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Volume 3: No. 3, July 2006

ORIGINAL RESEARCH
A Church-based Diabetes Self-management Education Program for African Americans With Type 2 Diabetes

This diagram shows the design of the randomized controlled trial. The diagram reads from top to bottom. A box at the top is labeled 揃aseline Measures� and includes a list of measures that were collected for all participants: 揌emoglobin A1c [HbA1c], Diet, Physical Activity, Weight, and Psychosocial Factors.� The circle below indicates the next step, 揜andomize 24 Churches (Total of 201 Participants).� Below this circle are two columns, one on the left labeled 揝pecial Intervention (13 Churches, 117 Participants)� and one on the right labeled 揗inimal Intervention (11 Churches, 84 Participants).� In the Special Intervention column is a box labeled "Church-based Intensive Intervention" that includes the four components of the intervention: 揙ne Individual Dietary Assessment and Goal-Setting Visit,� 揟welve Group Sessions,� 揗onthly Telephone Contact With Church Diabetes Advisors,� and 揟hree Printed Messages From Physician.� The next box in the column shows the next step, �8-Month Follow-up Measures�: 揌bA1c, Diet, Physical Activity, Weight, and Psychosocial Assessment.� Below that is a box showing 揅hurch-based Reinforcement Period� that includes 揗onthly Telephone Contact With Church Diabetes Advisors.� The last box in the column shows �12-Month Follow-up Measures�: 揌bA1c, Physical Activity, Weight, Psychosocial Factors.�

The first two boxes in the Minimal Intervention column are 揟wo ADA Pamphlets on Diabetes Self-Care� and 揟wo Program Newsletters.� They lead to the same �8-Month Follow-up� box in the Special Intervention column. The next box in the Minimal Intervention column is labeled 揙ne Program Newsletter.� This box leads to the same final �12-Month Follow-up� box in the Special Intervention column.

Figure. Randomized controlled trial diagram, A New Dawn. ADA indicates American Diabetes Association.

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