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Am J Prev Med. 2019 Jan;56(1):58-65. doi: 10.1016/j.amepre.2018.07.034.

¡Viva Maryvale!: A Multilevel, Multisector Model to Community-Based Diabetes Prevention.

Author information

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.

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