All ETDs from UAB

Advisory Committee Chair

Cynthia J Petri

Advisory Committee Members

Mary A Wright-Hess

Angela K Lewis

Marcia O'Neal

Stuart Usdan

Document Type

Dissertation

Date of Award

2014

Degree Name by School

Doctor of Philosophy (PhD) School of Education

Abstract

Diabetes is a growing problem in public health and the African-American population. Preventive measures such as changes in diet, increasing physical activity, and weight control are behaviors that will lead to a healthier lifestyle and prevent the onset of diabetes. The purpose of this study was to determine if the National Diabetes Education Program Power to Prevent curriculum improved diabetes prevention perceptions and behaviors among participants receiving the curriculum. The study tested the effectiveness of Power to Prevent specifically designed for African-Americans, paired with scripture in a bible school format, for diabetes prevention in local Baptist churches in Birmingham, AL. The study measured participants' risk levels, perceptions, and risk management behaviors as they relate to diabetes prevention. A 2x2 repeated measures ANOVA was performed to determine if a difference existed between the intervention and comparison participants at pretest and/or posttest. Risk levels (Diabetes Risk Test scores); perceptions (Health Belief Model constructs of perceived susceptibility, severity, benefits, and barriers); and risk management behaviors (exercise, health behaviors, and nutrition) were assessed. Although majority of the finding were not significant among participants in the intervention and comparisons groups at pretest and posttest, there was a significant effect for perceived severity for the group-by-test interaction.

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