Trial reportJournal of general internal medicine2019
Randomized Trial of a Lifestyle Intervention for Urban Low-Income African Americans with Type 2 Diabetes.
Trial report in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01901952 (Lifestyle Improvement Through Food and Exercise), which is not on this map. Cited by 30 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Lifestyle Improvement Through Food and Exercise (LIFE) Study
Who cites it
30 citing papers in PubMed, 9 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Promoting community engagement in type 2 diabetes management: a systematic review and meta-analysis of community-based participatory research interventions.BMC public health · 2026Pooled it
- Systematic review of healthcare-led and lay-led interventions for type 2 diabetes in community settings.Scientific reports · 2025Pooled it
- Effectiveness of behavioral intervention programs for preventing and managing diabetes in adults: a systematic review of evidence.BMC public health · 2025Pooled it
- Effects of Lifestyle Interventions to Promote Physical Activity on Physical Activity and Glycated Hemoglobin in Patients with Type 2 Diabetes: a Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2025Pooled it
- Community-Based Culturally Tailored Education Programs for Black Communities with Cardiovascular Disease, Diabetes, Hypertension, and Stroke: Systematic Review Findings.Journal of racial and ethnic health disparities · 2023Pooled it
- Effectiveness of self-management interventions for long-term conditions in people experiencing socio-economic deprivation in high-income countries: a systematic review and meta-analysis.Journal of public health (Oxford, England) · 2023Pooled it
- Pooled it
- Culturally tailored lifestyle interventions for the prevention and management of type 2 diabetes in adults of Black African ancestry: a systematic review of tailoring methods and their effectiveness.Public health nutrition · 2022Pooled it
- Use of the Healthy Eating Index in Intervention Studies for Cardiometabolic Risk Conditions: A Systematic Review.Advances in nutrition (Bethesda, Md.) · 2021Pooled it
- Trial
- A pilot mixed methods randomized control trial investigating the feasibility and acceptability of a culturally tailored intervention focused on beliefs, mistrust and race-congruent peer support for Black adults with diabetes.Frontiers in public health · 2025Trial
- Does the effect of lifestyle intervention for individuals with diabetes vary by food insecurity status? A preplanned subgroup analysis of the REAL HEALTH randomized clinical trial.BMJ open diabetes research & care · 2020Trial
- From Knowledge to Action: Community-Based Strategies that Transform Diabetes Self-Management Among Black Adults with Type 2 Diabetes.Journal of racial and ethnic health disparities · 2026Review
- Article
- Scaling the Diabetes Prevention Program and Diabetes Self-Management Education and Support Services Across a Health System.Clinical diabetes : a publication of the American Diabetes Association · 2025Article
- Investigating the Added Value of a Culturally Tailored Peer Support Intervention for Black Adults with Diabetes: A Randomized Mixed Methods Pilot Trial.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025Article
- Dietary interventions and glycaemic control in type 2 diabetes: A systematic review and meta-analysis.Journal of public health in Africa · 2025Review
- Have a Little Faith: Overcoming Pandemic-Related Challenges to Designing and Implementing a COVID-19 Testing Trial in African American Churches.American journal of public health · 2024Article
- Associations of the magnesium depletion score and magnesium intake with diabetes among US adults: an analysis of the National Health and Nutrition Examination Survey 2011-2018.Epidemiology and health · 2024Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAfrican Americans suffer more than non-Hispanic whites from type 2 diabetes, but diabetes self-management education (DSME) has been less effective at improving glycemic control for African Americans. Our objective was to determine whether a novel, culturally tailored DSME intervention would result in sustained improvements in glycemic control in low-income African-American patients of public hospital clinics. RESEARCH DESIGN AND
methodsThis randomized controlled trial (n = 211) compared changes in hemoglobin A1c (A1c) at 6, 12, and 18 months between two arms: (1) Lifestyle Improvement through Food and Exercise (LIFE), a culturally tailored, 28-session community-based intervention, focused on diet and physical activity, and (2) a standard of care comparison group receiving two group DSME classes. Cluster-adjusted ANCOVA modeling was used to assess A1c changes from baseline to 6, 12, and 18 months, respectively, between arms.
resultsAt 6 months, A1c decreased significantly more in the intervention group than the control group (- 0.76 vs - 0.21%, p = 0.03). However, by 12 and 18 months, the difference was no longer significant (12 months - 0.63 intervention vs - 0.45 control, p = 0.52). There was a decrease in A1c over 18 months in both the intervention (β = - 0.026, p = 0.003) and the comparison arm (β = - 0.018, p = 0.048) but no difference in trend (p = 0.472) between arms. The intervention group had greater improvements in nutrition knowledge (11.1 vs 6.0 point change, p = 0.002) and diet quality (4.0 vs - 0.5 point change, p = 0.018) while the comparison group had more participants with improved medication adherence (24% vs 10%, p < 0.05) at 12 months.
conclusionsThe LIFE intervention resulted in improved nutrition knowledge and diet quality and the comparison intervention resulted in improved medication adherence. LIFE participants showed greater A1c reduction than standard of care at 6 months but the difference between groups was no longer significant at 12 and 18 months. NIH TRIAL REGISTRY NUMBER: NCT01901952.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.