Pilot Study to Assess the Effectiveness of the Sustainable Culturally Adaptive Nutrition Program (SCAN) to Improve Adherence to the National Diabetes Prevention Program

Details

• Personal Author:
  Almohamad M ; Beg SS ; Fernandez ME ; Fwelo P ; Garza E ; Heredia NI ; Perkison WB ; Pulicken C ; Reininger BM ; Rodriguez SA ; Velasco-Huerta F ; White GE ; Yang JJ
• Description:
  Purpose: The Sustainable Culturally Adapted Nutrition Program (SCAN) is a novel adaptation to the National Diabetes Prevention Program (NDPP) that aims to improve attendance and effectiveness. This paper presents its feasibility and impact through the initial 6-month outcomes. Design: A pragmatic quasi-experimental pilot study with intervention (DPP plus SCAN) and control (DPP only) groups. Samples and Inclusion Criteria: Sustainable Culturally Adapted Nutrition Program participants were recruited from federally qualified health center (FQHC) clinic patients enrolled in a NDPP in Houston, Texas. Participants needed to be (1) ≥18 years old, (2) body mass index >25, (3) no prior diagnosis of diabetes, and (4) not pregnant. Intervention: Sustainable Culturally Adapted Nutrition Program cooking classes were designed to teach skills to prepare fresh produce, and utilized Motivational Interviewing (MI) techniques to encourage participants to adapt these skills for foods that were culturally important to them. Outcome Measures: (1) National Diabetes Prevention Program attendance, (2) BMI and (3) percent weight loss. Analysis: We used linear mixed models to test the association between weights and NDPP attendance. Results: 22 intervention and 15 control participants completed the program to the 6-month point. Intervention participants had increased DPP attendance over controls (7.14 vs 6.87 session). Intervention participants also demonstrated on average, 1.5% weight loss for each additional SCAN class attended (P = .144). Conclusions: The SCAN adaptation shows promising results for effectively increasing both NDPP attendance and weight loss. [Description provided by NIOSH]
• Subjects:
  Body Weight Diet Health Promotion Occupational Health Safety
• Keywords:
  Author Keywords: Type 2 Diabetes Mellitus Body Weight Diabetes Food Prescriptions Health Promotion Intervention Effectiveness Lifestyle Changes Nutrition Participation Incentives Prediabetes
• ISSN:
  0890-1171
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  38
• Issue:
  7
• NIOSHTIC Number:
  nn:20069469
• Citation:
  Am J Health Promot 2024 Sep; 38(7):938-941
• Contact Point Address:
  William B. Perkison, MD, MPH, University of Texas Health Science Center at Houston School of Public Health, 1200 Pressler St., Houston, TX 77030, USA
• Email:
  William.B.Perkison@uth.tmc.edu
• Federal Fiscal Year:
  2024
• Performing Organization:
  University of Texas Health Science Center, Houston
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Health Promotion
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ef78206a3b7cd7333154d4293d7b9ab5a018686264637bc7f94e31c02499081665981ee5cbb19138b83b374df9bcfb835e4809d110089d9471464e5eab117a37
• Download URL:
  https://stacks.cdc.gov/view/cdc/207906/cdc_207906_DS1.pdf
• File Type:
  [PDF - 487.49 KB ]