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. 2011 Sep;1(3):416-426.
doi: 10.1007/s13142-010-0011-1.

Long-term outcomes from a multiple-risk-factor diabetes trial for Latinas: ¡Viva Bien!

Deborah J Toobert  1 , Lisa A Strycker, Diane K King, Manuel Barrera Jr, Diego Osuna, Russell E Glasgow
Affiliations

Long-term outcomes from a multiple-risk-factor diabetes trial for Latinas: ¡Viva Bien!

Deborah J Toobert et al. Transl Behav Med. 2011 Sep.

Abstract

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).

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Figures

Fig. 1
Fig. 1
CONSORT diagram of ¡Viva Bien! study participation
See this image and copyright information in PMC

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