PURPOSE: To determine the impact that a high-fiber, low-fat diet, derived from mostly plant-based sources, when coupled with support has upon self-management of type 2 diabetes mellitus in Latinos from medically underserved areas (MUAs). DESIGN: Experimental randomized controlled community pilot study. SETTING:Three community clinics in MUAs located within San Bernardino County, California. PARTICIPANTS: Thirty-two randomly assigned Latinos with A1C greater than 6.4: 15 control and 17 experimental. INTERVENTION: Participants completed a 5-week education program. Researchers provided follow-up support for 17 randomly assigned experimental group participants through focus groups held at participating clinics-1, 3, and 6 months posteducation. MEASURES: Changes in fat and fiber consumption were measured using a modified Dietary Screener for Mexican Americans. Self-management was measured through the Self-Efficacy for Exercise Scale and Diabetes Quality of Life Measure. ANALYSIS: Baseline characteristics for both groups were analyzed using independent t tests and χ2 tests. A 2-way repeated-measures analysis of variance was used to analyze biometric data between baseline and 6 months for both groups. RESULTS:Mean A1C levels decreased from baseline to 6 months for both groups: control, μ1 = 9.57, μ2 = 9.49; experimental, μ1 = 8.53, μ2 = 7.31. CONCLUSION: The experimental group demonstrated a statistically significant reduction in mean A1C levels ( P = .002) when compared to the control group.
RCT Entities:
PURPOSE: To determine the impact that a high-fiber, low-fat diet, derived from mostly plant-based sources, when coupled with support has upon self-management of type 2 diabetes mellitus in Latinos from medically underserved areas (MUAs). DESIGN: Experimental randomized controlled community pilot study. SETTING: Three community clinics in MUAs located within San Bernardino County, California. PARTICIPANTS: Thirty-two randomly assigned Latinos with A1C greater than 6.4: 15 control and 17 experimental. INTERVENTION: Participants completed a 5-week education program. Researchers provided follow-up support for 17 randomly assigned experimental group participants through focus groups held at participating clinics-1, 3, and 6 months posteducation. MEASURES: Changes in fat and fiber consumption were measured using a modified Dietary Screener for Mexican Americans. Self-management was measured through the Self-Efficacy for Exercise Scale and Diabetes Quality of Life Measure. ANALYSIS: Baseline characteristics for both groups were analyzed using independent t tests and χ2 tests. A 2-way repeated-measures analysis of variance was used to analyze biometric data between baseline and 6 months for both groups. RESULTS: Mean A1C levels decreased from baseline to 6 months for both groups: control, μ1 = 9.57, μ2 = 9.49; experimental, μ1 = 8.53, μ2 = 7.31. CONCLUSION: The experimental group demonstrated a statistically significant reduction in mean A1C levels ( P = .002) when compared to the control group.
Entities:
Keywords:
Latinos; diabetes self-management education; focus groups; medically underserved population; plant-based diet; randomized controlled community trial; support groups; type 2 diabetes
Authors: Pramil N Singh; Jessica Steinbach; Anna Nelson; Wendy Shih; Mary D'Avila; Selene Castilla; Michael Jordan; William J McCarthy; David Hayes-Bautista; Hector Flores Journal: Int J Environ Res Public Health Date: 2020-07-06 Impact factor: 3.390
Authors: Brenda C Davis; Humaira Jamshed; Courtney M Peterson; Joan Sabaté; Ralph D Harris; Rohit Koratkar; Jamie W Spence; John H Kelly Journal: Front Nutr Date: 2019-06-05