A Mixed-Methods, Randomized Clinical Trial to Examine Feasibility of a Mindfulness-Based Stress Management and Diabetes Risk Reduction Intervention for African Americans with Prediabetes
Table 2
Inclusion and exclusion criteria for intervention.
Inclusion criteria
(1) African American
(2) Aged 25 and 65 years
(3) Meets ADA criteria for prediabetes either by hemoglobin A1C of 5.7–6.4% (39–46 mmol/mol), fasting plasma glucose (FPG) of 100–124 mg/dl (5.6–6.9 mmol/L), or glucose of 140–199 mg/dl (7.8–11.1 mmol/L) at 2 hours in an oral glucose tolerance test (OGTT) at Clinical Trials Research Center visit
(4) Perceived stress Scale-14 [37] score >5 or self-report of at least “some” general life stressa
Exclusion criteria
(1) Diabetes diagnosed by a healthcare provider
(2) Past or current use of hypoglycemic medication (except for gestational diabetes)
(3) Disease associated with disordered glucose metabolism (e.g., Cushing’s Syndrome)
(4) Regular use of medications associated with impaired glucose metabolism (e.g., oral or parenteral steroids)
(5) Active treatment for or history of a major medical illness such as coronary heart disease
(6) Previous formal training in meditation and other mind/body practices including yoga, tai chi, or qi gong
(7) Psychosis or significant depression, anxiety, or substance abuse under active care (>2 mental healthcare visits per month) or requiring more than 2 psychotropic medicines daily or hospitalization within the past 2 years
(8) Pregnancy or anticipated pregnancy
(9) Impaired cognition (inability to follow and respond appropriately during screening)
(10) Lack of self-reported life stress
aParticipants were asked “How would you describe your general level of stress when you consider the multiple areas of your life?” This includes, but is not limited to your work life, your family or social life and your financial situation.” Response scale included 0 = no stress at all, 1 = some stress, 2 = quite a bit of stress, and 3 = extreme stress.
