title: Description of an academic community partnership lifestyle program for lower income minority adults at risk for diabetes.
abstract: Translating strategies and approaches from the successful clinically based Diabetes Prevention Program's lifestyle intervention to community settings is a key next step. This article describes a lifestyle program developed in partnership by researchers at a major university and public health professionals at a local health department.
  
  
  
  The Live Well, Be Well (LWBW) program was designed to meet the needs of lower income, minority, and low-literacy adults at risk for diabetes. It was adapted from interventions with demonstrated efficacy and delivered in Spanish and English by health department staff. The program consisted of a 6-month active phase and a 6-month maintenance phase and was primarily telephone based, with one in-person planning session and several group workshops. In-person and group sessions were held in convenient community-based settings. Counselors provided education and skills training to modify diet and increase physical activity. Self-selected and attainable goal-setting and action plans were emphasized to enhance self-efficacy. LWBW is the intervention component of a randomized trial with primary outcomes of fasting glucose, weight, and other clinical measures.
  
  
  
  The program provides a unique translational model for implementing diabetes risk reduction programs for underserved populations. Individually tailored and nonprescriptive, it utilized existing health department infrastructure, focused on telephone counseling, used culturally appropriate, low-literacy materials, and was delivered in local, community-based facilities.
authors.affiliation: The Institute for Health & Aging, University of California, San Francisco, San Francisco, California (Ms Delgadillo, Dr Grossman, Ms Santoyo-Olsson, Dr Stewart)
authors.forename: Adriana T
authors.initials: AT
authors.lastname: Delgadillo
authors.affiliation: The Institute for Health & Aging, University of California, San Francisco, San Francisco, California (Ms Delgadillo, Dr Grossman, Ms Santoyo-Olsson, Dr Stewart)
authors.forename: Melanie
authors.initials: M
authors.lastname: Grossman
authors.affiliation: The Institute for Health & Aging, University of California, San Francisco, San Francisco, California (Ms Delgadillo, Dr Grossman, Ms Santoyo-Olsson, Dr Stewart)
authors.forename: Jasmine
authors.initials: J
authors.lastname: Santoyo-Olsson
authors.affiliation: City of Berkeley Division of Public Health, Berkeley, California (Ms Gallegos-Jackson)
authors.forename: Elisa
authors.initials: E
authors.lastname: Gallegos-Jackson
authors.affiliation: The Division of General Internal Medicine, School of Medicine, University of California, San Francisco, San Francisco, California (Dr Kanaya)
authors.forename: Alka M
authors.initials: AM
authors.lastname: Kanaya
authors.affiliation: The Institute for Health & Aging, University of California, San Francisco, San Francisco, California (Ms Delgadillo, Dr Grossman, Ms Santoyo-Olsson, Dr Stewart)
authors.forename: Anita L
authors.initials: AL
authors.lastname: Stewart
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001294:Attitude to Health; D003376:Counseling; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology*; D003927:Diet, Diabetic / Q000592:standards; D015444:Exercise; D006801:Humans; D008019:Life Style; D008913:Minority Groups; D009042:Motivation; D010353:Patient Education as Topic; D011203:Poverty; D011369:Professional-Patient Relations; D012307:Risk Factors; D014850:Waiting Lists