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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

E.J. Mayer-Davis, A.M. D'Antonio, S.M. Smith, G. Kirkner, S.L. Martin, D. Parra-Medina and R. Schultz

American Journal of Public Health, 2004, vol. 94, issue 10, 1736-1742

Abstract: Objectives. We evaluated lifestyle interventions for diabetic persons who live in rural communities. Methods. We conducted a 12-month randomized clinical trial (n = 152) of "intensive-lifestyle" (modeled after the NIH Diabetes Prevention Program) and "reimbursable-lifestyle" (intensive-lifestyle intervention delivered in the time allotted for Medicare reimbursement for diabetes education related to nutrition and physical activity) interventions with usual care as a control. Results. Modest weight loss occurred by 6 months among intensive-lifestyle participants and was greater than the weight loss among usual-care participants (2.6kg vs 0.4 kg, P

Date: 2004
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