Delivering the Same Intervention to Hispanic/Latinos With Pre-diabetes and Diabetes. Early Evidence of Success in a Longitudinal Mixed Method Study

Background Despite nationwide efforts to address the diabetes epidemic and reduce prevalence disparities, higher rates persist among the poor, especially those with limited literacy. Currently, individuals with abnormal glycemia who have pre-diabetes and diabetes qualify for different programs. Howe...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Maud Joachim-Célestin MD, DrPH, MPH, Thelma Gamboa-Maldonado MPH, DrPH, Hildemar Dos Santos MD, DrPH, Susanne B Montgomery MS, MPH, PhD
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/2dbd3ff02cb04eef9c1b018ff289c8fd
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:2dbd3ff02cb04eef9c1b018ff289c8fd
record_format	dspace
spelling	oai:doaj.org-article:2dbd3ff02cb04eef9c1b018ff289c8fd2021-12-01T22:34:09ZDelivering the Same Intervention to Hispanic/Latinos With Pre-diabetes and Diabetes. Early Evidence of Success in a Longitudinal Mixed Method Study0046-95801945-724310.1177/00469580211055595https://doaj.org/article/2dbd3ff02cb04eef9c1b018ff289c8fd2021-11-01T00:00:00Zhttps://doi.org/10.1177/00469580211055595https://doaj.org/toc/0046-9580https://doaj.org/toc/1945-7243Background Despite nationwide efforts to address the diabetes epidemic and reduce prevalence disparities, higher rates persist among the poor, especially those with limited literacy. Currently, individuals with abnormal glycemia who have pre-diabetes and diabetes qualify for different programs. However, evidence suggests that, for low-income Hispanic/Latinos, offering a single intervention to all those with abnormal glycemia may provide a more culturally acceptable and effective approach. Our objective was to explore the feasibility of such an intervention led by community health workers (CHWs) among low-income Hispanic/Latinos with diabetes and at risk for diabetes. Methods Using a quasi-experimental mixed method design, we assessed weight, glycosylated hemoglobin, diabetes knowledge, and behavior changes of Hispanic/Latinos participants with pre-diabetes and diabetes living in Southern California. Biometric measurements, blood tests, and surveys were collected at baseline and 3 months post-intervention. Interviews and focus group discussions provided qualitative data. Results Although the program was less costly, results exceeded those reported for low-income H/L attending the National Diabetes Prevention Program and did not differ between pre-diabetes and diabetes groups. Instead, including individuals at different stages of the dysglycemic spectrum seemed to have enhanced the intervention. Physician referral and attendance of family/friends were associated with better outcomes. Conclusion Our findings indicate that a joint prevention/self-management intervention led by CHWs for low-income Hispanic/Latinos with diabetes and with pre-diabetes is feasible and cost-effective, providing results that could help reduce the success gap. Incorporating suggestions and replicating this study on a larger scale could help determine whether or not results are reproducible.Maud Joachim-Célestin MD, DrPH, MPHThelma Gamboa-Maldonado MPH, DrPHHildemar Dos Santos MD, DrPHSusanne B Montgomery MS, MPH, PhDSAGE PublishingarticlePublic aspects of medicineRA1-1270ENInquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 58 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Public aspects of medicine RA1-1270
spellingShingle	Public aspects of medicine RA1-1270 Maud Joachim-Célestin MD, DrPH, MPH Thelma Gamboa-Maldonado MPH, DrPH Hildemar Dos Santos MD, DrPH Susanne B Montgomery MS, MPH, PhD Delivering the Same Intervention to Hispanic/Latinos With Pre-diabetes and Diabetes. Early Evidence of Success in a Longitudinal Mixed Method Study
