Pilot Test of a Culturally Appropriate Diabetes Prevention Intervention for At-Risk Latina Women

Abstract

Purpose The purpose of the study was to test the preliminary effectiveness, feasibility, and acceptability of a peer-led, culturally appropriate, Diabetes Prevention Program (DPP)–based lifestyle intervention for Latina women at high-risk for type 2 diabetes (T2DM). Methods Participants (N = 61) were overweight/obese (body mass index [BMI] ≥25) Latina women with no diabetes, at elevated risk either due to midlife age (45–65 years; n = 37) or history of gestational diabetes mellitus (n = 24). The study used a 1-group pretest-posttest design and offered 12 weeks of peer-led education sessions in a community setting. The intervention targeted physical activity and dietary behaviors to facilitate weight reduction and included culturally appropriate content, age-specific health information, and stress/emotion management strategies. Clinical and self-report assessments were conducted at baseline, month 3, and month 6. Results Mean participant age was 47.8 years (SD = 10.8). Most (91.2%) were born in Mexico, and 43.3% had a ninth-grade education or less. At month 6, participants achieved a mean reduction of 4.1% body weight (7 lb [3.2 kg]). Statistically significant improvements were observed for dietary behaviors, stress, and depression symptoms. Attrition was low, 5% (3 women). Focus groups indicated that intervention content increased knowledge, was applicable, highly valued, culturally relevant, and would be recommended to others. Conclusions This culturally tailored DPP adaptation was feasible and acceptable for 2 groups of Latina women at high-risk for T2DM and showed preliminary effectiveness in reducing weight and modifying self-reported dietary behaviors, stress, and depression symptoms. Further research is needed to identify ways to enhance weight loss and diabetes prevention in this at-risk, underserved population.

An evaluation of mainstream type 2 diabetes educational programmes in relation to the needs of people with intellectual disabilities: A systematic review of the literature

“…(), (l) Macedo, Noriega, Dos‐Santos, Reis, and De Carvalho (), (m) McCurley et al. (), (n) Miller, Kristeller, Headings, and Nagaraja (), (o) Mohamed, Al‐Lenjawi, Amuna, Zotor, and Elmahdi (), (p) Ramadas, Chan, Oldenburg, Hussien, and Quek (), (q) Sacco, Malone, Morrison, Friedman, and Wells (), (r) Saksvig et al. (), (s) Taggart et al.…”

“…A majority of nine (39.1%) studies were conducted in the U.S. (Bradshaw et al., ; Contento et al., ; Dutton et al., ; Faro et al., ; Glasgow et al., ; Jennings et al., ; McCurley et al., ; Miller et al., ; Sacco et al., ). The remainder were published in the United Kingdom (five studies, 21.7%: Biddle et al., ; Davies et al., ; Taggart et al., ; Yates et al., , ), the Netherlands (two studies, 8.7%: Heideman et al., ; Thoolen et al., ), Australia (one study, 4.3%: Laatikainen et al., ), China (one study, 4.3%: Wu et al., ), Germany (one study, 4.3%: Hartmann et al., ), Qatar (one study, 4.3%: Mohamed et al., ), Malaysia (one study, 4.3%: Ramadas et al., ), Brazil (one study, 4.3%: Macedo et al., ) and Canada (one study, 4.3%: Saksvig et al., ).…”

“…(Bradshaw et al., ; Davies et al., ; Dutton et al., ; Glasgow et al., ; Hartmann et al., ; Jennings et al., ; Macedo et al., ; Miller et al., ; Mohamed et al., ; Ramadas et al., ; Sacco et al., ; Taggart et al., ; Thoolen et al., ; Wu et al., ). The remaining nine (39.1%) studies were preventative and recruited participants identified as “at risk” of diabetes (Biddle et al., ; Contento et al., ; Faro et al., ; Heideman et al., ; Laatikainen et al., ; McCurley et al., ; Saksvig et al., ), with impaired glucose tolerance (Yates et al., ) and pre‐diabetic status (Yates et al., ). The mean participant age of these studies was lower than that of the self‐management programme studies (47.4 and 57.1, respectively), reflecting a strategy to target risk factors at a younger age.…”

An Exploratory Analysis of Factors Associated with Low Risk Perception for Developing Type 2 Diabetes amongst Low-income, Primarily Latina Women with prior Gestational Diabetes Mellitus

“…A study showed that after controlling for known risk factors, first generation Hispanic/Latina women had a 59% increased risk for GDM compared to non-Latina women [6]. Latinas develop GDM at a 66% higher rate than non-Latinas, and have a 60% increased risk of developing DM2 within 5 years of a GDM pregnancy [6,7]. Despite the high rates of progression of GDM to type 2 diabetes, only one in five Latina women receive recommended postpartum diabetes screening, the lowest follow-up frequency for any ethnic group [8].…”

Pilot feasibility study of the Walking Away from Diabetes programme for adults with intellectual disabilities in two further education colleges: Process evaluation findings

“…A systematic review highlighted that many of these programmes lead to significant changes in health literacy and subsequently to healthier lifestyles . This review also identified seven mainstream preventative programmes since 2005 (Contento, Koch, Lee, & Calabrese-Barton, 2010;Heideman et al, 2015;Laatikainen et al, 2007;McCurley et al, 2017;Sacco, Malone, Morrison, Friedman, & Wells, 2009;Yates, Davies, Gorley, Bull, & Khunti, 2009;Yates et al, 2016) which reported significant changes in blood sugar levels, physical activity, dietary habits and knowledge, and self-efficacy.…”