A Brief Culturally Tailored Intervention for Puerto Ricans With Type 2 Diabetes
The information-motivation-behavioral skills (1MB) model of health behavior change informed the design of a brief, culturally tailored diabetes self-care intervention for Puerto Ricans with type 2 diabetes. Participants (n = 118) were recruited from an outpatient, primary care clinic at an urban hos...
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| Veröffentlicht in: | Health education & behavior 2010-12, Vol.37 (6), p.849-862 |
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| creator | Osborn, Chandra Y. Amico, K. R. Cruz, Noemi O'Connell, Ann A. Perez-Escamilla, Rafael Kalichman, Seth C. Wolf, Scott A. Fisher, Jeffrey D. |
| description | The information-motivation-behavioral skills (1MB) model of health behavior change informed the design of a brief, culturally tailored diabetes self-care intervention for Puerto Ricans with type 2 diabetes. Participants (n = 118) were recruited from an outpatient, primary care clinic at an urban hospital in the northeast United States. ANCOVA models evaluated intervention effects on food label reading, diet adherence, physical activity, and glycemic control (HbAlc). At follow-up, the intervention group was reading food labels and adhering to diet recommendations significantly more than the control group. Although the mean HbAlc values decreased in both groups (Intervention: 0.48% vs. Control: 0.27% absolute decrease), only the intervention group showed a significant improvement from baseline to follow-up (p < .008), corroborating improvements in diabetes self-care behaviors. Findings support the use of the IMB model to culturally tailor diabetes interventions and to enhance patients' knowledge, motivation, and behavior skills needed for self-care. |
| doi_str_mv | 10.1177/1090198110366004 |
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R. ; Cruz, Noemi ; O'Connell, Ann A. ; Perez-Escamilla, Rafael ; Kalichman, Seth C. ; Wolf, Scott A. ; Fisher, Jeffrey D.</creator><creatorcontrib>Osborn, Chandra Y. ; Amico, K. R. ; Cruz, Noemi ; O'Connell, Ann A. ; Perez-Escamilla, Rafael ; Kalichman, Seth C. ; Wolf, Scott A. ; Fisher, Jeffrey D.</creatorcontrib><description>The information-motivation-behavioral skills (1MB) model of health behavior change informed the design of a brief, culturally tailored diabetes self-care intervention for Puerto Ricans with type 2 diabetes. Participants (n = 118) were recruited from an outpatient, primary care clinic at an urban hospital in the northeast United States. ANCOVA models evaluated intervention effects on food label reading, diet adherence, physical activity, and glycemic control (HbAlc). At follow-up, the intervention group was reading food labels and adhering to diet recommendations significantly more than the control group. Although the mean HbAlc values decreased in both groups (Intervention: 0.48% vs. Control: 0.27% absolute decrease), only the intervention group showed a significant improvement from baseline to follow-up (p < .008), corroborating improvements in diabetes self-care behaviors. Findings support the use of the IMB model to culturally tailor diabetes interventions and to enhance patients' knowledge, motivation, and behavior skills needed for self-care.</description><identifier>ISSN: 1090-1981</identifier><identifier>EISSN: 1552-6127</identifier><identifier>DOI: 10.1177/1090198110366004</identifier><identifier>PMID: 21076128</identifier><identifier>CODEN: HEDBFS</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Activities of daily living ; Age Factors ; Aged ; Behavior Change ; Behavior Modification ; Biochemistry ; Biological and medical sciences ; Brief interventions ; Control Groups ; Cultural Awareness ; Cultural Competency ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Type 2 - ethnology ; Diabetes Mellitus, Type 2 - therapy ; Diabetes. Impaired glucose tolerance ; Diet ; Diet - ethnology ; Dietetics ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Exercise ; Female ; Food ; Food Labeling ; Glycated Hemoglobin A - analysis ; Glycemic control ; Health Behavior ; Health care ; Health Education - organization & administration ; Health Knowledge, Attitudes, Practice ; Healthy food ; Hispanic Americans ; Hospitals ; Humans ; Intervention ; Knowledge Level ; Labels ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Motivation ; Patients ; Physical Activities ; Physical activity ; Prevention and actions ; Primary care ; Public health. Hygiene ; Public health. 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R.</creatorcontrib><creatorcontrib>Cruz, Noemi</creatorcontrib><creatorcontrib>O'Connell, Ann A.</creatorcontrib><creatorcontrib>Perez-Escamilla, Rafael</creatorcontrib><creatorcontrib>Kalichman, Seth C.</creatorcontrib><creatorcontrib>Wolf, Scott A.</creatorcontrib><creatorcontrib>Fisher, Jeffrey D.