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- Title
Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes.
- Authors
Baig, Arshiya; Benitez, Amanda; Locklin, Cara; Gao, Yue; Lee, Sang; Quinn, Michael; Solomon, Marla; Sánchez-Johnsen, Lisa; Burnet, Deborah; Chin, Marshall; Baig, Arshiya A; Locklin, Cara A; Lee, Sang Mee; Quinn, Michael T; Solomon, Marla C; Sánchez-Johnsen, Lisa; Burnet, Deborah L; Chin, Marshall H; Little Village Community Advisory Board
- Abstract
<bold>Background: </bold>Churches may provide a familiar and accessible setting for chronic disease self-management education and social support for Latinos with diabetes.<bold>Objective: </bold>We assessed the impact of a multi-faceted church-based diabetes self-management intervention on diabetes outcomes among Latino adults.<bold>Design: </bold>This was a community-based, randomized controlled, pilot study.<bold>Subjects: </bold>One-hundred adults with self-reported diabetes from a Midwestern, urban, low-income Mexican-American neighborhood were included in the study.<bold>Interventions: </bold>Intervention participants were enrolled in a church-based diabetes self-management program that included eight weekly group classes led by trained lay leaders. Enhanced usual care participants attended one 90-minute lecture on diabetes self-management at a local church.<bold>Outcome Measures: </bold>The primary outcome was change in glycosylated hemoglobin (A1C). Secondary outcomes included changes in low-density lipoproteins (LDL), blood pressure, weight, and diabetes self-care practices.<bold>Key Results: </bold>Participants' mean age was 54 ± 12 years, 81 % were female, 98 % were Latino, and 51 % were uninsured. At 3 months, study participants in both arms decreased their A1C from baseline (-0.32 %, 95 % confidence interval [CI]: -0.62, -0.02 %). The difference in change in A1C, LDL, blood pressure and weight from baseline to 3-month and 6-month follow-up was not statistically significant between the intervention and enhanced usual care groups. Intervention participants reported fewer days of consuming high fat foods in the previous week (-1.34, 95 % CI: -2.22, -0.46) and more days of participating in exercise (1.58, 95 % CI: 0.24, 2.92) compared to enhanced usual care from baseline to 6 months.<bold>Conclusions: </bold>A pilot church-based diabetes self-management intervention did not reduce A1C, but resulted in decreased high fat food consumption and increased participation in exercise among low-income Latino adults with diabetes. Future church-based interventions may need to strengthen linkages to the healthcare system and provide continued support to participants to impact clinical outcomes.
- Subjects
TYPE 2 diabetes treatment; BLOOD pressure; CATHOLIC Church; COMPARATIVE studies; EXERCISE; HEALTH behavior; HISPANIC Americans; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; TYPE 2 diabetes; RESEARCH; RESEARCH funding; HEALTH self-care; PILOT projects; EVALUATION research; RANDOMIZED controlled trials; EARLY medical intervention
- Publication
JGIM: Journal of General Internal Medicine, 2015, Vol 30, Issue 10, p1481
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1007/s11606-015-3339-x