Objective Outcome evaluation of 3 delivery models for a diabetes prevention education program for older adults. Use of Theory or Research Older adults have the highest prevalence of diabetes and have proved to benefit from prevention programs. Few community-based education programs have targeted this age group. Target Audience Community-dwelling older persons (≥60 years) in Lubbock, Texas. Program Description We modified the national Diabetes Prevention Program based on previously assessed health education needs of the elderly. Seven modules on diabetes basics, physical activity, and overall healthy diet were developed. The core elements were healthy eating within budget, enhancing self-efficacy, nutrition misconceptions, and problem-solving skills. Two community centers were randomly assigned to education by nutrition professionals (Pro, n = 23), 2 were assigned to trained peer educators (Peer, n = 27), and 2 were assigned to receive written materials (Passive, n = 26). Pro and Peer groups received 9 weekly 45-minute sessions; passive group received the written materials weekly. Evaluation Methods Nutrition and Diabetes Knowledge (NDK) questionnaire, self-efficacy for eating behaviors scale, Starting the Conversation instrument for dietary behaviors, and the Veggie Meter for Skin Carotenoid Status (SCS). We also conducted post-intervention focus group discussions. Results Regression models demonstrated a significant improvement in self-efficacy in Peer group (+0.38 ± 0.24) compared to the other 2 groups (+0.18 ± 0.32 for Pro and +0.11 ± 0.45 for Passive, P Conclusions Passive information dissemination was not an effective education model for elderly people. Peer education provided a valuable resource for diabetes education for older adults. Funding Texas Tech University.
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