Milagros C. Rosal|Mary Jo White|Angela Cadavid Restrepo|Barbara C. Olendzki|Jeffrey Scavron|Elise Sinagra|Ira S. Ockene|Michael Thompson|Stephenie C. Lemon|Lucy M. Candib|George Reed
Design and methods for a randomized clinical trial of a diabetes self-management intervention for low-Income Latinos: Latinos en Control
University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|Baystate Medical Center|Community Health Center|Sentara Rockingham Memorial Hospital Medical Center|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|Family Health Center of Worcester|University of Massachusetts Chan Medical School
us latinos greater prevalence type 2 diabetes diabetes uncontrolled diabetes diabetes comorbidities compared nonlatino whites also lower literacy levels likely live poverty interventions needed improve diabetes control among lowincome latinos randomized clinical trial tested efficacy culturally literacytailored diabetes selfmanagement intervention latinos en control glycemic control among lowincome latinos diabetes compared usual care control participants recruited five community health centers chcs massachusetts theorybased intervention included intensive phase 12 weekly sessions followup maintenance phase 8 monthly sessions assessments occurred baseline 4 12 months primary outcome glycosylated hemoglobin hba1c secondary outcomes selfmanagement behaviors weight lipids blood pressure additional outcomes included diabetes knowledge selfefficacy depression quality life study designed recruitment 250 participants estimated 20 dropout rate provide 90 power detecting 7 greater change hba1c intervention control groups difference change hba1c 05 06 lowincome latinos bear great burden uncontrolled diabetes understudied population theorybased interventions tailored needs highrisk population potential improving diabetes selfmanagement reduce health disparities article describes design methods theory driven intervention aimed addressing need httpwwwclinicaltrialsgov nct00848315