Erica G Soltero1, Crystal Ramos2, Allison N Williams1, Elva Hooker3, Jenny Mendez4, Heidi Wildy4, Karen Davis4, Valentina Hernandez2, Omar A Contreras5, Maria Silva3, Elvia Lish3, Gabriel Q Shaibi6. 1. Center for Health Promotion and Disease Prevention, Arizona State University, Phoenix, Arizona. 2. Integrated Behavioral Health, Mountain Park Health Center, Phoenix, Arizona. 3. Family Wellness Program, St. Vincent De Paul Medical and Dental Clinic, Phoenix, Arizona. 4. Valley of the Sun YMCA, Phoenix, Arizona. 5. Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona. 6. Center for Health Promotion and Disease Prevention, Arizona State University, Phoenix, Arizona. Electronic address: gabriel.shaibi@asu.edu.
Abstract
INTRODUCTION: Latino communities are disproportionately affected by type 2 diabetes and experience disparities in access to diabetes prevention programs. The purpose of this study was to test the preliminary efficacy of a culturally grounded, diabetes prevention program for high-risk Latino families delivered through an integrated research-practice partnership. STUDY DESIGN: The integrated research-practice partnership was established in a predominantly Latino community and consisted of a Federally Qualified Health Center, a YMCA, an accredited diabetes education program, and an academic research center. Data were collected and analyzed from 2015 to 2018. SETTING/PARTICIPANTS: Latino families consisting of a parent with an obese child between age 8 and 12 years. INTERVENTION: The 12-week lifestyle intervention included nutrition education and behavioral skills training (60 minutes, once/week) and physical activity classes (60 minutes, three times/week) delivered at a YMCA. MAIN OUTCOME MEASURES: Outcomes included measures of adiposity (BMI, waist circumference, and body fat); HbA1c; and weight-specific quality of life. RESULTS: Over the course of the 2-year project period, 58 families (parents n=59, children n=68) were enrolled with 36% of parents and 29% of children meeting the criteria for prediabetes at baseline. Feasibility and acceptability were high, with 83% of enrolled families completing the program, 91% of the intervention sessions attended, and 100% of families stating they would recommend the program. The intervention led to significant decreases in percentage body fat among parents (46.4% [SD=10.8] to 43.5% [SD=10.5], p=0.001) as well as children (43.1% [SD=8.0] to 41.8% [SD=7.2], p=0.03). Additionally, HbA1c was significantly reduced in parents (5.6% [SD=0.4] to 5.5% [SD=0.3], p=0.03), and remained stable in children (5.5% [SD=0.3] vs 5.5% [SD=0.3], p>0.05). Significant improvements in quality of life were reported in parents (64.6 [SD=15.8] to 71.0 [SD=13.7], p=0.001) and children (69.7 [SD=15.8] to 72.6 [SD=13.7], p=0.05). CONCLUSIONS: These findings support the preliminary efficacy of an integrated research-practice partnership to meet the diabetes prevention needs of high-risk Latino families within a vulnerable community.
INTRODUCTION: Latino communities are disproportionately affected by type 2 diabetes and experience disparities in access to diabetes prevention programs. The purpose of this study was to test the preliminary efficacy of a culturally grounded, diabetes prevention program for high-risk Latino families delivered through an integrated research-practice partnership. STUDY DESIGN: The integrated research-practice partnership was established in a predominantly Latino community and consisted of a Federally Qualified Health Center, a YMCA, an accredited diabetes education program, and an academic research center. Data were collected and analyzed from 2015 to 2018. SETTING/PARTICIPANTS: Latino families consisting of a parent with an obesechild between age 8 and 12 years. INTERVENTION: The 12-week lifestyle intervention included nutrition education and behavioral skills training (60 minutes, once/week) and physical activity classes (60 minutes, three times/week) delivered at a YMCA. MAIN OUTCOME MEASURES: Outcomes included measures of adiposity (BMI, waist circumference, and body fat); HbA1c; and weight-specific quality of life. RESULTS: Over the course of the 2-year project period, 58 families (parents n=59, children n=68) were enrolled with 36% of parents and 29% of children meeting the criteria for prediabetes at baseline. Feasibility and acceptability were high, with 83% of enrolled families completing the program, 91% of the intervention sessions attended, and 100% of families stating they would recommend the program. The intervention led to significant decreases in percentage body fat among parents (46.4% [SD=10.8] to 43.5% [SD=10.5], p=0.001) as well as children (43.1% [SD=8.0] to 41.8% [SD=7.2], p=0.03). Additionally, HbA1c was significantly reduced in parents (5.6% [SD=0.4] to 5.5% [SD=0.3], p=0.03), and remained stable in children (5.5% [SD=0.3] vs 5.5% [SD=0.3], p>0.05). Significant improvements in quality of life were reported in parents (64.6 [SD=15.8] to 71.0 [SD=13.7], p=0.001) and children (69.7 [SD=15.8] to 72.6 [SD=13.7], p=0.05). CONCLUSIONS: These findings support the preliminary efficacy of an integrated research-practice partnership to meet the diabetes prevention needs of high-risk Latino families within a vulnerable community.
