Type II Diabetes Prevention Program The purpose of this project is to desi

The purpose of this project is to design, implement and evaluate a Type II Diabetes Prevention Program for the Avondale Medical Center, a primary care facility treating predominately low-income, Afro-Americans living in the Avondale suburb (mostly South Avondale) of Cincinnati, Ohio. The program is needed because low-income Afro-Americans run four times the risk of developing Type II diabetes as do non-minorities and twice the risk of other minority groups such as Hispanics; in addition, the complications associated with the development of the disease have been found to be far more severe in African American groups than in either white groups or other minority groups.

Approximately 100 men and women (50 males and 50 females) will be randomly assigned to either the prevention program or to a waiting list control group. Program participants will receive a series of group lectures (using lots of audio-visual resources and other demonstration materials) and participate in discussion groups aimed at improving their dietary intake, motivating them to begin participating in regular exercise, changing their false health beliefs, and educating them about nutrition as it relates to the development of Type II Diabetes. Measures of the degree to which subjects' participate in regular exercise, their degree of false health beliefs, their dietary intake, and their degree of knowledge about nutrition will be collected both before and after the program. Program effectiveness

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ational and life-style changes can delay and possibly avert the onset of the disease process (Stark & Morris, 1994). In other words, the basic goals of the prevention program would be those of: a) preventing disease invasion, and/or b) reducing the possibility of disease invasion, and/or c) delaying disease onset. The foregoing goals, in turn, would be facilitated by attaining several related objectives. These are the objectives of having clients change certain lifestyle factors contributive to the disease and educating them regarding the disease itself and factors that contribute to its development and/or prevent or reduce the risk of its development. Regarding educational and life-style changes, Stark and Morris (1994) report that successful diabetes prevention programs meet their objectives of education and life-style change by containing one or more of the following components: (1) Nutritional education - Program participants are taught about foods that increase or decrease the risk of disease development). (2) Health Beliefs Education - Program participants are provided with information salient to correcting any false beliefs they may have about the disease and factors related to it, e.g. false beliefs about how t

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