دورية أكاديمية
A Cluster Randomized Controlled Trial Comparing Diabetes Prevention Program Interventions for Overweight/Obese Marshallese Adults
| العنوان: | A Cluster Randomized Controlled Trial Comparing Diabetes Prevention Program Interventions for Overweight/Obese Marshallese Adults |
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| المؤلفون: | Pearl A. McElfish PhD, Holly C. Felix PhD, Zoran Bursac PhD, Brett Rowland MA, Karen H. K. Yeary PhD, Christopher R. Long PhD, James P. Selig PhD, Joseph Keawe‘aimoku Kaholokula PhD, Sheldon Riklon MD |
| المصدر: | Inquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 60 (2023) |
| بيانات النشر: | SAGE Publishing, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Public aspects of medicine |
| مصطلحات موضوعية: | Public aspects of medicine, RA1-1270 |
| الوصف: | This study compared the effectiveness of two Diabetes Prevention Program (DPP) interventions on weight loss among overweight and obese Marshallese adults. The study was a two-arm cluster randomized controlled trial conducted in 30 churches in Arkansas and Oklahoma. Marshallese adults with a body mass index ≥25 kg/m 2 were eligible for the study. The study sample included 380 participants. Participants received either a faith-based adaptation of the DPP or a family-focused adaptation of the DPP, each delivered over 24 weeks. The primary outcome was weight change from baseline. Secondary outcomes included changes in Hemoglobin A 1c , blood pressure, dietary intake, family support for healthy behaviors, and physical activity. Outcomes were examined longitudinally using general linear mixed effects regression models, adjusting for baseline outcomes, sociodemographic covariates, and clustering of participants within churches. Reductions in weight were small for both groups. Overall, only 7.1% of all participants lost 5% or more of their baseline body weight. There were no significant differences in weight loss between the 2 arms at 6 months ( P = .3599) or at 12 months ( P = .3207). Significant differences in systolic and diastolic blood pressure were found between the 2 arms at 6 months ( P = .0293; P = .0068, respectively). Significant within-arm changes were found for sugar-sweetened beverage consumption and family support for both arms at both follow-ups. Both interventions achieved a modest weight loss. While even modest weight loss can be clinically significant, future research is needed to identify chronic disease prevention interventions that can successfully reduce weight for this at-risk population. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0046-9580 1945-7243 00469580 |
| العلاقة: | https://doaj.org/toc/0046-9580Test; https://doaj.org/toc/1945-7243Test |
| DOI: | 10.1177/00469580231152051 |
| الوصول الحر: | https://doaj.org/article/180219da65654f4e869d893385e88a19Test |
| رقم الانضمام: | edsdoj.180219da65654f4e869d893385e88a19 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 00469580 19457243 |
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| DOI: | 10.1177/00469580231152051 |