description	Background Despite nationwide efforts to address the diabetes epidemic and reduce prevalence disparities, higher rates persist among the poor, especially those with limited literacy. Currently, individuals with abnormal glycemia who have pre-diabetes and diabetes qualify for different programs. However, evidence suggests that, for low-income Hispanic/Latinos, offering a single intervention to all those with abnormal glycemia may provide a more culturally acceptable and effective approach. Our objective was to explore the feasibility of such an intervention led by community health workers (CHWs) among low-income Hispanic/Latinos with diabetes and at risk for diabetes. Methods Using a quasi-experimental mixed method design, we assessed weight, glycosylated hemoglobin, diabetes knowledge, and behavior changes of Hispanic/Latinos participants with pre-diabetes and diabetes living in Southern California. Biometric measurements, blood tests, and surveys were collected at baseline and 3 months post-intervention. Interviews and focus group discussions provided qualitative data. Results Although the program was less costly, results exceeded those reported for low-income H/L attending the National Diabetes Prevention Program and did not differ between pre-diabetes and diabetes groups. Instead, including individuals at different stages of the dysglycemic spectrum seemed to have enhanced the intervention. Physician referral and attendance of family/friends were associated with better outcomes. Conclusion Our findings indicate that a joint prevention/self-management intervention led by CHWs for low-income Hispanic/Latinos with diabetes and with pre-diabetes is feasible and cost-effective, providing results that could help reduce the success gap. Incorporating suggestions and replicating this study on a larger scale could help determine whether or not results are reproducible.
format	article
author	Maud Joachim-Célestin MD, DrPH, MPH Thelma Gamboa-Maldonado MPH, DrPH Hildemar Dos Santos MD, DrPH Susanne B Montgomery MS, MPH, PhD
author_facet	Maud Joachim-Célestin MD, DrPH, MPH Thelma Gamboa-Maldonado MPH, DrPH Hildemar Dos Santos MD, DrPH Susanne B Montgomery MS, MPH, PhD
author_sort	Maud Joachim-Célestin MD, DrPH, MPH
title	Delivering the Same Intervention to Hispanic/Latinos With Pre-diabetes and Diabetes. Early Evidence of Success in a Longitudinal Mixed Method Study
title_short	Delivering the Same Intervention to Hispanic/Latinos With Pre-diabetes and Diabetes. Early Evidence of Success in a Longitudinal Mixed Method Study
title_full	Delivering the Same Intervention to Hispanic/Latinos With Pre-diabetes and Diabetes. Early Evidence of Success in a Longitudinal Mixed Method Study
title_fullStr	Delivering the Same Intervention to Hispanic/Latinos With Pre-diabetes and Diabetes. Early Evidence of Success in a Longitudinal Mixed Method Study
title_full_unstemmed	Delivering the Same Intervention to Hispanic/Latinos With Pre-diabetes and Diabetes. Early Evidence of Success in a Longitudinal Mixed Method Study
title_sort	delivering the same intervention to hispanic/latinos with pre-diabetes and diabetes. early evidence of success in a longitudinal mixed method study
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/2dbd3ff02cb04eef9c1b018ff289c8fd
work_keys_str_mv	AT maudjoachimcelestinmddrphmph deliveringthesameinterventiontohispaniclatinoswithprediabetesanddiabetesearlyevidenceofsuccessinalongitudinalmixedmethodstudy AT thelmagamboamaldonadomphdrph deliveringthesameinterventiontohispaniclatinoswithprediabetesanddiabetesearlyevidenceofsuccessinalongitudinalmixedmethodstudy AT hildemardossantosmddrph deliveringthesameinterventiontohispaniclatinoswithprediabetesanddiabetesearlyevidenceofsuccessinalongitudinalmixedmethodstudy AT susannebmontgomerymsmphphd deliveringthesameinterventiontohispaniclatinoswithprediabetesanddiabetesearlyevidenceofsuccessinalongitudinalmixedmethodstudy
_version_	1718404091232649216

Delivering the Same Intervention to Hispanic/Latinos With Pre-diabetes and Diabetes. Early Evidence of Success in a Longitudinal Mixed Method Study

Ejemplares similares