Date of Award
Doctor of Philosophy
Interdisciplinary Health Sciences
Dr. Kieran Fogarty
Dr. Mary D. Lagerwey
Dr. Michalene A. King
Spirituality, spiritual interventions, Diabetes Prevention Program, faith community nursing, faith-based prevention programs
The purpose of this study is to explore a relationship between a modified Diabetes Prevention Program (DPP) for adults with pre-diabetes (pre-DM) or type-2 DM with variables of spirituality and religiosity (S/R) to illuminate the potential religion-health connection based in changes in participant weight, body mass index (BMI) and physical activity. A secondary purpose is identifying spiritual interventions used by faith-based DPP coaches in a group setting.
A mixed-methods study was conducted with 34 DPP participants and 11 DPP coaches who completed the core section (weeks 1-26) of DPP courses held in Macomb Country, Michigan. Independent variables are type of coach (faith-based or community-based) and three subscales of the Duke University Religion Index (DUREL). Dependent variables include pre- and post-core program measurements of weight, BMI and physical activity. A 2-round Delphi Survey Technique was completed by six faith-based coaches to identify spiritual interventions used while leading a DPP course.
Chi square and Independent-t and Pearson's r testing revealed no statistically significant differences in outcomes of weight loss, physical activity, or BMI based on type of coach or the three DUREL subscales. Chi square testing revealed a statistically significant difference between the men and women with more men meeting physical activity goals (X2(1)=6.28, p=.02). Fisher's Exact and Independent-t testing revealed no significant difference between type of coach based on the three subscales of the DUREL (NORp=.66 or IR p=.18). Results of the Delphi Survey show the faith-based coaches rated most important that used prayer, active listenin, and emotional support in leading their DPP courses.
Participants in this study did not achieve greater weight loss, a reduction in BMI, or increased physical activity levels based in variables of S/R or type of coach. Consensus was reported about three spiritual interventions used by all faith-based coaches in a group setting. Further study is needed with a larger, more diverse sample to further explore S/R dimensions related to successes with the DPP.
Long, Sharon E. Plutko, "Diabetes Prevention Program: Exploring Spirituality and Spiritual Interventions on Outcomes" (2018). Dissertations. 3222.