The investigators will implement a CBT-based lifestyle intervention program, among Latinx adults with T2D, that targets appropriate body weight, glycemic control, blood pressure, plasma triglyceride, and emphasizes techniques to help reduce depressive symptoms, stress, and improve quality of life through the collaborative partnership with a community partner, Sansum Diabetes Research Insitutute (SDRI).~Latinx adults with T2D who meet eligibility requirements will be recruited for the study, and subjects will be randomized to one of two conditions: 1) Standard care: will include the Mil Familias CHW curriculum focused on diabetes education and connecting individuals to appropriate resources in the community; or 2) CBT- based lifestyle intervention: standard care plus a theoretically-based, diet, activity, and mental health lifestyle intervention integrated within a culturally sensitive curriculum (materials in Spanish and English).~Trained CHWs will promote CBT-based lifestyle-change aims and assist in goal setting with participants to reach the primary goal of appropriate glycemic control (fasting blood glucose and HbA1c) and weight reduction, in addition to decrease depressive symptoms and stress. Participants' body weight, body composition, metabolic measures, and mental health outcomes will be obtained at enrollment and at the end of the intervention.
This project will develop and test the acceptance and efficacy of a cognitive behavioral therapy (CBT)-based lifestyle intervention, to help manage obesity and diabetes-related health outcomes (glycemic control, blood pressure, lipid profile, depressive symptoms, stress, and quality of life), provided through community health workers (CHWs) in Latinx adults with type 2 diabetes (T2D). The collaboration is with Mil Familias, a community-based program, to develop, train and implement a culturally sensitive curriculum for the CHWs. The specific aims are: 1) to develop a CBT-based lifestyle intervention focused on diet, activity, depressive symptoms, stress, quality of life, and provide training for three CHWs to implement this intervention; 2) conduct a 16-week randomized controlled trial in 50 Latinx adults with T2D to evaluate the efficacy of the CBT-based lifestyle intervention to improve weight- and diabetes- related health outcomes; 3) evaluate the acceptance and delivery of the intervention in CHWs and participants.