title: The effects of a community-based, culturally tailored diabetes prevention intervention for high-risk adults of Mexican descent.
abstract: This article reports the results of a community-based, culturally tailored diabetes prevention program for overweight Mexican American adults on weight loss, waist circumference, diet and physical activity self-efficacy, and diet behaviors.
  
  
  
  The intervention used content from the Diabetes Prevention Program but culturally tailored the delivery methods into a community-based program for Spanish-speaking adults of Mexican descent. The design was a randomized controlled trial (N = 58) comparing the effects of a 5-month educational intervention with an attention control group. The primary study outcome was weight loss. Secondary outcomes included change in waist circumference, body mass index, diet self-efficacy, and physical activity self-efficacy.
  
  
  
  There were significant intervention effects for weight, waist circumference, body mass index, and diet self-efficacy, with the intervention group doing better than the control group. These effects did not change over time.
  
  
  
  Findings support the conclusion that a community-based, culturally tailored intervention is effective in reducing diabetes risk factors in a 5-month program.
authors: University of Arizona, Tucson, Arizona, USA.
authors: Deborah
authors: D
authors: Vincent
authors: University of Arizona, Tucson, Arizona, USA.
authors: Marylyn M
authors: MM
authors: McEwen
authors: University of Arizona, Tucson, Arizona, USA.
authors: Joseph T
authors: JT
authors: Hepworth
authors: University of Arizona, Tucson, Arizona, USA.
authors: Craig S
authors: CS
authors: Stump
mesh_terms: D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000378:metabolism; D015992:Body Mass Index; D003469:Culture; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D004032:Diet; D037001:Directive Counseling / Q000379:methods; D005240:Feasibility Studies; D005247:Feeding Behavior; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006266:Health Education / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D017058:Mexican Americans / Q000208:ethnology / Q000523:psychology; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D018579:Patient Selection; D015397:Program Evaluation; D012648:Self Care; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology / Q000208:ethnology; D055105:Waist Circumference; D015431:Weight Loss
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human