A Brief Culturally Tailored Intervention for Puerto Ricans With Type 2 Diabetes

Health Education and Behavior - Tập 37 Số 6 - Trang 849-862 - 2010
Chandra Y. Osborn1, K. Rivet Amico2, Noemi Cruz3, Ann A. O’Connell4, Rafael Pérez‐Escamilla5, Seth C. Kalichman2, Scott Wolf6, Jeffrey D. Fisher2
1Vanderbilt University Medical Center, Nashville, Tennessee
2University of Connecticut, Storrs
3Humana Cares, St. Petersburg, Florida
4Ohio State University, Columbus
5Yale University, New Haven, Connecticut
6Mercy Medical Center, Springfield, Massachusetts

Tóm tắt

The information—motivation—behavioral skills (IMB) model of health behavior change informed the design of a brief, culturally tailored diabetes self-care intervention for Puerto Ricans with type 2 diabetes. Participants ( n = 118) were recruited from an outpatient, primary care clinic at an urban hospital in the northeast United States. ANCOVA models evaluated intervention effects on food label reading, diet adherence, physical activity, and glycemic control (HbA1c). At follow-up, the intervention group was reading food labels and adhering to diet recommendations significantly more than the control group. Although the mean HbA1c values decreased in both groups (Intervention: 0.48% vs. Control: 0.27% absolute decrease), only the intervention group showed a significant improvement from baseline to follow-up ( p < .008), corroborating improvements in diabetes self-care behaviors. Findings support the use of the IMB model to culturally tailor diabetes interventions and to enhance patients’ knowledge, motivation, and behavior skills needed for self-care.

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Health Education and Behavior

Tập 37 Số 6

849-862

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