title: Families United/Familias Unidas: development and implementation of a family-based group office visit model for the primary prevention of type 2 diabetes.
abstract: The purpose of this study is to describe the development and implementation of a new diabetes prevention intervention that combines the benefits of family support with the group office model. Intensive lifestyle modification can effectively delay the onset of type 2 diabetes, yet health providers are challenged in translating these results to their patients. The group outpatient visit model can provide a means to address prevention issues in a financially sustainable manner.
  
  
  
  Materials from the Diabetes Prevention Program and a previously developed group office visit program were combined to create the Families United/Familias Unidas curriculum. The session content utilized a multiculturally tailored approach designed to help participants decrease portion size, decrease carbohydrate intake, increase physical activity, and increase resiliency. Adults aged 18 to 70 were recruited who had any diabetes risk factors but did not have diabetes. Eligible participants enlisted a support person, aged 14 to 70, to join them in the 6-month group office visit intervention.
  
  
  
  Twenty-nine pairs (n = 58) of primary participants plus support persons were recruited. Participants' average age was 45; 74% were female; 56.9% identified themselves as white and 37.9% as Hispanic/Latino. Over one-third had 4 or more diabetes risk factors. Twelve family group office visits were delivered over 6 months. The attendance rate for those who attended at least one session was 72%.
  
  
  
  Group office visits can provide a new sustainable model for diabetes prevention and are a natural fit for primary care physicians in collaboration with other health care professionals, such as dieticians or diabetes educators.
authors.affiliation: The University of Arizona College of Medicine, Tucson, Arizona
authors.forename: Violet
authors.initials: V
authors.lastname: Perez Siwik
authors.affiliation: The University of Arizona College of Medicine, Tucson, Arizona
authors.forename: Randa M
authors.initials: RM
authors.lastname: Kutob
authors.affiliation: The University of Arizona College of Medicine, Tucson, Arizona
authors.forename: Cheryl
authors.initials: C
authors.lastname: Ritenbaugh
authors.affiliation: The University of Arizona College of Medicine, Tucson, Arizona
authors.forename: Mikel
authors.initials: M
authors.lastname: Aickin
authors.affiliation: The University of Arizona College of Medicine, Tucson, Arizona
authors.forename: Judith S
authors.initials: JS
authors.lastname: Gordon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000517:prevention & control*; D004038:Diet, Reducing; D015444:Exercise; D005190:Family; D005260:Female; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D009819:Office Visits / Q000639:trends*; D010353:Patient Education as Topic; D011322:Primary Prevention / Q000379:methods*; D015397:Program Evaluation; D040242:Risk Reduction Behavior; D012944:Social Support; D014481:United States / Q000453:epidemiology; D061217:Weight Reduction Programs