The Effects of a Culturally Sensitive, Empowerment-Focused, Community-Based Health Promotion Program on Health Outcomes of Adults with Type 2 Diabetes

Tucker, Carolyn M.; Lopez, Manuel Thomas; Campbell, Kendall M.; Marsiske, Michael; Daly, Katherine; Nghiem, Khanh N.; Rahim‐Williams, Bridgett; Jones, Jessica D.; Hariton, Eduardo; Patel, Ashlesha

doi:10.1353/hpu.2014.0044

Cited by 22 publications

(14 citation statements)

References 21 publications

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“…It is possible to enhance self-management behaviors and glycemic control of socioeconomically vulnerable populations, but interventions need to be tailored to their context, preferences and priorities. 71 …”

Section: Discussionmentioning

confidence: 99%

Socioeconomic status and glycemic control in adult patients with type 2 diabetes: a mediation analysis

Houle

Lauzier-Jobin

Beaulieu

et al. 2016

BMJ Open Diab Res Care

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ObjectiveThe purpose of this study is to examine the contribution of health behaviors (self-management and coping), quality of care, and individual characteristics (depressive symptoms, self-efficacy, illness representations) as mediators in the relationship between socioeconomic status (SES) and glycemic control.MethodsA sample of 295 adult patients with type 2 diabetes was recruited at the end of a diabetes education course. Glycemic control was evaluated through glycosylated hemoglobin (HbA1c). Living in poverty and education level were used as indicators of SES.ResultsBootstrapping analysis showed that the significant effects of poverty and education level on HbA1c were mediated by avoidance coping and depressive symptoms. The representation that diabetes is unpredictable significantly mediated the relationship between living in poverty and HbA1c, while healthy diet mediated the relationship between education level and HbA1c.ConclusionsTo improve glycemic control among patients with low SES, professionals should regularly screen for depression, offering treatment when needed, and pay attention to patients' illness representations and coping strategies for handling stress related to their chronic disease. They should also support patients in improving their self-management skills for a healthy diet.

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Section: Discussionmentioning

confidence: 99%

Socioeconomic status and glycemic control in adult patients with type 2 diabetes: a mediation analysis

Houle

Lauzier-Jobin

Beaulieu

et al. 2016

BMJ Open Diab Res Care

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“…The Pregnancy and EARly Life improvement Study (PEARLS, University of Puerto Rico) intervention focuses on modifying total calorie consumption and improving diet quality (by reducing the intake of refined carbohydrates and sugar‐sweetened beverages) and increasing physical activity levels (through promotion of non‐structured physical activity). The intervention is delivered by study staff using an empowerment theoretical framework through individual and group‐based counseling and communications . The postpartum intervention focuses on breastfeeding physical and cognitive activation of the infant, infant feeding patterns, sleep, and healthy diet choices for the infant.…”

Section: Methodsmentioning

confidence: 99%

Design of lifestyle intervention trials to prevent excessive gestational weight gain in women with overweight or obesity

Clifton

Evans

Cahill

et al. 2015

Obesity

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Objective The Lifestyle Interventions for Expectant Moms (LIFE-Moms) Consortium is designed to determine, in pregnant women with overweight or obesity, whether various behavioral and lifestyle interventions reduce excessive gestational weight gain (GWG) and subsequent adverse maternal and neonatal outcomes, and obesity in offspring. The design and planning process of the LIFE-Moms Consortium is described. Design and Methods The LIFE-Moms Consortium is a collaboration among seven clinical centers, a Research Coordinating Unit, and the NIH designed to support each clinical center’s conduct of a separate trial of a unique intervention. Specific common measures, procedures, and eligibility criteria are consistent across the 7 trials allowing data to be combined in exploratory analyses and/or compared readily. Results Numerous committees and working groups were created to define common measures and outcomes during pregnancy and through 1 year postpartum, develop Consortium policies and oversee progress of the trials. The primary outcome for the Consortium is excessive GWG. Secondary outcomes include maternal, neonatal and infant anthropometric measures, physical activity, sleep, and complications of pregnancy and delivery. Conclusion A multi-center consortium of independent, lifestyle interventions with common measures and outcomes may enhance the ability to identify promising interventions for improving outcomes in pregnant women and their offspring.

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“…Indeed, only a small number of studies have used the normalization of body weight as a goal. In one of these studies, a positive effect on the normalization of BMI, systolic blood pressure, and stress levels was demonstrated following empowerment therapy among adult patients with type 2 diabetes [40]. In addition, the health self-empowerment workshop that was conducted among 153 low-income adults with overweight/obesity resulted in increased engagement in physical activity and healthy diet, as well as a reduction in BMI and blood pressure, compared to the control group [41].…”

Section: The Effects Of Empowerment Therapy In Type 2 Diabetes Andmentioning

confidence: 99%

Empowerment in the Treatment of Diabetes and Obesity

Łuczyński

Głowińska-Olszewska

Bossowski

2016

Journal of Diabetes Research

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As the available therapies for diabetes and obesity are not effective enough, diabetologists and educators search for new methods to collaborate with patients in order to support their health behaviors. The aim of this review is to discuss perspectives for the development of new empowerment-type therapies in the treatment of diabetes/obesity. Empowerment is a process whereby patients gain the necessary knowledge to influence their own behavior to improve the quality of their lives. It is carried out in five stages: (1) identify the problem, (2) explain the feelings and meanings, (3) build a plan, (4) act, and (5) experience and assess the execution. Although many years have passed since the advent and popularization of the concept of empowerment, the area remains controversial, mainly with regard to the methodology of therapy. Some previous studies have confirmed the positive effect of empowerment on body weight, metabolic control, and quality of life of patients with type 2 diabetes; however, few studies have been conducted in patients with type 1 diabetes. There is still a need to confirm the effectiveness of empowerment in accordance with Evidence Based Medicine by performing long-term observational studies in a large group of patients. In future, empowerment may become part of the standard of care for patients with diabetes and/or obesity.

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The Effects of a Culturally Sensitive, Empowerment-Focused, Community-Based Health Promotion Program on Health Outcomes of Adults with Type 2 Diabetes

Cited by 22 publications

References 21 publications

Socioeconomic status and glycemic control in adult patients with type 2 diabetes: a mediation analysis

Socioeconomic status and glycemic control in adult patients with type 2 diabetes: a mediation analysis

Design of lifestyle intervention trials to prevent excessive gestational weight gain in women with overweight or obesity

Empowerment in the Treatment of Diabetes and Obesity

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