Details:

Alternative Title:
Diabetes Educ
Personal Author:
Cubillos, Laura; del Campo, Yanire Estrada; Harbi, Khalil; Keyserling, Thomas; Samuel-Hodge, Carmen; ... More +
Cubillos, Laura; del Campo, Yanire Estrada; Harbi, Khalil; Keyserling, Thomas; Samuel-Hodge, Carmen; Reuland, Daniel S.; Less -
Description:
Purpose The purpose of the study was to modify a previously tested Spanish language version of a Mediterranean (Med)-style dietary intervention so that the dietary recommendations align with the cultural and social needs of Hispanic Americans (HAs) with type 2 diabetes (T2D) and evaluate the modified intervention’s feasibility and acceptability. Methods In phase I (formative), semi-structured interviews and focus groups were used to refine the intervention content and format for delivery to HAs with T2D receiving care at a large primary care practice. In phase II (clinical pilot), the 2-month intervention that promoted a Medstyle dietary pattern was given to all participants via 2 face-to-face counseling sessions and 2 telephone counseling sessions. Major outcomes were engagement with study activities and intervention acceptability; dietary behavior change at 2 months using the PREDIMED Med-diet score (range, 0–14, higher indicating better dietary pattern) is also reported. Results From clinic records, we identified 86 potentially eligible participants and enrolled 21. Baseline characteristics were: mean age = 52 years, 12 (57%) female, 15 (71%) from Mexico, mean years in the US = 19, low acculturation scores for all, and mean BMI = 33.7 kg/m2. Engagement and acceptability were high, with 19 (90%) completing all intervention visits and follow-up measures, all of whom would recommend the program to others. Mean Med-diet score improved from 5.7 to 7.9 (difference = 2.3; 95% CI, 1.0–3.5; P = .001). Conclusions Intervention engagement and acceptability were high, and there was improvement in self-reported dietary behaviors. This type of intervention should be evaluated in randomized trials enrolling HAs with diabetes.
Subject:
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Cardiovascular Diseases
Counseling
Diabetes Mellitus, Type 2
Diet, Mediterranean
Feasibility Studies
Female
Hispanic Americans
Humans
Male
Middle Aged
Pilot Projects
Risk Factors
Risk Reduction Behavior

Source:
Diabetes Educ. 43(3):286-296.;
Pubmed ID:
28427311
Pubmed Central ID:
PMC5800306
Document Type:
Journal Article;
Funding:
P30 DK093002/DK/NIDDK NIH HHS/United States; U48 DP001944/DP/NCCDPHP CDC HHS/United States; U48DP001944/ACL HHS/United States;
P30 DK093002/DK/NIDDK NIH HHS/United States; U48 DP001944/DP/NCCDPHP CDC HHS/United States; U48DP001944/ACL HHS/United States; Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:67d4244f39ee5f56d34ef3d9da0f95cd4458637ca22861c448fe94fad0275dec
File Type:

Supporting Files

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