title: A community-based approach to diabetes control in multiple cultural groups.
abstract: Diabetes mellitus is one of the most common, serious, and costly chronic diseases, and is a leading cause of death in the United States. Communities of color bear a disproportionate burden of diabetes risk, prevalence, complications, and mortality. REACH 2010 Seattle and King County provides socio-ecological interventions to reduce diabetes disparities among African-American, Cambodian, Chinese, Filipino, Korean, Latino/Hispanic, Vietnamese and soon Samoan, and Vietnamese groups. This paper reports evaluation results of REACH classes and support groups. Results from participant pre- and post-surveys demonstrated increases in self-reported physical activity and healthier eating, and increased self-efficacy in managing diabetes. Qualitative focus group results revealed participants' enthusiasm for classes tailored to their ethnic groups, and for intervention impact on management of their diabetes. Qualitative results confirmed survey findings that group participation resulted in significant changes in diet and physical activity. The results underscore the need for more widespread adoption of culturally competent diabetes education and support programs.
authors.affiliation: Chronic Disease Prevention and Healthy Aging, Prevention Division, Public Health-Seattle and King County, 400 Yesler Way, Suite 510, Seattle, WA 98104, USA.
authors.forename: Cheza Collier
authors.initials: CC
authors.lastname: Garvin
authors.forename: Allen
authors.initials: A
authors.lastname: Cheadle
authors.forename: Noel
authors.initials: N
authors.lastname: Chrisman
authors.forename: Roxana
authors.initials: R
authors.lastname: Chen
authors.forename: Emily
authors.initials: E
authors.lastname: Brunson
mesh_terms: D000328:Adult; D001294:Attitude to Health / Q000208:ethnology*; D018672:Community Health Planning / Q000458:organization & administration*; D003920:Diabetes Mellitus / Q000208:ethnology* / Q000517:prevention & control*; D004032:Diet; D005260:Female; D017144:Focus Groups; D015438:Health Behavior / Q000208:ethnology*; D006265:Health Care Coalitions / Q000458:organization & administration*; D040361:Healthy People Programs; D006801:Humans; D008019:Life Style / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D036301:Qualitative Research; D012657:Self-Help Groups; D012944:Social Support; D011795:Surveys and Questionnaires; D014861:Washington