotional, cultural, and social factors related to eating, activity, and medications.
Objectives for the proposed project are to: 1) implement and evaluate the effectiveness of
this tailored small changes intervention; 2) examine the impact of this approach on
psychological mediators of behavioral choices in diabetes; 3) implement and evaluate public
policy and built environment advocacy strategies; and 4) build, sustain, and disseminate a
business-sustainable care model. The study will be a randomized prospective trial comparing
the small changes intervention, delivered in 16 sessions by community health workers, to a
control group receiving 16 mailings of diabetes educational materials. We hypothesize that
there will be a greater improvement in behavioral choices and glycemic control in the
intervention group compared to the control group.
community-based and culturally-tailored intervention to reduce diabetes disparities in 200
rural African American women with uncontrolled diabetes using our unique
behaviorally-centered small changes approach to diabetes self-management, delivered by
community health workers. The focus is on moderation and patient-selected small changes in
eating, activity, and care management that decrease feelings of deprivation and failure and
increase feelings of confidence and success. The intervention is specifically tailored to
overcome psychosocial and environmental barriers to behavioral change through a strong focus
on emotional, cultural, and social factors related to eating, activity, and medications.
Objectives for the proposed project are to: 1) implement and evaluate the effectiveness of
this tailored small changes intervention; 2) examine the impact of this approach on
psychological mediators of behavioral choices in diabetes; 3) implement and evaluate public
policy and built environment advocacy strategies; and 4) build, sustain, and disseminate a
business-sustainable care model. The study will be a randomized prospective trial comparing
the small changes intervention, delivered in 16 sessions by community health workers, to a
control group receiving 16 mailings of diabetes educational materials. We hypothesize that
there will be a greater improvement in behavioral choices and glycemic control in the
intervention group compared to the control group.
Inclusion Criteria:
- African American female,
- age 19 - 75yr.,
- with Type 2 diabetes mellitus and
- living in or near Bertie, Edgecombe, and Pitt counties in eastern NC
Exclusion Criteria:
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