Authors: Dianne S Ward; Kelly R Evenson; Amber Vaughn; Anne Brown Rodgers; Richard P Troiano Journal: Med Sci Sports Exerc Date: 2005-11 Impact factor: 5.411
Authors: Sheila F Castañeda; Jessica Holscher; Manpreet K Mumman; Hugo Salgado; Katherine B Keir; Pennie G Foster-Fishman; Gregory A Talavera Journal: Prog Community Health Partnersh Date: 2012
Authors: Christina D Economos; Raymond R Hyatt; Jeanne P Goldberg; Aviva Must; Elena N Naumova; Jessica J Collins; Miriam E Nelson Journal: Obesity (Silver Spring) Date: 2007-05 Impact factor: 5.002
Authors: David C Grossman; Kirsten Bibbins-Domingo; Susan J Curry; Michael J Barry; Karina W Davidson; Chyke A Doubeni; John W Epling; Alex R Kemper; Alex H Krist; Ann E Kurth; C Seth Landefeld; Carol M Mangione; Maureen G Phipps; Michael Silverstein; Melissa A Simon; Chien-Wen Tseng Journal: JAMA Date: 2017-06-20 Impact factor: 56.272
Authors: Allison J Ober; Katherine E Watkins; Sarah B Hunter; Brett Ewing; Karen Lamp; Mimi Lind; Kirsten Becker; Keith Heinzerling; Karen C Osilla; Allison L Diamant; Claude M Setodji Journal: BMC Fam Pract Date: 2017-12-21 Impact factor: 2.497
Authors: Meghan L Wilson; Thomas E Strayer; Rebecca Davis; Samantha M Harden Journal: Int J Environ Res Public Health Date: 2018-01-31 Impact factor: 3.390
Authors: James O Hill; James M Galloway; April Goley; David G Marrero; Regan Minners; Brenda Montgomery; Gregory E Peterson; Robert E Ratner; Eduardo Sanchez; Vanita R Aroda Journal: Diabetes Care Date: 2013-06-20 Impact factor: 19.112
Authors: Natalia Sanchez; Ruth Bernstein; Shelly K Annameier; Emma L M Clark; Virginia Jimenez; Lea Hanson; Metztli Ruiz Jaquez; Madison Bristol; Laura Schwartz; Matthew Haemer; Lauren B Shomaker Journal: J Lat Psychol Date: 2022-04-21
Authors: Melanie Hingle; Robert Blew; Kyla James; Joy Mockbee; Kelly N B Palmer; Denise J Roe; Kathylynn Saboda; Gabriel Q Shaibi; Shelley Whitlatch; David Marrero Journal: J Prim Care Community Health Date: 2021 Jan-Dec
Authors: Shelby L Langer; Felipe González Castro; Angela Chia-Chen Chen; Kelly Cue Davis; Rodney P Joseph; Wonsun Sunny Kim; Linda Larkey; Rebecca E Lee; Megan E Petrov; Elizabeth Reifsnider; Shawn D Youngstedt; Gabriel Q Shaibi Journal: Public Health Nurs Date: 2021-07-08 Impact factor: 1.462
Authors: Erica G Soltero; Neeku Navabi; Felipe G Castro; Stephanie L Ayers; Jenny Mendez; Deborah I Thompson; Gabriel Q Shaibi Journal: Children (Basel) Date: 2021-05-18