Markedly elevated CRP in the first 3 days of life was most likely to affect term neonates (74/106) with no infectious cause (81%). However, CRP >100 mg/L from the fourth day of life was most likely to affect extremely preterm neonates (129/171) and have an infectious cause (87%).
Rural‐residing Latinos are at high risk for diabetes and diabetes complications. Culturally‐relevant diabetes education is needed for this group. Latinos Living Well (LLW) was created using the Social Marketing Theory (SMT) to ensure it was audience‐centered and culturally‐sensitive for rural‐residing Latinos in a Midwest state. LLW is a four‐week diabetes education program focused on diet and exercise. The two‐hour classes include culturally‐relevant physical activity and cooking practicums, group activities and goal setting. Classes were taught in Spanish and delivered through Cooperative Extension. This study evaluated participant satisfaction and perceptions of LLW. A convenience sample of rural‐residing Latino adults ages 18+ years (n=120) were recruited through word of mouth, flyers, and radio ads; 76 completed the program (63.3% completion rate). Participants completed sociodemographic questions at Class 1 and a qualitative program evaluation at the end of Class 4. The majority of participants were first generation immigrants (n=63; 87.5%), females (n=73; 97.3%), ages 30–49 (n=34; 51.6%), with at least 9–12 years of education (n=56; 77.8%). A diabetes or pre‐diabetes diagnosis was not required for enrollment into LLW; however, two‐thirds (n=49; 65.3%) reported a history of diabetes. The evaluation asked about participants' perceptions of LLW and what lifestyle changes were made as a result of attending. Descriptive statistics analyzed sociodemographic and evaluation data. Nearly all (n=69, 94.5%) believed LLW helped them to make healthy lifestyle changes. These changes included preparing at least one class recipe at home (n=57, 79.2%) and being more physically active (n=58, 81.7%). The content was viewed as understandable (n=72, 98.6%). The majority (n=70, 95.8%) rated LLW as “excellent” or “good” and would recommend the program to a friend (n=72, 94.7%). Results suggest rural‐residing Latinos enjoyed LLW, thus indicating using culturally‐relevant examples and activities helped participants view the program favorably. Furthermore, it is likely participants will refer friends and family, be motivated to apply the information they learned and attend other health programming through Cooperative Extension.Support or Funding InformationThis research was funded by the United States Department of Agriculture, National Institute of Food and Agriculture Rural Health and Safety Education Grant, #2014‐46100‐22349
Diabetes is a health issue for many Latinos. Extension can help provide diabetes self-management education for rural-residing Latinos. In a pilot study, we evaluated the Extension-delivered diabetes program Latinos Living Well (LLW), as provided to 76 rural-residing Latino adults in a midwestern state. LLW consists of four weekly lessons that include hands-on activities and cooking practicums. Participants completed diabetes self-management, self-efficacy, and knowledge questionnaires; significant (p ≤ .05) changes from before to after the program were detected for each outcome measure. Additionally, participants viewed LLW favorably. Results suggest that LLW is an effective, culturally relevant diabetes self-management education program for Latinos and is appropriate for Extension delivery.
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