Jessica L. McCurley|Ángela Gutiérrez|Linda C. Gallo
Diabetes Prevention in U.S. Hispanic Adults: A Systematic Review of Culturally Tailored Interventions
San Diego State University|University of California, San Diego|San Diego State University|University of California, San Diego|San Diego State University
context type 2 diabetes prediabetes metabolic syndrome highly prevalent hispanic individuals us cultural adaptations traditional lifestyle interventions recommended better reach highrisk population systematic review examined effectiveness diabetes prevention programs hispanics lowering risk type 2 diabetes evidenced reduction weight improvement glucose regulation evidence acquisition pubmedmedline cochrane central register controlled trials web science psycinfo searched database inception june 2016 studies evaluated diabetes prevention trials targeting us hispanic populations twelve publications met criteria inclusion evidence synthesis interventions varied substantially length rigor tailoring strategies five 12 studies rcts eight studies included entirely largely 70 female samples studies delivered spanish took place community settings nine studies reported significant reductions weight two glucose regulation postintervention compared controls effect sizes small moderate study quality moderate attrition high trials interventions largest effect sizes included one following adaptations literacy modification hispanic foodsrecipes cultural diabetes beliefs familyfriend participation structured community input innovative experiential learning conclusions culturally tailored lifestyle interventions diabetes prevention appear modestly effective reducing risk diabetes hispanics us studies needed utilize randomized controlled designs recruit hispanic men report intervention content tailoring strategies systematically publish participant evaluation feedback type 2 diabetes prediabetes metabolic syndrome highly prevalent hispanic individuals us cultural adaptations traditional lifestyle interventions recommended better reach highrisk population systematic review examined effectiveness diabetes prevention programs hispanics lowering risk type 2 diabetes evidenced reduction weight improvement glucose regulation pubmedmedline cochrane central register controlled trials web science psycinfo searched database inception june 2016 studies evaluated diabetes prevention trials targeting us hispanic populations twelve publications met criteria inclusion interventions varied substantially length rigor tailoring strategies five 12 studies rcts eight studies included entirely largely 70 female samples studies delivered spanish took place community settings nine studies reported significant reductions weight two glucose regulation postintervention compared controls effect sizes small moderate study quality moderate attrition high trials interventions largest effect sizes included one following adaptations literacy modification hispanic foodsrecipes cultural diabetes beliefs familyfriend participation structured community input innovative experiential learning culturally tailored lifestyle interventions diabetes prevention appear modestly effective reducing risk diabetes hispanics us studies needed utilize randomized controlled designs recruit hispanic men report intervention content tailoring strategies systematically publish participant evaluation feedback