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Development of a type 2 diabetes prevention curriculum for Latinas with a history of gestational diabetes
Author(s) -
Young Tara Denise,
Becerra Luz Elvia Vera,
Steinberg Francene
Publication year - 2006
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.20.4.a551-b
Subject(s) - overweight , gestational diabetes , medicine , outreach , type 2 diabetes , gerontology , health promotion , population , curriculum , family history , health education , public health , family medicine , diabetes mellitus , nursing , obesity , psychology , environmental health , pregnancy , endocrinology , political science , pedagogy , gestation , genetics , biology , law
Public health programs are needed to translate clinical benefits of the Diabetes Prevention Program (DPP) into community‐based programs for high risk populations. Latinas with a history of gestational diabetes (GDM) are at high risk for type 2 diabetes (T2DM). The research objective was to investigate behaviors, beliefs and attitudes central to diabetes prevention in this population using a university‐Promotora collaboration. Promotoras are Latinas who empower their community through outreach, education and support. Guided by DPP curriculum, a script was developed to guide discussion about knowledge of diabetes risk, prevention of overweight, barriers and promoters to making healthful diet and physical activity changes and the preferred way to receive health promotion information. Promotoras organized and moderated focus groups of Latinas with children under the age of 5 and a history of GDM or a family history of T2DM. Results were analyzed using NUD*IST and indicate that many women are aware that overweight, poor diet and lack of physical activity are risk factors for T2DM with some believing strong emotions can be responsible. Many are knowledgeable regarding weight loss strategies, but some feel constrained by cultural expectations, financial barriers, lack of motivation and cooking skills. Women offered insight into information, education methods and delivery mode they would need to be successful in a diabetes prevention program. This information will guide development and implementation of a promotora‐led community‐based lifestyle program for diabetes prevention in this Latina population. Funded by CA Dietetic Assoc, Pheiffer Foundation.