title: A Family-Based, Culturally Tailored Diabetes Intervention for Hispanics and Their Family Members.
abstract: The purpose of this study was to test efficacy of a family-based, culturally tailored intervention for Hispanics with type 2 diabetes and their family members.
  
  
  
  Hispanic patients with type 2 diabetes and their family members recruited from community clinics and ethnic churches were assigned to groups (N = 186). The intervention group received an 8-week culturally tailored diabetes educational program delivered in Spanish while the attention control group received 8 weekly sessions on general health information and 2 sessions on diabetes after completion of the study. Data were collected at baseline, after intervention, and at 1- and 6-month follow-ups for both patients and families. Comparisons of change over time were performed using growth curve analyses after propensity score adjustment.
  
  
  
  Intervention patients improved in diabetes knowledge and diabetes self-efficacy over time (but did not sustain at 6-month follow-up). A1C was lower at 1-month follow-up. Family members had improvements in diabetes knowledge and physical health-related quality of life.
  
  
  
  Including families in the interventions may improve glycemic control, diabetes knowledge, self-efficacy, and physical health-related quality of life. However, strategies for sustaining improvements are needed.
authors.affiliation: The Ohio State University, Columbus, Ohio (Dr Hu)
authors.forename: Jie
authors.initials: J
authors.lastname: Hu
authors.affiliation: The University of North Carolina at Greensboro North Carolina, Greensboro, North Carolina (Dr Amirehsani, Dr Wallace, Dr McCoy, Ms Silva).
authors.forename: Karen A
authors.initials: KA
authors.lastname: Amirehsani
authors.affiliation: The University of North Carolina at Greensboro North Carolina, Greensboro, North Carolina (Dr Amirehsani, Dr Wallace, Dr McCoy, Ms Silva).
authors.forename: Debra C
authors.initials: DC
authors.lastname: Wallace
authors.affiliation: The University of North Carolina at Greensboro North Carolina, Greensboro, North Carolina (Dr Amirehsani, Dr Wallace, Dr McCoy, Ms Silva).
authors.forename: Thomas P
authors.initials: TP
authors.lastname: McCoy
authors.affiliation: The University of North Carolina at Greensboro North Carolina, Greensboro, North Carolina (Dr Amirehsani, Dr Wallace, Dr McCoy, Ms Silva).
authors.forename: Zulema
authors.initials: Z
authors.lastname: Silva
mesh_terms: D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D065246:Culturally Competent Care / Q000379:methods*; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000523:psychology / Q000628:therapy*; D005190:Family / Q000523:psychology*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D065228:Non-Randomized Controlled Trials as Topic; D011788:Quality of Life; D012648:Self Care / Q000379:methods* / Q000523:psychology; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human