Description of an academic community partnership lifestyle program for lower income minority adults at risk for diabetes.
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.
Delgadillo
Adriana T
AT
The Institute for Health & Aging, University of California, San Francisco, San Francisco, California (Ms Delgadillo, Dr Grossman, Ms Santoyo-Olsson, Dr Stewart)
Grossman
Melanie
M
The Institute for Health & Aging, University of California, San Francisco, San Francisco, California (Ms Delgadillo, Dr Grossman, Ms Santoyo-Olsson, Dr Stewart)
Santoyo-Olsson
Jasmine
J
The Institute for Health & Aging, University of California, San Francisco, San Francisco, California (Ms Delgadillo, Dr Grossman, Ms Santoyo-Olsson, Dr Stewart)
Gallegos-Jackson
Elisa
E
City of Berkeley Division of Public Health, Berkeley, California (Ms Gallegos-Jackson)
Kanaya
Alka M
AM
The Division of General Internal Medicine, School of Medicine, University of California, San Francisco, San Francisco, California (Dr Kanaya)
Stewart
Anita L
AL
The Institute for Health & Aging, University of California, San Francisco, San Francisco, California (Ms Delgadillo, Dr Grossman, Ms Santoyo-Olsson, Dr Stewart)
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