Feasibility and acceptability of a clinic-based Mediterranean-style diet intervention to reduce cardiovascular risk for Hispanic Americans with type 2 diabetes

Details

• Alternative Title:
  Diabetes Educ
• Personal Author:
  Cubillos, Laura ; del Campo, Yanire Estrada ; Harbi, Khalil ; Keyserling, Thomas ; Samuel-Hodge, Carmen ; Reuland, Daniel S.
• 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.
  
  
• Subjects:
  Cardiovascular Diseases Counseling Diabetes Mellitus, Type 2 Diet, Mediterranean Feasibility Studies Female Hispanic Or Latino Humans Male Middle Aged Pilot Projects Risk Factors Risk Reduction Behavior

  More +
• Source:
  Diabetes Educ. 43(3):286-296
• Pubmed ID:
  28427311
• Pubmed Central ID:
  PMC5800306
• Document Type:
  Journal Article
• Funding:
  P30 DK093002/DK/NIDDK NIH HHSUnited States/ ; U48 DP001944/DP/NCCDPHP CDC HHSUnited States/ ; U48DP001944/ACL/ACL HHSUnited States/
• Volume:
  43
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:67d4244f39ee5f56d34ef3d9da0f95cd4458637ca22861c448fe94fad0275dec
• Download URL:
  https://stacks.cdc.gov/view/cdc/51433/cdc_51433_DS1.pdf
• File Type:
  [PDF - 291.04 KB ]