Pounds Off With Empowerment (POWER): A Clinical Trial of Weight Management Strategies for Black and White Adults With Diabetes Who Live in Medically Underserved Rural Communities

Abstract

Improvement in both weight and glycemia was attainable by lifestyle interventions designed for persons who had type 2 diabetes and lived in rural communities.

A Behavioral Lifestyle Intervention Enhanced With Multiple-Behavior Self-Monitoring Using Mobile and Connected Tools for Underserved Individuals With Type 2 Diabetes and Comorbid Overweight or Obesity: Pilot Comparative Effectiveness Trial (Preprint)

“…The feasibility and acceptability of the study were demonstrated by the high retention rates at 3 and 6 months and the positive patient engagement and experience reported during patient interviews. In fact, our retention rates of 96% at 3 months and 92% at 6 months were higher than those reported in most of the previous behavioral lifestyle interventions mediated by technology in obesity and T2DM [23,24], including those in medically underserved communities [25].…”

Self-reported Neighborhood Safety and Nonadherence to Treatment Regimens Among Patients with Type 2 Diabetes

“…receiving appropriate laboratory tests and examinations), and are put on clinically appropriate medication regimens during the medical visit, may not succeed in diabetes self-management in their daily life context. 36,37 Therefore, in addition to ongoing efforts to improve access and quality of care, better tailoring of diabetes self-management regimens through increased integration of the health care system with the community [38][39][40] , improved doctor-patient communication about barriers to adherence 41,42 , and greater involvement of self-management support resources such as nurse educators and health coaches 9,43 may promote improved adherence and outcomes in the face of challenging contextual influences.…”

Nutrition Recommendations and Interventions for Diabetes–2006

“…Organization, delivery, and funding of lifestyle interventions are all issues that must be addressed. Thirdparty payers may not provide adequate benefits for sufficient MNT frequency and time to achieve weight loss goals (18).…”