Outcomes from a multiple risk factor diabetes self-management trial for latinas: ¡viva Bien!

Deborah J. Toobert, Lisa A. Strycker, Manuel Barrera, Diego Osuna, Diane K. King, Russell E. Glasgow

Research output: Contribution to journalArticlepeer-review

53 Scopus citations


Background: Culturally appropriate interventions are needed to assist Latinas in making multiple healthful lifestyle changes. Purpose: The purpose of this study was to test a cultural adaptation of a successful multiple health behavior change program, ¡Viva Bien! Methods: Random assignment of 280 Latinas with type 2 diabetes to usual care only or to usual care∈+∈ ¡Viva Bien!, which included group meetings for building skills to promote the Mediterranean diet, physical activity, stress management, supportive resources, and smoking cessation. Results: ¡Viva Bien! participants compared to usual care significantly improved psychosocial and behavioral outcomes (fat intake, stress management practice, physical activity, and social-environmental support) at 6 months, and some improvements were maintained at 12 months. Biological improvements included hemoglobin A1c and heart disease risk factors. Conclusions: The ¡Viva Bien! multiple lifestyle behavior program was effective in improving psychosocial, behavioral, and biological/quality of life outcomes related to heart health for Latinas with type 2 diabetes (ClinicalTrials.gov no: NCT00233259).

Original languageEnglish (US)
Pages (from-to)310-323
Number of pages14
JournalAnnals of Behavioral Medicine
Issue number3
StatePublished - Jun 2011


  • Diabetes
  • Latina
  • Multiple behavior change
  • Randomized controlled trial
  • Self-management

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health


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