¡Viva Maryvale! A Multilevel, Multisector Model to Community-Based Diabetes Prevention

Erica G. Soltero, Crystal Ramos, Allison N. Williams, Elva Hooker, Jenny Mendez, Heidi Wildy, Karen Davis, Valentina Hernandez, Omar A. Contreras, Maria Silva, Elvia Lish, Gabriel Shaibi

Research output: Contribution to journalArticle

Abstract

Introduction: Latino communities are disproportionately affected by type 2 diabetes and experience disparities in access to diabetes prevention programs. The purpose of this study was to test the preliminary efficacy of a culturally grounded, diabetes prevention program for high-risk Latino families delivered through an integrated research–practice partnership. Study design: The integrated research–practice partnership was established in a predominantly Latino community and consisted of a Federally Qualified Health Center, a YMCA, an accredited diabetes education program, and an academic research center. Data were collected and analyzed from 2015 to 2018. Setting/participants: Latino families consisting of a parent with an obese child between age 8 and 12 years. Intervention: The 12-week lifestyle intervention included nutrition education and behavioral skills training (60 minutes, once/week) and physical activity classes (60 minutes, three times/week) delivered at a YMCA. Main outcome measures: Outcomes included measures of adiposity (BMI, waist circumference, and body fat); HbA1c; and weight-specific quality of life. Results: Over the course of the 2-year project period, 58 families (parents n=59, children n=68) were enrolled with 36% of parents and 29% of children meeting the criteria for prediabetes at baseline. Feasibility and acceptability were high, with 83% of enrolled families completing the program, 91% of the intervention sessions attended, and 100% of families stating they would recommend the program. The intervention led to significant decreases in percentage body fat among parents (46.4% [SD=10.8] to 43.5% [SD=10.5], p=0.001) as well as children (43.1% [SD=8.0] to 41.8% [SD=7.2], p=0.03). Additionally, HbA1c was significantly reduced in parents (5.6% [SD=0.4] to 5.5% [SD=0.3], p=0.03), and remained stable in children (5.5% [SD=0.3] vs 5.5% [SD=0.3], p>0.05). Significant improvements in quality of life were reported in parents (64.6 [SD=15.8] to 71.0 [SD=13.7], p=0.001) and children (69.7 [SD=15.8] to 72.6 [SD=13.7], p=0.05). Conclusions: These findings support the preliminary efficacy of an integrated research–practice partnership to meet the diabetes prevention needs of high-risk Latino families within a vulnerable community.

Original languageEnglish (US)
Pages (from-to)58-65
Number of pages8
JournalAmerican Journal of Preventive Medicine
Volume56
Issue number1
DOIs
StatePublished - Jan 1 2019

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Hispanic Americans
Parents
Adipose Tissue
Quality of Life
Outcome Assessment (Health Care)
Education
Prediabetic State
Adiposity
Waist Circumference
Type 2 Diabetes Mellitus
Life Style
Exercise
Weights and Measures
Health
Research

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

¡Viva Maryvale! A Multilevel, Multisector Model to Community-Based Diabetes Prevention. / Soltero, Erica G.; Ramos, Crystal; Williams, Allison N.; Hooker, Elva; Mendez, Jenny; Wildy, Heidi; Davis, Karen; Hernandez, Valentina; Contreras, Omar A.; Silva, Maria; Lish, Elvia; Shaibi, Gabriel.

In: American Journal of Preventive Medicine, Vol. 56, No. 1, 01.01.2019, p. 58-65.

Research output: Contribution to journalArticle

Soltero, EG, Ramos, C, Williams, AN, Hooker, E, Mendez, J, Wildy, H, Davis, K, Hernandez, V, Contreras, OA, Silva, M, Lish, E & Shaibi, G 2019, '¡Viva Maryvale! A Multilevel, Multisector Model to Community-Based Diabetes Prevention', American Journal of Preventive Medicine, vol. 56, no. 1, pp. 58-65. https://doi.org/10.1016/j.amepre.2018.07.034
Soltero, Erica G. ; Ramos, Crystal ; Williams, Allison N. ; Hooker, Elva ; Mendez, Jenny ; Wildy, Heidi ; Davis, Karen ; Hernandez, Valentina ; Contreras, Omar A. ; Silva, Maria ; Lish, Elvia ; Shaibi, Gabriel. / ¡Viva Maryvale! A Multilevel, Multisector Model to Community-Based Diabetes Prevention. In: American Journal of Preventive Medicine. 2019 ; Vol. 56, No. 1. pp. 58-65.
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abstract = "Introduction: Latino communities are disproportionately affected by type 2 diabetes and experience disparities in access to diabetes prevention programs. The purpose of this study was to test the preliminary efficacy of a culturally grounded, diabetes prevention program for high-risk Latino families delivered through an integrated research–practice partnership. Study design: The integrated research–practice partnership was established in a predominantly Latino community and consisted of a Federally Qualified Health Center, a YMCA, an accredited diabetes education program, and an academic research center. Data were collected and analyzed from 2015 to 2018. Setting/participants: Latino families consisting of a parent with an obese child between age 8 and 12 years. Intervention: The 12-week lifestyle intervention included nutrition education and behavioral skills training (60 minutes, once/week) and physical activity classes (60 minutes, three times/week) delivered at a YMCA. Main outcome measures: Outcomes included measures of adiposity (BMI, waist circumference, and body fat); HbA1c; and weight-specific quality of life. Results: Over the course of the 2-year project period, 58 families (parents n=59, children n=68) were enrolled with 36{\%} of parents and 29{\%} of children meeting the criteria for prediabetes at baseline. Feasibility and acceptability were high, with 83{\%} of enrolled families completing the program, 91{\%} of the intervention sessions attended, and 100{\%} of families stating they would recommend the program. The intervention led to significant decreases in percentage body fat among parents (46.4{\%} [SD=10.8] to 43.5{\%} [SD=10.5], p=0.001) as well as children (43.1{\%} [SD=8.0] to 41.8{\%} [SD=7.2], p=0.03). Additionally, HbA1c was significantly reduced in parents (5.6{\%} [SD=0.4] to 5.5{\%} [SD=0.3], p=0.03), and remained stable in children (5.5{\%} [SD=0.3] vs 5.5{\%} [SD=0.3], p>0.05). Significant improvements in quality of life were reported in parents (64.6 [SD=15.8] to 71.0 [SD=13.7], p=0.001) and children (69.7 [SD=15.8] to 72.6 [SD=13.7], p=0.05). Conclusions: These findings support the preliminary efficacy of an integrated research–practice partnership to meet the diabetes prevention needs of high-risk Latino families within a vulnerable community.",
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T2 - A Multilevel, Multisector Model to Community-Based Diabetes Prevention

