title: Outcomes from a multiple risk factor diabetes self-management trial for Latinas: ¡Viva Bien!
abstract: BACKGROUND
  Culturally appropriate interventions are needed to assist Latinas in making multiple healthful lifestyle changes.
  
  
  OBJECTIVE
  The purpose of this study was to test a cultural adaptation of a successful multiple health behavior change program, ¡Viva Bien!
  
  
  METHODS
  Random assignment of 280 Latinas with type 2 diabetes to usual care only or to usual care + ¡Viva Bien!, which included group meetings for building skills to promote the Mediterranean diet, physical activity, stress management, supportive resources, and smoking cessation.
  
  
  RESULTS
  ¡Viva Bien! participants compared to usual care significantly improved psychosocial and behavioral outcomes (fat intake, stress management practice, physical activity, and social-environmental support) at 6 months, and some improvements were maintained at 12 months. Biological improvements included hemoglobin A1c and heart disease risk factors.
  
  
  CONCLUSIONS
  The ¡Viva Bien! multiple lifestyle behavior program was effective in improving psychosocial, behavioral, and biological/quality of life outcomes related to heart health for Latinas with type 2 diabetes.
authors.affiliation: Oregon Research Institute, Eugene, OR, 97403-1983, USA. deborah@ori.org
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Toobert
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Strycker
authors.forename: Manuel
authors.initials: M
authors.lastname: Barrera
authors.forename: Diego
authors.initials: D
authors.lastname: Osuna
authors.forename: Diane K
authors.initials: DK
authors.lastname: King
authors.forename: Russell E
authors.initials: RE
authors.lastname: Glasgow
mesh_terms: D000328:Adult; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D055118:Medication Adherence; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care / Q000379:methods; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D011788:Quality of Life / Q000523:psychology*; D012307:Risk Factors; D012648:Self Care / Q000379:methods / Q000523:psychology*