Faculty Collaboration Database

Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes. J Gen Intern Med 2015 Oct;30(10):1481-90

Date

04/30/2015

Pubmed ID

25920468

Pubmed Central ID

PMC4579235

DOI

10.1007/s11606-015-3339-x

Scopus ID

2-s2.0-84942500221 (requires institutional sign-in at Scopus site)   35 Citations

Abstract

BACKGROUND: Churches may provide a familiar and accessible setting for chronic disease self-management education and social support for Latinos with diabetes.

OBJECTIVE: We assessed the impact of a multi-faceted church-based diabetes self-management intervention on diabetes outcomes among Latino adults.

DESIGN: This was a community-based, randomized controlled, pilot study.

SUBJECTS: One-hundred adults with self-reported diabetes from a Midwestern, urban, low-income Mexican-American neighborhood were included in the study.

INTERVENTIONS: Intervention participants were enrolled in a church-based diabetes self-management program that included eight weekly group classes led by trained lay leaders. Enhanced usual care participants attended one 90-minute lecture on diabetes self-management at a local church.

OUTCOME MEASURES: The primary outcome was change in glycosylated hemoglobin (A1C). Secondary outcomes included changes in low-density lipoproteins (LDL), blood pressure, weight, and diabetes self-care practices.

KEY RESULTS: Participants' mean age was 54 ± 12 years, 81 % were female, 98 % were Latino, and 51 % were uninsured. At 3 months, study participants in both arms decreased their A1C from baseline (-0.32 %, 95 % confidence interval [CI]: -0.62, -0.02 %). The difference in change in A1C, LDL, blood pressure and weight from baseline to 3-month and 6-month follow-up was not statistically significant between the intervention and enhanced usual care groups. Intervention participants reported fewer days of consuming high fat foods in the previous week (-1.34, 95 % CI: -2.22, -0.46) and more days of participating in exercise (1.58, 95 % CI: 0.24, 2.92) compared to enhanced usual care from baseline to 6 months.

CONCLUSIONS: A pilot church-based diabetes self-management intervention did not reduce A1C, but resulted in decreased high fat food consumption and increased participation in exercise among low-income Latino adults with diabetes. Future church-based interventions may need to strengthen linkages to the healthcare system and provide continued support to participants to impact clinical outcomes.

Author List

Baig AA, Benitez A, Locklin CA, Gao Y, Lee SM, Quinn MT, Solomon MC, Sánchez-Johnsen L, Burnet DL, Chin MH, Little Village Community Advisory Board

Author

Lisa Sanchez-Johnsen PhD Center Associate Director, Professor in the Institute for Health and Equity department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Aged
Blood Pressure
Catholicism
Diabetes Mellitus, Type 2
Early Medical Intervention
Exercise
Female
Follow-Up Studies
Health Behavior
Humans
Male
Middle Aged
Pilot Projects
Self Care