Open AccessLong-term outcomes from a multiple-risk-factor diabetes trial for Latinas: ¡Viva Bien!
Author(s) -
Deborah J. Toobert,
Lisa A. Strycker,
Diane K. King,
Manuel Barrera,
Diego Osuna,
Russell E. Glasgow
Publication year - 2011
Publication title -
translational behavioral medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.819
H-Index - 39
eISSN - 1869-6716
pISSN - 1613-9860
DOI - 10.1007/s13142-010-0011-1
Subject(s) - psychosocial , medicine , type 2 diabetes , mediterranean diet , body mass index , gerontology , psychological intervention , health psychology , physical therapy , diabetes mellitus , clinical psychology , public health , psychiatry , nursing , endocrinology
Latinas with type 2 diabetes are in need of culturally sensitive interventions to make recommended longterm lifestyle changes and reduce heart disease risk. To test the longer-term (24-month) effects of a previously successful, culturally adapted, multiple-healthbehavior- 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).