P162 Comparative Outcome Evaluation of 3 Delivery Models for a Diabetes Prevention Education Program for Older Adults

• Published in: Journal of nutrition education and behavior 2020-07, Vol.52 (7), p.S93-S93
• Main Authors: Jamshidi-Naeini, Yasaman, Oldewage-Theron, Wilna
• Format: Article
• Language: English
• ISSN: 1499-4046; 1878-2620
• DOI: 10.1016/j.jneb.2020.04.210

Outcome evaluation of 3 delivery models for a diabetes prevention education program for older adults. Older adults have the highest prevalence of diabetes and have proved to benefit from prevention programs. Few community-based education programs have targeted this age group. Community-dwelling older persons (≥60 years) in Lubbock, Texas. We modified the national Diabetes Prevention Program based on previously assessed health education needs of the elderly. Seven modules on diabetes basics, physical activity, and overall healthy diet were developed. The core elements were healthy eating within budget, enhancing self-efficacy, nutrition misconceptions, and problem-solving skills. Two community centers were randomly assigned to education by nutrition professionals (Pro, n = 23), 2 were assigned to trained peer educators (Peer, n = 27), and 2 were assigned to receive written materials (Passive, n = 26). Pro and Peer groups received 9 weekly 45-minute sessions; passive group received the written materials weekly. Nutrition and Diabetes Knowledge (NDK) questionnaire, self-efficacy for eating behaviors scale, Starting the Conversation instrument for dietary behaviors, and the Veggie Meter for Skin Carotenoid Status (SCS). We also conducted post-intervention focus group discussions. Regression models demonstrated a significant improvement in self-efficacy in Peer group (+0.38  ±  0.24) compared to the other 2 groups (+0.18  ±  0.32 for Pro and +0.11 ± 0.45 for Passive, P