Robin Whittemore|Mireya Vilar?Compte|Selene De La Cerda|Roberta Delvy|Sangchoon Jeon|Soraya Burrola-Méndez|Mariana Pardo-Carrillo|Annel Lozano-Marrufo|Rafael Pérez?Escamilla
¡Sí, Yo Puedo Vivir Sano con Diabetes! A Self-Management Randomized Controlled Pilot Trial for Low-Income Adults with Type 2 Diabetes in Mexico City
Yale University|Ibero American University|Ibero American University|Yale University|Yale University|Ibero American University|Ibero American University|Ibero American University|Yale University
type 2 diabetes t2d worldwide epidemic leading cause death mexico prevalence 159 70 diagnosed adults poor glycemic control glycated hemoglobin hba1c 75 developed diabetes selfmanagement education program contextualized study population including dietary preferences health literacy health systemwe aimed evaluate efficacy selfmanagement text message program yo puedo vivir sano con diabetes primary hba1c secondary behavioral selfmanagement clinical psychosocial outcomes adults t2d mexico cityparticipants recruited public primary healthcare centers seguro popular randomly allocated treatment n 26 waitlist control groups n 21 data collected 3 6 mo program included 7 weekly sessions 6 mo daily textpicture messages descriptive statistics generalized linear mixed model intenttotreat analysis calculatedparticipants 555 88 age mean sd 68 female 886 overweightobese 57 lived foodinsecure households mean sd t2d duration 119 78 hba1c 92 15 89 attendance sessions 64 attrition across groups 6 mo groupbytime effects seen selfmonitoring blood glucose p 001 diabetes selfefficacy p 004 trend lower hba1c seen intervention group 6 mo p 011 significant improvements dietary behavior p 001 demonstrated intervention group time reach statistical significance compared control groupthe program associated clinically significant improvements t2d selfmanagement selfefficacy hba1c time thus t2d selfmanagement skills including diet improved vulnerable metropolitan populationthis trial registered clinicaltrialsgov nct03159299