An ecological approach to understanding contributions to disparities in diabetes prevention and care

Haire‐Joshu, Debra; Fleming, Chris

doi:10.1007/s11892-006-0023-x

Cited by 5 publications

(4 citation statements)

References 56 publications

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“…These data are consistent with other studies that suggest the role of parents as critical in the energy balance environment of the child (14,48,55,56). PARADE's primary impact was in motivating the child to want to change, results that are consistent with a child‐focused, individually tailored energy balance program.…”

Section: Discussionsupporting

confidence: 93%

“…This is an important accomplishment since mentoring programs can reach underserved and high needs school‐aged children in a meaningful way, without adding to an already content laden school curriculum. The use of participatory methods may assure the appropriateness of PARADE for use in other urban settings and organizations further enhancing its uptake and impact (35,36,56).…”

Section: Discussionmentioning

confidence: 99%

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The Use of Mentoring Programs to Improve Energy Balance Behaviors in High‐risk Children

Haire‐Joshu

Nanney

Elliott

et al. 2010

Obesity

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Introduction This study tested the impact of “Partners of all Ages Reading About Diet and Exercise” (PARADE), an energy balance intervention incorporated into child mentoring programs. Methods We used a group randomized nested cohort design which randomized mentoring program sites (n=112) and children (N = 296; age=8.5 years) to intervention or usual care conditions. PARADE mentors delivered 8 lesson plans, 8 child-focused computer-tailored storybooks, and 8 parent action support newsletters addressing positive diet and activity behavior patterns. Results When compared to the control group, PARADE children were more knowledgeable of diet and activity guidelines (p<0.01), challenged themselves more to eat 5 fruits and vegetables per day (p=0.04) and to be active one hour daily (p=0.02). Calories from high fat foods decreased in overweight/obese children (p=0.05) but not for normal weight children. There were no significant differences in percent time being active. Among parents there were no significant differences between PARADE and control groups. PARADE parents did report an increase in minutes of walking (p=.13) and modeling activity behaviors to their child (p=.12). Discussion PARADE motivated high needs children to develop healthy energy balance patterns. Children need to be supported by stronger parental involvement and behavior change in providing a positive food and activity environment. Conclusion PARADE provides evidence for the use of multi-component, community-based approaches to reach high risk children and their parents as a routine component of their mentoring experience.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

The Use of Mentoring Programs to Improve Energy Balance Behaviors in High‐risk Children

Haire‐Joshu

Nanney

Elliott

et al. 2010

Obesity

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“…Medically underserved, low-income, and urban groups are especially likely to face economic barriers to chronic disease management, especially with regard to dietary adherence. These barriers include limited access to healthy foods and supermarkets, which shape meal possibilities for families (Haire-Joshu & Fleming, 2006; Horowitz, Colson, Hebert, & Lancaster, 2004; Lindsay, Sussner, Greaney, & Peterson, 2009; Russell et al, 2010), along with food insecurity and insufficiency (Basiotis & Lino, 2003; Zizza, Duffy, & Gerrior, 2008). Basiotis and Lino (2003) noted that women in food-insufficient households consumed fewer vegetables and fruits and less milk than those in comparable food-sufficient households.…”

mentioning

confidence: 99%

Diet and Exercise Adherence and Practices Among Medically Underserved Patients With Chronic Disease

Orzech

Vivian

Torres³

et al. 2012

Health Educ Behav

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Many factors interact to create barriers to dietary and exercise plan adherence among medically underserved patients with chronic disease, but aspects related to culture and ethnicity are underexamined in the literature. Using both qualitative (n = 71) and quantitative (n = 297) data collected in a 4-year, multimethod study among patients with hypertension and/ or diabetes, the authors explored differences in self-reported adherence to diet and exercise plans and self-reported daily diet and exercise practices across four ethnic groups—Whites, Blacks, Vietnamese, and Latinos—at a primary health care center in Massachusetts. Adherence to diet and exercise plans differed across ethnic groups even after controlling for key sociodemographic variables, with Vietnamese participants reporting the highest adherence. Food and exercise options were shaped by economic constraints as well as ethnic and cultural familiarity with certain foods and types of activity. These findings indicate that health care providers should consider ethnicity and economic status together to increase effectiveness in encouraging diverse populations with chronic disease to make healthy lifestyle changes.

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“…Further complicating the challenge to improve health status among those with diabetes, a growing body of evidence suggests additional racial/ethnic disparities in the practice of dietary behavior and PA. 16 In particular, only 25% of African Americans aged 18 years or older engage in consistent PA of moderate intensity in comparison with 35% of non-Hispanic Whites of the same age. 17 Yoga therapy, as applied in western culture, is an innovative form of PA and stress management; this mind-body practice is a CAM modality that has become increasingly popular in recent years.…”

Section: Background and Significancementioning

confidence: 99%

Contextualizing the Effects of Yoga Therapy on Diabetes Management

Alexander¹,

Taylor

Innes³

et al. 2008

Family &Amp; Community Health

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This article provides a review of literature both to identify the effects of yoga-based therapy on the management of type 2 diabetes mellitus and to examine the social context of physical activity. Findings from the review indicate that yoga has a positive short-term effect on multiple diabetesrelated outcomes; however, long-term effects of yoga therapy on diabetes management remain unclear. The context of the social environment, including interpersonal relationships, community characteristics, and discrimination, influences the adoption and maintenance of health behaviors such as physical activity, including yoga practice. Further research is necessary to determine the extent of this influence.

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An ecological approach to understanding contributions to disparities in diabetes prevention and care

Cited by 5 publications

References 56 publications

The Use of Mentoring Programs to Improve Energy Balance Behaviors in High‐risk Children

The Use of Mentoring Programs to Improve Energy Balance Behaviors in High‐risk Children

Diet and Exercise Adherence and Practices Among Medically Underserved Patients With Chronic Disease

Contextualizing the Effects of Yoga Therapy on Diabetes Management

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