TY - JOUR
T1 - Long-term outcomes from a multiple-risk-factor diabetes trial for Latinas
T2 - ¡Viva Bien!
AU - Toobert, Deborah J.
AU - Strycker, Lisa A.
AU - King, Diane K.
AU - Barrera, Manuel
AU - Osuna, Diego
AU - Glasgow, Russell E.
PY - 2011/9
Y1 - 2011/9
N2 - Latinas with type 2 diabetes are in need of culturally sensitive interventions to make recommended long-term lifestyle changes and reduce heart disease risk. To test the longer-term (24-month) effects of a previously successful, culturally adapted, multiple-health-behavior-change program, ¡Viva Bien!, 280 Latinas were randomly assigned to usual care or ¡Viva Bien!. Treatment included group meetings to promote a culturally adapted Mediterranean diet, physical activity, supportive resources, problem solving, stress-management practices, and smoking cessation. ¡Viva Bien! participants achieved and maintained some lifestyle improvements from baseline through 24 months, including significant improvements for psychosocial outcomes, fat intake, social-environmental support, body mass index, and hemoglobin A1c. Effects tended to diminish over time. The ¡Viva Bien! multiple-behavior program was effective in improving and maintaining some psychosocial, behavioral, and biological outcomes related to heart health across 24 months for Latinas with type 2 diabetes, a high-risk, underserved population (ClinicalTrials.gov number, NCT00233259).
AB - Latinas with type 2 diabetes are in need of culturally sensitive interventions to make recommended long-term lifestyle changes and reduce heart disease risk. To test the longer-term (24-month) effects of a previously successful, culturally adapted, multiple-health-behavior-change program, ¡Viva Bien!, 280 Latinas were randomly assigned to usual care or ¡Viva Bien!. Treatment included group meetings to promote a culturally adapted Mediterranean diet, physical activity, supportive resources, problem solving, stress-management practices, and smoking cessation. ¡Viva Bien! participants achieved and maintained some lifestyle improvements from baseline through 24 months, including significant improvements for psychosocial outcomes, fat intake, social-environmental support, body mass index, and hemoglobin A1c. Effects tended to diminish over time. The ¡Viva Bien! multiple-behavior program was effective in improving and maintaining some psychosocial, behavioral, and biological outcomes related to heart health across 24 months for Latinas with type 2 diabetes, a high-risk, underserved population (ClinicalTrials.gov number, NCT00233259).
KW - Diabetes
KW - Latina
KW - Multiple behavior change
KW - Randomized controlled trial
KW - Self-management
UR - http://www.scopus.com/inward/record.url?scp=84859259896&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84859259896&partnerID=8YFLogxK
U2 - 10.1007/s13142-010-0011-1
DO - 10.1007/s13142-010-0011-1
M3 - Article
AN - SCOPUS:84859259896
SN - 1869-6716
VL - 1
SP - 416
EP - 426
JO - Translational behavioral medicine
JF - Translational behavioral medicine
IS - 3
ER -