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Developing and adapting a family-based diabetes program at the U.S.-Mexico border.

Nicolette I Teufel-Shone1, Rebecca Drummond, Ulrike Rawiel

  • 1Mel and Enid Zuckerman Arizona College of Public Health, University of Arizona, Tucson 85724, USA. Teufel@u.arizona.edu

Preventing Chronic Disease
|January 27, 2005
PubMed
Summary

A family-based diabetes prevention program delivered by community health workers (promotoras) significantly improved knowledge and behaviors related to diabetes risk factors among Hispanic families. This culturally tailored intervention demonstrated feasibility and positive psychosocial impact.

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Area of Science:

  • Public Health
  • Health Disparities
  • Community Health Interventions

Background:

  • High diabetes prevalence among Hispanics on the U.S.-Mexico border necessitates targeted interventions.
  • Collaboration between academic institutions and community health agencies is crucial for addressing health disparities.

Purpose of the Study:

  • To design, pilot, and assess the feasibility of a lay health outreach worker- (promotora-) delivered diabetes education program for families.
  • To build family support for diabetes patients and teach primary prevention behaviors to family members.

Main Methods:

  • A culturally appropriate program was co-designed by community and university partners, focusing on food choices, physical activity, and behavior change.
  • The program utilized home visits and multifamily group sessions, with community partners leading implementation and university partners guiding evaluation.

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Main Results:

  • 116 adults from 72 families showed significant increases in knowledge of diabetes risk factors (P < .001 to .006).
  • Participants reported significant increases in family efficacy for changing food and activity behaviors (P < .001).
  • Interviews indicated a positive psychosocial impact of the program.

Conclusions:

  • A promotora-delivered, family-based diabetes prevention program is feasible and effective.
  • The program successfully enhanced family knowledge, attitudes, and behaviors regarding diabetes risk factors.
  • Leveraging community expertise and university guidance is key to successful intervention design and evaluation.