A Family-Based, Culturally Tailored Diabetes Intervention for Hispanics and Their Family Members

Diabetes Educ. 2016 Jun;42(3):299-314. doi: 10.1177/0145721716636961. Epub 2016 Mar 8.

Abstract

Purpose: The purpose of this study was to test efficacy of a family-based, culturally tailored intervention for Hispanics with type 2 diabetes and their family members.

Methods: Hispanic patients with type 2 diabetes and their family members recruited from community clinics and ethnic churches were assigned to groups (N = 186). The intervention group received an 8-week culturally tailored diabetes educational program delivered in Spanish while the attention control group received 8 weekly sessions on general health information and 2 sessions on diabetes after completion of the study. Data were collected at baseline, after intervention, and at 1- and 6-month follow-ups for both patients and families. Comparisons of change over time were performed using growth curve analyses after propensity score adjustment.

Results: Intervention patients improved in diabetes knowledge and diabetes self-efficacy over time (but did not sustain at 6-month follow-up). A1C was lower at 1-month follow-up. Family members had improvements in diabetes knowledge and physical health-related quality of life.

Conclusions: Including families in the interventions may improve glycemic control, diabetes knowledge, self-efficacy, and physical health-related quality of life. However, strategies for sustaining improvements are needed.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Blood Glucose / analysis
  • Culturally Competent Care / methods*
  • Diabetes Mellitus, Type 2 / ethnology
  • Diabetes Mellitus, Type 2 / psychology
  • Diabetes Mellitus, Type 2 / therapy*
  • Family / psychology*
  • Female
  • Glycated Hemoglobin / analysis
  • Health Knowledge, Attitudes, Practice
  • Hispanic or Latino / psychology*
  • Humans
  • Male
  • Middle Aged
  • Non-Randomized Controlled Trials as Topic
  • Quality of Life
  • Self Care / methods*
  • Self Care / psychology
  • Treatment Outcome
  • Young Adult

Substances

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