Milagros C. Rosal|Ira S. Ockene|Angela Cadavid Restrepo|Mary Jo White|Amy Borg|Barbara C. Olendzki|Jeffrey Scavron|Lucy M. Candib|Garry Welch|George Reed
Randomized Trial of a Literacy-Sensitive, Culturally Tailored Diabetes Self-Management Intervention for Low-Income Latinos
University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|Tufts University|Family Health Center of Worcester|Baystate Medical Center|Tufts University|University of Massachusetts Chan Medical School
test whether theorybased literacy culturally tailored selfmanagement intervention latinos en control improves glycemic control among lowincome latinos type 2 diabetesa total 252 patients recruited community health centers randomized latinos en control intervention usual care primarily groupbased intervention consisted 12 weekly 8 monthly sessions targeted knowledge attitudes selfmanagement behaviors primary outcome hba1c secondary outcomes included diet physical activity blood glucose selfmonitoring diabetes knowledge selfefficacy physiological factors eg lipids blood pressure weight measures collected baseline 4 12month followup change outcomes time groups association hba1c possible mediators estimated using mixedeffects models intentiontotreat approacha significant difference hba1c change groups observed 4 months intervention 088 115 060 versus control 035 062 007 p 001 although difference decreased lost statistical significance 12 months intervention 046 077 013 versus control 020 053 013 p 0293 intervention resulted significant change differences diabetes knowledge 12 months p 0001 selfefficacy p 0001 blood glucose selfmonitoring p 002 diet including dietary quality p 001 kilocalories consumed p 0001 percentage fat p 0003 percentage saturated fat p 004 changes turn significantly associated hba1c change 12 monthsliteracysensitive culturally tailored interventions improve diabetes control among lowincome latinos however strategies sustain improvements needed