Outcomes of a church-based lifestyle intervention among Australian Samoans in Sydney – Le Taeao Afua diabetes prevention program

Journal article


Ndwiga, Dorothy W., MacMillan, Freya, McBride, Kate A., Thompson, Ronda, Reath, Jennifer, Alofivae-Doorbinia, Olataga, Abbott, Penelope, McCafferty, Charles, Aghajani, Marra, Rush, Elaine and Simmons, David. (2020). Outcomes of a church-based lifestyle intervention among Australian Samoans in Sydney – Le Taeao Afua diabetes prevention program. Diabetes Research and Clinical Practice. 160, p. Article 108000. https://doi.org/10.1016/j.diabres.2020.108000
AuthorsNdwiga, Dorothy W., MacMillan, Freya, McBride, Kate A., Thompson, Ronda, Reath, Jennifer, Alofivae-Doorbinia, Olataga, Abbott, Penelope, McCafferty, Charles, Aghajani, Marra, Rush, Elaine and Simmons, David
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.

Keywordstype 2 diabetes; Samoans; readiness to change; interventions; obesity; exercise; diet
Year2020
JournalDiabetes Research and Clinical Practice
Journal citation160, p. Article 108000
PublisherElsevier BV
ISSN0168-8227
Digital Object Identifier (DOI)https://doi.org/10.1016/j.diabres.2020.108000
Scopus EID2-s2.0-85077661140
Research or scholarlyResearch
Page range1-11
FunderSouth Western Sydney Local Health District
South Western Sydney Primary Health Network
WentWest Health Care
WentWorth Health Care Limited
Translational Health Research Institute, Western Sydney University
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online03 Jan 2020
Publication process dates
Accepted31 Dec 2019
Deposited25 Aug 2022
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