title: A diabetes management program for African American women with type 2 diabetes.
abstract: This paper describes a clinic- and community-based diabetes intervention program designed to improve dietary, physical activity, and self-care behaviors of older African American women with type 2 diabetes. It also describes the study to evaluate this program and baseline characteristics of participants.
  
  
  
  The New Leaf ... Choices for Healthy Living With Diabetes program consists of 4 clinic-based health counselor visits, a community intervention with 12 monthly phone calls from peer counselors, and 3 group sessions. A randomized, controlled trial to evaluate the effectiveness of this intervention is described.
  
  
  
  Seventeen focus groups of African American women were used to assessed the cultural relevance/acceptability of the intervention and measurement instruments. For the randomized trial, 200 African American women with type 2 diabetes were recruited from 7 practices in central North Carolina. Mean age was 59, mean diabetes duration was 10 years, and participants were markedly overweight and physically inactive.
  
  
  
  Participants found this program to be culturally relevant and acceptable. Its effects on diet, physical activity, and self-care behaviors will be assessed in a randomized trial.
authors.affiliation: The Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill (Dr Keyserling)
authors.forename: T C
authors.initials: TC
authors.lastname: Keyserling
authors.affiliation: Department  of Nutrition, Schools of Medicine and Public Health, University of North Carolina at Chapel Hill (Dr Ammerman and Ms Samuel-Hodge)
authors.forename: A S
authors.initials: AS
authors.lastname: Ammerman
authors.affiliation: Department  of Nutrition, Schools of Medicine and Public Health, University of North Carolina at Chapel Hill (Dr Ammerman and Ms Samuel-Hodge)
authors.forename: C D
authors.initials: CD
authors.lastname: Samuel-Hodge
authors.affiliation: Center for Health Promo­tion and Disease Prevention, University of North Carolina at Chapel Hill (Mss Ingram and Cole and Mr Johnston)
authors.forename: A F
authors.initials: AF
authors.lastname: Ingram
authors.affiliation: The School of Nursing, University of North Carolina at Chapel Hill (Dr Skelly)
authors.forename: A H
authors.initials: AH
authors.lastname: Skelly
authors.forename: T A
authors.initials: TA
authors.lastname: Elasy
authors.affiliation: Center for Health Promo­tion and Disease Prevention, University of North Carolina at Chapel Hill (Mss Ingram and Cole and Mr Johnston)
authors.forename: L F
authors.initials: LF
authors.lastname: Johnston
authors.affiliation: Center for Health Promo­tion and Disease Prevention, University of North Carolina at Chapel Hill (Mss Ingram and Cole and Mr Johnston)
authors.forename: A S
authors.initials: AS
authors.lastname: Cole
authors.affiliation: Carlos F. Henriquez-Roldan is a PhD candidate at the University of North Carolina at Chapel Hill and is sponsored by a scholarship from Beca Presidente de la Republica de Chile
authors.forename: C F
authors.initials: CF
authors.lastname: Henríquez-Roldán
mesh_terms: D000328:Adult; D001741:Black or African American; D003153:Community Health Services / Q000458:organization & administration*; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010353:Patient Education as Topic / Q000458:organization & administration*; D015397:Program Evaluation; D012648:Self Care