TY - JOUR
T1 - Power Up for Health
T2 - Pilot Study Outcomes of a Diabetes Prevention Program for Men from Disadvantaged Neighborhoods
AU - Walker, Elizabeth A.
AU - Weiss, Linda
AU - Gary-Webb, Tiffany L.
AU - Realmuto, Lindsey
AU - Kamler, Alexandra
AU - Ravenell, Joseph
AU - Tejeda, Carlos
AU - Lukin, Jennifer
AU - Schechter, Clyde B.
N1 - Funding Information:
We are sincerely grateful to all the men who participated in this study, the lifestyle coaches who delivered the intervention, our Advisory Panel members for their active participation, and New York City Parks and Kendra Van Horn, MPH for encouragement and for facilitating use of study sites. This pilot study was funded by R18 DK 102080, with partial support from P30 DK 111022, P30 DK 020541 and the New York State Health Foundation.
Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This pilot study was funded by R18 DK 102080, with partial support from P30 DK 111022, P30 DK 020541 and the New York State Health Foundation.
Funding Information:
This pilot study was funded for 2 years by the National Institutes of Health with the following goals: to work closely with our Advisory Panel to adapt the NDPP 16-week curriculum for diabetes prevention programs to better engage men; to recruit and train men of color (Black and Latino) from the target disadvantaged communities to become effective Power Up for Health life-style coaches; and to implement and evaluate the modified program in NYC Parks’ sites located in disadvantaged neighborhoods. The program accomplished these goals within the scope of the study budget. This report presents the pilot outcome data in two ways: as five case studies by site, coach, and participant characteristics, as well as by individual outcomes. This report also presents average overall weight loss and program attendance data by site; these are metrics important for the NDPP recognition program. Details about intervention adaptation, recruitment strategies, and description of our coaches’ training program are presented in detail elsewhere in this journal (Gary-Webb et al., 2018).
Publisher Copyright:
© 2018, The Author(s) 2018.
PY - 2018/7/1
Y1 - 2018/7/1
N2 - There is a significant evidence base for the Diabetes Prevention Program, a lifestyle intervention to prevent onset of type 2 diabetes among high-risk individuals; however, translation of this intervention for men has been challenging. This report presents outcomes of the pilot study of an adapted 16-week diabetes prevention program entitled “Power Up for Health.” The study goal was to better engage men of color with prediabetes from disadvantaged neighborhoods of New York City. It was implemented at five different recreation centers located in predominantly low-income neighborhoods across New York City. The curriculum was facilitated by male lifestyle coaches only; one group was conducted in Spanish. Primary outcome was weight loss from baseline to 16 weeks. Other measures included lifestyle activities, depressive symptoms, and self-reported health status. Men (N = 47) were screened by telephone. Of the 29 eligible men who began the program, 25 attended at least 4 sessions (52% non-Latino Black, 32% Latino, mean age 51.7 ± SD 9.9 years, mean body mass index 35 ± SD 6.9 kg/m2). End of program outcomes (n = 23) varied by site and included a mean weight loss of 3.8% (9.7 lbs); 3 of the 5 sites had a mean weight loss of 5.6%, meeting the national goal of 5%–7%. Men (n = 23) attended a mean of 11.6 of 16 sessions. Improvement in depressive symptoms, healthy eating and exercise, and health status were also seen. While recruitment was challenging with many lessons learned, the adapted men’s diabetes prevention program shows promise of success for participants and their coaches.
AB - There is a significant evidence base for the Diabetes Prevention Program, a lifestyle intervention to prevent onset of type 2 diabetes among high-risk individuals; however, translation of this intervention for men has been challenging. This report presents outcomes of the pilot study of an adapted 16-week diabetes prevention program entitled “Power Up for Health.” The study goal was to better engage men of color with prediabetes from disadvantaged neighborhoods of New York City. It was implemented at five different recreation centers located in predominantly low-income neighborhoods across New York City. The curriculum was facilitated by male lifestyle coaches only; one group was conducted in Spanish. Primary outcome was weight loss from baseline to 16 weeks. Other measures included lifestyle activities, depressive symptoms, and self-reported health status. Men (N = 47) were screened by telephone. Of the 29 eligible men who began the program, 25 attended at least 4 sessions (52% non-Latino Black, 32% Latino, mean age 51.7 ± SD 9.9 years, mean body mass index 35 ± SD 6.9 kg/m2). End of program outcomes (n = 23) varied by site and included a mean weight loss of 3.8% (9.7 lbs); 3 of the 5 sites had a mean weight loss of 5.6%, meeting the national goal of 5%–7%. Men (n = 23) attended a mean of 11.6 of 16 sessions. Improvement in depressive symptoms, healthy eating and exercise, and health status were also seen. While recruitment was challenging with many lessons learned, the adapted men’s diabetes prevention program shows promise of success for participants and their coaches.
KW - behavior modification/change
KW - diabetes
KW - diabetes prevention
KW - men of color
KW - men’s health interventions
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U2 - 10.1177/1557988318758787
DO - 10.1177/1557988318758787
M3 - Article
C2 - 29540129
AN - SCOPUS:85048995242
SN - 1557-9883
VL - 12
SP - 989
EP - 997
JO - American Journal of Men's Health
JF - American Journal of Men's Health
IS - 4
ER -
