The effects of a community-based, culturally tailored diabetes prevention intervention for high-risk adults of Mexican descent

Diabetes Educ. 2014 Mar-Apr;40(2):202-13. doi: 10.1177/0145721714521020. Epub 2014 Feb 7.

Abstract

Purpose: This article reports the results of a community-based, culturally tailored diabetes prevention program for overweight Mexican American adults on weight loss, waist circumference, diet and physical activity self-efficacy, and diet behaviors.

Methods: The intervention used content from the Diabetes Prevention Program but culturally tailored the delivery methods into a community-based program for Spanish-speaking adults of Mexican descent. The design was a randomized controlled trial (N = 58) comparing the effects of a 5-month educational intervention with an attention control group. The primary study outcome was weight loss. Secondary outcomes included change in waist circumference, body mass index, diet self-efficacy, and physical activity self-efficacy.

Results: There were significant intervention effects for weight, waist circumference, body mass index, and diet self-efficacy, with the intervention group doing better than the control group. These effects did not change over time.

Conclusions: Findings support the conclusion that a community-based, culturally tailored intervention is effective in reducing diabetes risk factors in a 5-month program.

Publication types

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

MeSH terms

  • Adult
  • Aged
  • Blood Glucose / metabolism
  • Body Mass Index
  • Culture
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / epidemiology
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Diabetes Mellitus, Type 2 / psychology
  • Diet
  • Directive Counseling / methods
  • Feasibility Studies
  • Feeding Behavior
  • Female
  • Glycated Hemoglobin / metabolism
  • Health Education* / methods
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Mexican Americans* / ethnology
  • Mexican Americans* / psychology
  • Middle Aged
  • Patient Acceptance of Health Care* / ethnology
  • Patient Acceptance of Health Care* / psychology
  • Patient Acceptance of Health Care* / statistics & numerical data
  • Patient Compliance / psychology*
  • Patient Compliance / statistics & numerical data
  • Patient Education as Topic
  • Patient Selection
  • Program Evaluation
  • Self Care
  • Surveys and Questionnaires
  • United States / epidemiology
  • United States / ethnology
  • Waist Circumference
  • Weight Loss

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • hemoglobin A1c protein, human