title: Diabetes Prevention Interventions in Latin American Countries: a Scoping Review.
abstract: Public policies, population health initiatives, and targeted behavioral change interventions for individuals at risk for developing diabetes are all essential for diabetes prevention in Latin American countries (LACs). This scoping review examines (1) the current evidence on diabetes prevention policies and interventions in LACs to identify components of effective diabetes prevention models in those countries and (2) effective diabetes prevention interventions targeting Latino populations in the USA to explore possible lessons from these interventions for LACs. Diabetes prevention programs in LACs evaluated to date consist of short-term health professional-led face-to-face behavioral counseling sessions. Intervention components of US-based programs for Latinos that might benefit diabetes prevention programs in Latin America include (1) deployment of community health workers ("promotoras") for diabetes screening and delivery of lifestyle modification programs, (2) multiple modes of program delivery beyond face-to-face sessions, (3) information technology to automate and enhance program delivery, (4) leveraging of pre-existing familial relationships to engage in and sustain lifestyle modifications, and (5) innovative environmental change strategies such as collaborations with local food stores and markets to promote healthy behaviors.
authors.affiliation: Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA. mheisler@umich.edu.|Center for Clinical Management Research (CCMR), Ann Arbor Veterans' Affairs (VA) Healthcare System, 2215 Fuller Rd. (152), Ann Arbor, MI, 48105, USA. mheisler@umich.edu.|Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, USA. mheisler@umich.edu.|Michigan Center for Diabetes Translational Research (MCDTR), University of Michigan, Ann Arbor, MI, USA. mheisler@umich.edu.
authors.forename: Michele
authors.initials: M
authors.lastname: Heisler
authors.affiliation: Center for Clinical Management Research (CCMR), Ann Arbor Veterans' Affairs (VA) Healthcare System, 2215 Fuller Rd. (152), Ann Arbor, MI, 48105, USA.|Global REACH and Department of Medical Education, University of Michigan Medical School, Ann Arbor, MI, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Kaselitz
authors.affiliation: Taubman Health Sciences Library, University of Michigan, 1135 East Catherine Street, Ann Arbor, MI, 48109, USA.
authors.forename: Gurpreet K
authors.initials: GK
authors.lastname: Rana
authors.affiliation: Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.|Center for Clinical Management Research (CCMR), Ann Arbor Veterans' Affairs (VA) Healthcare System, 2215 Fuller Rd. (152), Ann Arbor, MI, 48105, USA.|Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, USA.|Center for Managing Chronic Disease, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, 48109, USA.
authors.forename: John D
authors.initials: JD
authors.lastname: Piette
mesh_terms: D003920:Diabetes Mellitus / Q000517:prevention & control*; D006630:Hispanic or Latino; D006801:Humans; D007843:Latin America; D008962:Models, Theoretical; D011640:Public Policy; D016032:Randomized Controlled Trials as Topic; D014481:United States
keywords: Diabetes; Latin America; Prevention; Randomized controlled trials; Scoping review