A controlled evaluation of staging dietary patterns to reduce the risk of diabetes in African-American women.
OBJECTIVE
This study evaluated the 3-month follow-up data of the Eat Well, Live Well Nutrition Program, a culturally specific, peer-led dietary change program designed to reduce the risk of type 2 diabetes in low-income African-American women. This peer-led program was delivered in the community and was tailored to the participants' stage of change for individual dietary patterns. We report the results of the 3-month intervention and the extent to which dietary changes and other key outcomes were maintained at a 3-month follow-up assessment.


METHODS
Using an experimental control group design, 294 overweight African-American women (ages 25-55 years), recruited in collaboration with a neighborhood organization, completed pre- and posttest and 3-month follow-up interviews of dietary behaviors, knowledge, attitudes, fat intake, and weight.


RESULTS
Significant reductions were found in fat intake among women in the treatment condition when compared with women in the control group; these reductions were maintained at 3-month follow-up assessment. Likewise, significant changes in dietary patterns were reported after the study and were maintained, except for one dietary pattern (replacement).


CONCLUSIONS
This model of health promotion, which individually tailors dietary patterns through staging and use of peer educators, has the potential for decreasing fat intake and increasing and maintaining specific low-fat dietary patterns among overweight African-American women at risk for diabetes.
Auslander
Wendy
W
George Warren Brown School of Social Work, Washington University, St. Louis, Missouri 63130, USA. wendyaus@gwbmail.wustl.edu
Haire-Joshu
Debra
D
Houston
Cheryl
C
Rhee
Chaie-Won
CW
Williams
James Herbert
JH
D000328:Adult; D001741:Black or African American / Q000523:psychology; D044383:Black People; D015992:Body Mass Index; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy / Q000208:ethnology* / Q000517:prevention & control; D004032:Diet; D004038:Diet, Reducing / Q000523:psychology*; D004041:Dietary Fats / Q000008:administration & dosage*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012307:Risk Factors; D015431:Weight Loss
D004041:Dietary Fats