Jacqueline Two Feathers|Edith C. Kieffer|Gloria Palmisano|Mike Anderson|Brandy R. Sinco|Nancy K. Janz|Michele Heisler|Michael S. Spencer|Ricardo Guzmán|Janice L. Thompson|Kimberlydawn Wisdom|Sherman A. James
Racial and Ethnic Approaches to Community Health (REACH) Detroit Partnership: Improving Diabetes-Related Outcomes Among African American and Latino Adults
University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor
objectives sought determine effects communitybased culturally tailored diabetes lifestyle intervention risk factors diabetes complications among african americans latinos type 2 diabetes methods one hundred fiftyone african american latino adults diabetes recruited 3 health care systems detroit michigan participate racial ethnic approaches community health reach detroit partnership diabetes lifestyle intervention curriculum delivered trained community residents aimed improving dietary physical activity diabetes selfcare behaviors baseline postintervention levels diabetesspecific qualityoflife diet physical activity selfcare knowledge behaviors hemoglobin a1c assessed results statistically significant improvements postintervention dietary knowledge behaviors physical activity knowledge statistically significant improvement a1c level achieved among reach detroit program participants plt0001 compared group patients diabetes health care system significant changes observed p160 conclusions culturally tailored diabetes lifestyle intervention delivered trained community residents produced significant improvement dietary diabetes selfcare related knowledge behaviors well important metabolic improvements