Date of Award

Fall 12-2022

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)


Leadership and Advanced Nursing Practice

Committee Chair

Dr. LaWanda Baskin

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Lisa Morgan

Committee Member 2 School

Leadership and Advanced Nursing Practice


African Americans have the highest population with prediabetes diagnoses (Centers for Disease Control [CDC], 2020). In order to effectively address the lack of assistance needed to break health disparities related to prediabetes, it is crucial to understand why those barriers exist. Experts project that more than 470 million people will have prediabetes by 2030 (Tabak et al., 2012). Educating African Americans who have been previously diagnosed with prediabetes is vital in decreasing the stigma that surrounds communities in rural Central Mississippi. By maintaining accountability groups, fasting blood glucose can decrease and participants can increase their knowledge by understanding how to change their lifestyle and attain resources to live a sustainable and healthy life.

Ten African American patients who reside in Rural Central Mississippi, are between the ages of 18-50, and have been diagnosed with prediabetes or are undiagnosed but meet the A1C requirements were a part of a study conducted by a principal investigator at a healthcare facility. Each participant would be monitored on their food intake, their exercising, glucose levels, and weight changes for three weeks. Additionally, the participants would answer pre-test questions related to their prediabetes and after three weeks, they would take the test again to see if their knowledge has increased. This evidence-based project aided in identifying if accountability groups were effective in decreasing fasting glucose levels and increasing knowledge of diabetes.