Dance and peer support to improve diabetes outcomes in African American women.
The purpose of this pilot study was to test a dance intervention and explore the role of peer support to improve the diabetes outcomes of A1C, weight, body fat, and blood pressure in African American women with type 2 diabetes.



This study was conducted in a community-based outpatient clinic. A mixed methods design was used. A total of 46 women, 26 to 83 years of age, were randomized to either the 12-week dance group or usual care group. Both between group and intraindividual group differences were analyzed from baseline to 12 weeks. Focus group interviews explored the role of peer support through semistructured discussions for the women enrolled in the dance group.



Results showed significant group mean differences in systolic blood pressure (BP) and body fat. Paired t tests showed significant reductions in all the diabetes outcomes for the dance group and significant increases in glycolated hemoglobin (A1C) and systolic BP for the usual care group. The emergent themes of the focus groups were that a diabetes diagnosis was devastating, and changing eating habits and taking medications was often difficult. Peer support in the dance group was expressed as camaraderie, enjoyment, and laughter, which fostered attendance.



Dancing 2 times per week for 12 weeks produced significant group differences in systolic BP and body fat and significant intraindividual changes. The implications are that dancing in a supportive environment with peers may be an effective strategy for diabetes educators to help those with diabetes to become more physically active and improve diabetes outcomes and overall health.
The University of Akron, Akron, Ohio (Dr Murrock)
Carolyn J
CJ
Murrock
The Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio (Dr Higgins, Dr Killion)
Patricia A
PA
Higgins
The Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio (Dr Higgins, Dr Killion)
Cheryl
C
Killion
D000368:Aged; D044383:Black People / Q000706:statistics & numerical data*; D001794:Blood Pressure; D003615:Dancing / Q000523:psychology*; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000523:psychology / Q000534:rehabilitation*; D003924:Diabetes Mellitus, Type 2 / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D009765:Obesity / Q000534:rehabilitation*; D010379:Peer Group; D012944:Social Support; D001741:Black or African American