It Is Not Just About Enrollment: Recognizing the Impact of RCT Recruitment Approaches on Prediabetes Awareness, Screening, and Capacity Building in African American Communities

• Published in: Journal of urban health 2021-10, Vol.98 (Suppl 2), p.123-128
• Main Authors: Woods-Giscombe, Cheryl L., Gaylord, Susan A., Faurot, Keturah R., Lynch, Chanee, Phillips, Pamela
• Format: Article
• Language: English
• Subjects: African Americans; Black churches; Brief Report; Capacity development; Clinical trials; Diabetes; Diabetes mellitus; Education; Epidemiology; Glucose; Health Informatics; Health risks; Human subjects; Intervention; Medicine; Medicine & Public Health; Mindfulness; Mortality; Physical activity; Prevention; Psychological stress; Public Health; Questionnaires; Reduction; Risk; Risk reduction; Stability; Stress
• ISSN: 1099-3460; 1468-2869
• DOI: 10.1007/s11524-021-00543-0

The primary aim of the study was to investigate the feasibility of conducting a randomized trial comparing a novel mindfulness-based stress management program combined with diabetes risk-reduction education versus a conventional diabetes risk-reduction education program among African American adults with prediabetes and self-reported life stress. Our approach involved addressing psychological stress, which has been reported as a major roadblock to weight control behavior [11]. Unmanaged stress can limit the time and energy available to partake in physical activity as well as influence behavior and physical health directly [12]. While stress exposure may not be controllable, there is great potential value for stress management interventions to decrease diabetes risk in individuals with prediabetes [13].