TY - JOUR
T1 - ¡Viva Maryvale!
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
N1 - Funding Information: This project was made possible through funding from the Arizona Department of Health Services though contract ADHS16-105121 to Arizona State University. Drs. Soltero and Shaibi were supported by a grant from NIH, National Institute of Diabetes and Digestive and Kidney Disease ( R01DK10757901 ). We are grateful for the contributions of Dr. Ugonna Woods, MD; and the Departments of Pediatrics, Family Medicine, and Integrated Behavioral Health at Mountain Park Health Center. We thank Matt Sandoval, Yolanda Konopken, Anna Alonzo, and Dr. Colleen Keller for their contributions in developing ¡Viva Maryvale! and are indebted to Marta Ormeno for her help in recruiting and enrolling families. Publisher Copyright: © 2018 Elsevier Ltd
PY - 2019/1
Y1 - 2019/1
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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U2 - 10.1016/j.amepre.2018.07.034
DO - 10.1016/j.amepre.2018.07.034
M3 - Article
C2 - 30573148
SN - 0749-3797
VL - 56
SP - 58
EP - 65
JO - American journal of preventive medicine
JF - American journal of preventive medicine
IS - 1
ER -