title: Pilot study of strategies for effective weight management in type 2 diabetes: Pounds Off with Empowerment (POWER).
abstract: This pilot test effort focused on weight management strategies for individuals with type 2 diabetes living in rural, medically under-served communities. Randomly selected patients from the diabetes registry of a federally funded primary care practice in a rural community were randomized to one of two 8-week interventions: intensive lifestyle (reduced fat and calorie intake and increased activity) or intensive lifestyle plus ongoing formal evaluation for continuous quality improvement. Mean weight loss was 1.15 +/- 1.90 kg (96.4% African American, n = 23, p < 0.01) with no difference between groups. Among the 78% who lost weight, mean loss was 2.00 kg. Mean difference in pre- vs. postintervention fasting blood glucose was -24.23 mg/dL (n = 23, p < 0.05). In this rural, medically under-served community, the interventions were moderately successful in facilitating weight loss and improving fasting glucose concentration. For purposes of state-of-the-art weight management interventions with diabetics, the addition of formal evaluation did not result in improved outcomes.
authors.affiliation: Department of Epidemiology and Biostatistics, School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
authors.forename: E J
authors.initials: EJ
authors.lastname: Mayer-Davis
authors.forename: A
authors.initials: A
authors.lastname: D'Antonio
authors.forename: M
authors.initials: M
authors.lastname: Martin
authors.forename: A
authors.initials: A
authors.lastname: Wandersman
authors.forename: D
authors.initials: D
authors.lastname: Parra-Medina
authors.forename: R
authors.initials: R
authors.lastname: Schulz
mesh_terms: D001741:Black or African American / Q000523:psychology*; D000368:Aged; D001521:Behavior Therapy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000523:psychology; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D008507:Medically Underserved Area; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000178:diet therapy* / Q000523:psychology; D010865:Pilot Projects; D011209:Power, Psychological; D019035:Rural Health Services / Q000458:organization & administration*; D012648:Self Care; D013022:South Carolina; D015431:Weight Loss