Pounds Off With Empowerment (POWER): A Clinical Trial of Weight Management Strategies for Black and White Adults With Diabetes Who Live in Medically Underserved Rural Communities

We evaluated lifestyle interventions for diabetic persons who live in rural communities. We conducted a 12-month randomized clinical trial (n = 152) of "intensive-lifestyle" (modeled after the NIH Diabetes Prevention Program) and "reimbursable-lifestyle" (intensive-lifestyle inte...

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Bibliographic Details
Published in:American journal of public health (1971) 2004-10, Vol.94 (10), p.1736-1742
Main Authors: Mayer-Davis, Elizabeth J, D'Antonio, Angela M, Smith, Sharon M, Kirkner, Gregory, Levin Martin, Sarah, Parra-Medina, Deborah, Schultz, Richard
Format: Article
Language:English
Subjects:
Aged
Behavior Therapy
Biological and medical sciences
Black or African American - psychology
Clinical trials
Core curriculum
Diabetes
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - psychology
Diabetes. Impaired glucose tolerance
Diet
Education
Empowerment
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Exercise
Female
Focus groups
Health care policy
Health facilities
Hemoglobin
Humans
Indigent care
Intervention
Lifestyles
Male
Medical sciences
Medical treatment
Medically Underserved Area
Medicare
Middle Aged
Miscellaneous
Nutrition research
Obesity - complications
Obesity - diet therapy
Obesity - psychology
Power, Psychological
Prevention programs
Primary care
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Regression Analysis
Research and Practice
Rural areas
Rural Health Services - organization & administration
Self Care
South Carolina
Treatment Outcome
Weight control
Weight Loss
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Summary:We evaluated lifestyle interventions for diabetic persons who live in rural communities. We conducted a 12-month randomized clinical trial (n = 152) of "intensive-lifestyle" (modeled after the NIH Diabetes Prevention Program) and "reimbursable-lifestyle" (intensive-lifestyle intervention delivered in the time allotted for Medicare reimbursement for diabetes education related to nutrition and physical activity) interventions with usual care as a control. Modest weight loss occurred by 6 months among intensive-lifestyle participants and was greater than the weight loss among usual-care participants (2.6 kg vs 0.4 kg, P
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.94.10.1736