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Randomized Controlled Trial
. 2011 Apr;34(4):838-44.
doi: 10.2337/dc10-1981. Epub 2011 Mar 4.

Randomized trial of a literacy-sensitive, culturally tailored diabetes self-management intervention for low-income latinos: latinos en control

Milagros C Rosal  1 , Ira S Ockene, Angela Restrepo, Mary Jo White, Amy Borg, Barbara Olendzki, Jeffrey Scavron, Lucy Candib, Garry Welch, George Reed
Affiliations
Randomized Controlled Trial

Randomized trial of a literacy-sensitive, culturally tailored diabetes self-management intervention for low-income latinos: latinos en control

Milagros C Rosal et al. Diabetes Care. 2011 Apr.

Abstract

Objective: To test whether a theory-based, literacy, and culturally tailored self-management intervention, Latinos en Control, improves glycemic control among low-income Latinos with type 2 diabetes.

Research design and methods: A total of 252 patients recruited from community health centers were randomized to the Latinos en Control intervention or to usual care. The primarily group-based intervention consisted of 12 weekly and 8 monthly sessions and targeted knowledge, attitudes, and self-management behaviors. The primary outcome was HbA(1c). Secondary outcomes included diet, physical activity, blood glucose self-monitoring, diabetes knowledge and self-efficacy, and other physiological factors (e.g., lipids, blood pressure, and weight). Measures were collected at baseline and at 4- and 12-month follow-up. Change in outcomes over time between the groups and the association between HbA(1c) and possible mediators were estimated using mixed-effects models and an intention-to-treat approach.

Results: A significant difference in HbA(1c) change between the groups was observed at 4 months (intervention -0.88 [-1.15 to -0.60] versus control -0.35 [-0.62 to 0.07], P < 0.01), although this difference decreased and lost statistical significance at 12 months (intervention -0.46 [-0.77 to -0.13] versus control -0.20 [-0.53 to 0.13], P = 0.293). The intervention resulted in significant change differences in diabetes knowledge at 12 months (P = 0.001), self-efficacy (P = 0.001), blood glucose self-monitoring (P = 0.02), and diet, including dietary quality (P = 0.01), kilocalories consumed (P < 0.001), percentage of fat (P = 0.003), and percentage of saturated fat (P = 0.04). These changes were in turn significantly associated with HbA(1c) change at 12 months.

Conclusions: Literacy-sensitive, culturally tailored interventions can improve diabetes control among low-income Latinos; however, strategies to sustain improvements are needed.

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Figures

Figure 1
Figure 1
Mean differences in HbA1c level at 4- and 12-month follow-ups for the intervention and control conditions of the Latinos en Control study (n = 252). (A high-quality color representation of this figure is available in the online issue.)
See this image and copyright information in PMC

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References

    1. Centers for Disease Control and Prevention National Diabetes Fact Sheet: General information and National Estimates on Diabetes in the United States, 2007. Atlanta, GA, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2008
    1. Office of Minority Health, U.S. Department of Health and Human Services. Diabetes and Hispanic Americans, 2008.
    1. Gale EA, Beattie SD, Hu J, Koivisto V, Tan MH. Recruitment to a clinical trial improves glycemic control in patients with diabetes. Diabetes Care 2007;30:2989–2992 10.2337/dc07-0155 - DOI - PubMed
    1. Ismail K, Winkley K, Rabe-Hesketh S. Systematic review and meta-analysis of randomised controlled trials of psychological interventions to improve glycaemic control in patients with type 2 diabetes. Lancet 2004;363:1589–1597 10.1016/S0140-6736(04)16202-8 - DOI - PubMed
    1. Brown SA, Garcia AA, Kouzekanani K, Hanis CL. Culturally competent diabetes self-management education for Mexican Americans: the Starr County border health initiative. Diabetes Care 2002;25:259–268 10.2337/diacare.25.2.259 - DOI - PMC - PubMed

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