Outcomes from a multiple risk factor diabetes self-management trial for Latinas: ¡Viva Bien!

Ann Behav Med. 2011 Jun;41(3):310-23. doi: 10.1007/s12160-010-9256-7.


Background: Culturally appropriate interventions are needed to assist Latinas in making multiple healthful lifestyle changes.

Purpose: The purpose of this study was to test a cultural adaptation of a successful multiple health behavior change program, ¡Viva Bien!

Methods: Random assignment of 280 Latinas with type 2 diabetes to usual care only or to usual care + ¡Viva Bien!, which included group meetings for building skills to promote the Mediterranean diet, physical activity, stress management, supportive resources, and smoking cessation.

Results: ¡Viva Bien! participants compared to usual care significantly improved psychosocial and behavioral outcomes (fat intake, stress management practice, physical activity, and social-environmental support) at 6 months, and some improvements were maintained at 12 months. Biological improvements included hemoglobin A1c and heart disease risk factors.

Conclusions: The ¡Viva Bien! multiple lifestyle behavior program was effective in improving psychosocial, behavioral, and biological/quality of life outcomes related to heart health for Latinas with type 2 diabetes.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Diabetes Mellitus, Type 2 / psychology*
  • Female
  • Health Behavior
  • Hispanic or Latino / psychology
  • Humans
  • Medication Adherence
  • Middle Aged
  • Outcome and Process Assessment, Health Care / methods
  • Patient Acceptance of Health Care / statistics & numerical data
  • Quality of Life / psychology*
  • Risk Factors
  • Self Care / methods
  • Self Care / psychology*