title: Translation of the Diabetes Prevention Program for diabetes risk reduction in Chinese immigrants in New York City.
abstract: OBJECTIVE
  To evaluate the effectiveness and feasibility of implementing a linguistically and culturally tailored Diabetes Prevention Program among Chinese immigrants with prediabetes living in New York City.
  
  
  METHODS
  A total of 60 Chinese immigrants with prediabetes were randomized into either a Diabetes Prevention Program lifestyle intervention (n = 30) consisting of 12 bi-weekly core sessions and six monthly post-core sessions or the control intervention (n = 30), consisting of quarterly mailing of diabetes prevention information. Each Diabetes Prevention Program intervention session lasted 1.5-2 h and covered topics such as healthy eating, physical activity, stress reduction and problem-solving skills. Outcomes such as percent change in weight, BMI, and HbA1c concentration were assessed at baseline, 6 and 12 months. A mixed-effects linear regression was applied to test the intervention effect at months 6 and 12. Data were collected in the period 2012-2013 and analysed in 2014.
  
  
  RESULTS
  The participant attrition rate was < 5% (2 out of 60) at 12 months. There was a significantly greater percent weight loss in the intervention group (-3.5 vs. -0.1%; P = 0.0001) at 6 months, which was largely maintained at 12 months (-3.3 vs. 0.3%; P = 0.0003).
  
  
  CONCLUSIONS
  Participants in a Diabetes Prevention Program-based intervention achieved greater weight loss and improvements in HbA1c concentration than control participants. Evaluation of the Chinese Diabetes Prevention Program curriculum in a larger trial is warranted.
authors.affiliation: Nutrition Program, CUNY School of Public Health, New York, NY, USA.
authors.forename: M-C
authors.initials: MC
authors.lastname: Yeh
authors.affiliation: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA.
authors.forename: M
authors.initials: M
authors.lastname: Heo
authors.affiliation: Department of Psychology, Pace University, New York, NY, USA.
authors.forename: S
authors.initials: S
authors.lastname: Suchday
authors.affiliation: Chinese Community Partnership for Health, New York Presbyterian-Lower Manhattan Hospital, New York, NY, USA.
authors.forename: A
authors.initials: A
authors.lastname: Wong
authors.affiliation: Chinese Community Partnership for Health, New York Presbyterian-Lower Manhattan Hospital, New York, NY, USA.
authors.forename: E
authors.initials: E
authors.lastname: Poon
authors.affiliation: Chinese American Independent Practice Association, New York, NY, USA.
authors.forename: G
authors.initials: G
authors.lastname: Liu
authors.affiliation: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA.
authors.forename: J
authors.initials: J
authors.lastname: Wylie-Rosett
mesh_terms: D000368:Aged; D001213:Asian; D002681:China / Q000208:ethnology; D055812:Community-Based Participatory Research; D065246:Culturally Competent Care; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D054242:Emigrants and Immigrants / Q000193:education; D005240:Feasibility Studies; D005260:Female; D017144:Focus Groups; D000070497:Healthy Lifestyle; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D050177:Overweight / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control / Q000628:therapy; D010353:Patient Education as Topic; D010865:Pilot Projects; D011236:Prediabetic State / Q000208:ethnology / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D012306:Risk; D013315:Stress, Psychological / Q000208:ethnology / Q000517:prevention & control