Deborah J. Toobert|Lisa A. Strycker|Manuel Barrera|Diego Osuna|Diane K. King|Russell E. Glasgow
Outcomes from a Multiple Risk Factor Diabetes Self-Management Trial for Latinas: ¡Viva Bien!
Oregon Research Institute|Oregon Research Institute|Oregon Research Institute|Arizona State University|Kaiser Permanente|Kaiser Permanente|National Cancer Institute
culturally appropriate interventions needed assist latinas making multiple healthful lifestyle changesthe purpose study test cultural adaptation successful multiple health behavior change program viva bienrandom assignment 280 latinas type 2 diabetes usual care usual care viva bien included group meetings building skills promote mediterranean diet physical activity stress management supportive resources smoking cessationviva bien participants compared usual care significantly improved psychosocial behavioral outcomes fat intake stress management practice physical activity socialenvironmental support 6 months improvements maintained 12 months biological improvements included hemoglobin a1c heart disease risk factorsthe viva bien multiple lifestyle behavior program effective improving psychosocial behavioral biologicalquality life outcomes related heart health latinas type 2 diabetes