Dorothy W Ndwiga1, Freya MacMillan2, Kate A McBride3, Ronda Thompson4, Jennifer Reath4, Olataga Alofivae-Doorbinia5, Penelope Abbott4, Charles McCafferty4, Marra Aghajani4, Elaine Rush6, David Simmons7. 1. School of Science and Health, Western Sydney University, Australia. 2. School of Science and Health, Western Sydney University, Australia; Diabetes Obesity Metabolism Translational Research Unit, Western Sydney University, Australia; Translational Health Research Institute, Western Sydney University, Australia. 3. Diabetes Obesity Metabolism Translational Research Unit, Western Sydney University, Australia; Translational Health Research Institute, Western Sydney University, Australia; School of Medicine, Western Sydney University, Australia. 4. School of Medicine, Western Sydney University, Australia. 5. Powell Street Medical and Dental Practice, Yagoona, Australia. 6. Faculty of Health and Environmental Science, Auckland University of Technology, New Zealand. 7. Diabetes Obesity Metabolism Translational Research Unit, Western Sydney University, Australia; Translational Health Research Institute, Western Sydney University, Australia; School of Medicine, Western Sydney University, Australia. Electronic address: da.simmons@westernsydney.edu.au.
Abstract
AIMS: To evaluate the effectiveness of a culturally adapted, church-based lifestyle intervention among Australian Samoans living in Sydney. METHODS: This was a prospective, pre-post study of a church-wide education and support programme delivered by Community Coach Facilitators and Peer Support Facilitators to prevent, and promote self-management of, Type 2 diabetes. Participants completed questionnaires, anthropometric and HbA1c measurements before and 3-8 months after the intervention. The primary outcome was HbA1c. RESULTS: Overall, 68/107(63.5%) participants completed both before and after intervention data collection (mean age 48.9 ± 14.2 years; 57.2% female). HbA1c dropped significantly between baseline and follow-up among participants with known diabetes (8.1 ± 2.4% (65 mmol/mol) vs 7.4 ± 1.8% (57 mmol/mol); p = 0.040) and non-significantly among participants with newly diagnosed diabetes (8.0 ± 2.1% (64 mmol/mol) vs 7.1 ± 2.3 (54 mmol/mol); p = 0.131). Participants with no diabetes increased their weekly moderate and vigorous physical activity (316.1 ± 291.6mins vs 562.4 ± 486.6mins; p = 0.007) and their diabetes knowledge also improved post-intervention (42.0 ± 13.5% to 61.3 ± 20.2%; p < 0.001). There were no significant reductions in blood pressure, BMI or waist circumference at follow-up. CONCLUSIONS: A structured, church-based, culturally tailored lifestyle intervention showed a number of improvements in diabetes risk among Samoans in Sydney. The intervention however, requires a more rigorous testing in a larger randomised controlled trial over a longer time period.
RCT Entities:
AIMS: To evaluate the effectiveness of a culturally adapted, church-based lifestyle intervention among Australian Samoans living in Sydney. METHODS: This was a prospective, pre-post study of a church-wide education and support programme delivered by Community Coach Facilitators and Peer Support Facilitators to prevent, and promote self-management of, Type 2 diabetes. Participants completed questionnaires, anthropometric and HbA1c measurements before and 3-8 months after the intervention. The primary outcome was HbA1c. RESULTS: Overall, 68/107(63.5%) participants completed both before and after intervention data collection (mean age 48.9 ± 14.2 years; 57.2% female). HbA1c dropped significantly between baseline and follow-up among participants with known diabetes (8.1 ± 2.4% (65 mmol/mol) vs 7.4 ± 1.8% (57 mmol/mol); p = 0.040) and non-significantly among participants with newly diagnosed diabetes (8.0 ± 2.1% (64 mmol/mol) vs 7.1 ± 2.3 (54 mmol/mol); p = 0.131). Participants with no diabetes increased their weekly moderate and vigorous physical activity (316.1 ± 291.6mins vs 562.4 ± 486.6mins; p = 0.007) and their diabetes knowledge also improved post-intervention (42.0 ± 13.5% to 61.3 ± 20.2%; p < 0.001). There were no significant reductions in blood pressure, BMI or waist circumference at follow-up. CONCLUSIONS: A structured, church-based, culturally tailored lifestyle intervention showed a number of improvements in diabetes risk among Samoans in Sydney. The intervention however, requires a more rigorous testing in a larger randomised controlled trial over a longer time period.
Authors: Elizabeth Palu; Dr Freya MacMillan; Dr Kate A McBride; Dr Russell Thomson; Reetu Zarora; David Simmons Journal: Lancet Reg Health West Pac Date: 2022-05-31
Authors: Jennifer Taumoepeau; Catherine R Knight-Agarwal; ' Esiteli A P Tu'i; Rati Jani; Uchechukwu Levi Osuagwu; David Simmons Journal: BMC Public Health Date: 2021-07-03 Impact factor: 3.295