AU - Soltero, Erica G.

AU - Ramos, Crystal

AU - Williams, Allison N.

AU - Hooker, Elva

AU - Mendez, Jenny

AU - Wildy, Heidi

AU - Davis, Karen

AU - Hernandez, Valentina

AU - Contreras, Omar A.

AU - Silva, Maria

AU - Lish, Elvia

AU - Shaibi, Gabriel

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N2 - Introduction: Latino communities are disproportionately affected by type 2 diabetes and experience disparities in access to diabetes prevention programs. The purpose of this study was to test the preliminary efficacy of a culturally grounded, diabetes prevention program for high-risk Latino families delivered through an integrated research–practice partnership. Study design: The integrated research–practice partnership was established in a predominantly Latino community and consisted of a Federally Qualified Health Center, a YMCA, an accredited diabetes education program, and an academic research center. Data were collected and analyzed from 2015 to 2018. Setting/participants: Latino families consisting of a parent with an obese child between age 8 and 12 years. Intervention: The 12-week lifestyle intervention included nutrition education and behavioral skills training (60 minutes, once/week) and physical activity classes (60 minutes, three times/week) delivered at a YMCA. Main outcome measures: Outcomes included measures of adiposity (BMI, waist circumference, and body fat); HbA1c; and weight-specific quality of life. Results: Over the course of the 2-year project period, 58 families (parents n=59, children n=68) were enrolled with 36% of parents and 29% of children meeting the criteria for prediabetes at baseline. Feasibility and acceptability were high, with 83% of enrolled families completing the program, 91% of the intervention sessions attended, and 100% of families stating they would recommend the program. The intervention led to significant decreases in percentage body fat among parents (46.4% [SD=10.8] to 43.5% [SD=10.5], p=0.001) as well as children (43.1% [SD=8.0] to 41.8% [SD=7.2], p=0.03). Additionally, HbA1c was significantly reduced in parents (5.6% [SD=0.4] to 5.5% [SD=0.3], p=0.03), and remained stable in children (5.5% [SD=0.3] vs 5.5% [SD=0.3], p>0.05). Significant improvements in quality of life were reported in parents (64.6 [SD=15.8] to 71.0 [SD=13.7], p=0.001) and children (69.7 [SD=15.8] to 72.6 [SD=13.7], p=0.05). Conclusions: These findings support the preliminary efficacy of an integrated research–practice partnership to meet the diabetes prevention needs of high-risk Latino families within a vulnerable community.

AB - Introduction: Latino communities are disproportionately affected by type 2 diabetes and experience disparities in access to diabetes prevention programs. The purpose of this study was to test the preliminary efficacy of a culturally grounded, diabetes prevention program for high-risk Latino families delivered through an integrated research–practice partnership. Study design: The integrated research–practice partnership was established in a predominantly Latino community and consisted of a Federally Qualified Health Center, a YMCA, an accredited diabetes education program, and an academic research center. Data were collected and analyzed from 2015 to 2018. Setting/participants: Latino families consisting of a parent with an obese child between age 8 and 12 years. Intervention: The 12-week lifestyle intervention included nutrition education and behavioral skills training (60 minutes, once/week) and physical activity classes (60 minutes, three times/week) delivered at a YMCA. Main outcome measures: Outcomes included measures of adiposity (BMI, waist circumference, and body fat); HbA1c; and weight-specific quality of life. Results: Over the course of the 2-year project period, 58 families (parents n=59, children n=68) were enrolled with 36% of parents and 29% of children meeting the criteria for prediabetes at baseline. Feasibility and acceptability were high, with 83% of enrolled families completing the program, 91% of the intervention sessions attended, and 100% of families stating they would recommend the program. The intervention led to significant decreases in percentage body fat among parents (46.4% [SD=10.8] to 43.5% [SD=10.5], p=0.001) as well as children (43.1% [SD=8.0] to 41.8% [SD=7.2], p=0.03). Additionally, HbA1c was significantly reduced in parents (5.6% [SD=0.4] to 5.5% [SD=0.3], p=0.03), and remained stable in children (5.5% [SD=0.3] vs 5.5% [SD=0.3], p>0.05). Significant improvements in quality of life were reported in parents (64.6 [SD=15.8] to 71.0 [SD=13.7], p=0.001) and children (69.7 [SD=15.8] to 72.6 [SD=13.7], p=0.05). Conclusions: These findings support the preliminary efficacy of an integrated research–practice partnership to meet the diabetes prevention needs of high-risk Latino families within a vulnerable community.

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