Outcomes from a multiple risk factor diabetes self-management trial for Latinas:� Viva Bien!

DJ Toobert, LA Strycker, M Barrera Jr…�- Annals of Behavioral�…, 2011 - academic.oup.com
DJ Toobert, LA Strycker, M Barrera Jr, D Osuna, DK King, RE Glasgow
Annals of Behavioral Medicine, 2011academic.oup.com
Background Culturally appropriate interventions are needed to assist Latinas in making
multiple healthful lifestyle changes. Purpose The purpose of this study was to test a cultural
adaptation of a successful multiple health behavior change program,� Viva Bien! Methods
Random assignment of 280 Latinas with type 2 diabetes to usual care only or to usual
care+� Viva Bien!, which included group meetings for building skills to promote the
Mediterranean diet, physical activity, stress management, supportive resources, and�…
Background
Culturally appropriate interventions are needed to assist Latinas in making multiple healthful lifestyle changes.
Purpose
The purpose of this study was to test a cultural adaptation of a successful multiple health behavior change program, �Viva Bien!
Methods
Random assignment of 280 Latinas with type 2 diabetes to usual care only or to usual care + �Viva Bien!, which included group meetings for building skills to promote the Mediterranean diet, physical activity, stress management, supportive resources, and smoking cessation.
Results
�Viva Bien! participants compared to usual care significantly improved psychosocial and behavioral outcomes (fat intake, stress management practice, physical activity, and social–environmental support) at 6�months, and some improvements were maintained at 12�months. Biological improvements included hemoglobin A1c and heart disease risk factors.
Conclusions
The �Viva Bien! multiple lifestyle behavior program was effective in improving psychosocial, behavioral, and biological/quality of life outcomes related to heart health for Latinas with type 2 diabetes (ClinicalTrials.gov no: NCT00233259).
Oxford University Press