</creatorcontrib><title>A Brief Culturally Tailored Intervention for Puerto Ricans With Type 2 Diabetes</title><title>Health education & behavior</title><addtitle>Health Educ Behav</addtitle><description>The information-motivation-behavioral skills (1MB) model of health behavior change informed the design of a brief, culturally tailored diabetes self-care intervention for Puerto Ricans with type 2 diabetes. Participants (n = 118) were recruited from an outpatient, primary care clinic at an urban hospital in the northeast United States. ANCOVA models evaluated intervention effects on food label reading, diet adherence, physical activity, and glycemic control (HbAlc). At follow-up, the intervention group was reading food labels and adhering to diet recommendations significantly more than the control group. Although the mean HbAlc values decreased in both groups (Intervention: 0.48% vs. Control: 0.27% absolute decrease), only the intervention group showed a significant improvement from baseline to follow-up (p < .008), corroborating improvements in diabetes self-care behaviors. Findings support the use of the IMB model to culturally tailor diabetes interventions and to enhance patients' knowledge, motivation, and behavior skills needed for self-care.</description><subject>Activities of daily living</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Behavior Change</subject><subject>Behavior Modification</subject><subject>Biochemistry</subject><subject>Biological and medical sciences</subject><subject>Brief interventions</subject><subject>Control Groups</subject><subject>Cultural Awareness</subject><subject>Cultural Competency</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Type 2 - ethnology</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diet</subject><subject>Diet - ethnology</subject><subject>Dietetics</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Exercise</subject><subject>Female</subject><subject>Food</subject><subject>Food Labeling</subject><subject>Glycated Hemoglobin A - analysis</subject><subject>Glycemic control</subject><subject>Health Behavior</subject><subject>Health care</subject><subject>Health Education - organization & administration</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Healthy food</subject><subject>Hispanic Americans</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intervention</subject><subject>Knowledge Level</subject><subject>Labels</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Motivation</subject><subject>Patients</subject><subject>Physical Activities</subject><subject>Physical activity</subject><subject>Prevention and actions</subject><subject>Primary care</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Puerto Rican people</subject><subject>Puerto Ricans</subject><subject>Puerto Rico - ethnology</subject><subject>Self care</subject><subject>Self Care - methods</subject><subject>Selfcare</subject><subject>Sex Factors</subject><subject>Skills</subject><subject>Socioeconomic Factors</subject><subject>Statistical Analysis</subject><subject>Type 2 diabetes mellitus</subject><subject>Urban Areas</subject><issn>1090-1981</issn><issn>1552-6127</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkd1rFDEUxQdRbK2--6ASEPFp9CaZfL0Ida1aKVRkxceQmbnTZpmdrMlMYf97s8y61oL4lMD53ZNzc4riKYU3lCr1loIBajSlwKUEqO4Vx1QIVkrK1P18z3K504-KRymtAEAaEA-LI0ZBZUYfF5en5H302JHF1I9TdH2_JUvn-xCxJefDiPEGh9GHgXQhkq8TxjGQb75xQyI__HhNltsNEkY-eFfjiOlx8aBzfcIn-_Ok-P7xbLn4XF5cfjpfnF6UjZByLGteGd6ors6pleCcmbqWXKFSKFXVMah4XbcSNXWsbV0rDe1yfKMFOkcrwU-Kd7PvZqrX2DY5ZA5vN9GvXdza4Lz9Wxn8tb0KN5aDZobrbPB6bxDDzwnTaNc-Ndj3bsAwJau5EUpQCf8nqVSmoqLK5Ms75CpMccj_YKlhmnGttMoUzFQTQ0oRu0NqCnZXq71bax55cXvbw8DvHjPwag-41Li-i25ofPrDcamlht3bz2YOo28O8tkXk1uodnI5y8ld4a3w_871fOZXaQzx4FcJEJIJ4L8AxsHH3Q</recordid><startdate>20101201</startdate><enddate>20101201</enddate><creator>Osborn, Chandra Y.</creator><creator>Amico, K. R.</creator><creator>Cruz, Noemi</creator><creator>O'Connell, Ann A.</creator><creator>Perez-Escamilla, Rafael</creator><creator>Kalichman, Seth C.</creator><creator>Wolf, Scott A.</creator><creator>Fisher, Jeffrey D.</creator><general>SAGE Publications</general><general>Sage Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20101201</creationdate><title>A Brief Culturally Tailored Intervention for Puerto Ricans With Type 2 Diabetes</title><author>Osborn, Chandra Y. ; Amico, K. 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Impaired glucose tolerance</topic><topic>Diet</topic><topic>Diet - ethnology</topic><topic>Dietetics</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. 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R.</au><au>Cruz, Noemi</au><au>O'Connell, Ann A.</au><au>Perez-Escamilla, Rafael</au><au>Kalichman, Seth C.</au><au>Wolf, Scott A.</au><au>Fisher, Jeffrey D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ907547</ericid><atitle>A Brief Culturally Tailored Intervention for Puerto Ricans With Type 2 Diabetes</atitle><jtitle>Health education & behavior</jtitle><addtitle>Health Educ Behav</addtitle><date>2010-12-01</date><risdate>2010</risdate><volume>37</volume><issue>6</issue><spage>849</spage><epage>862</epage><pages>849-862</pages><issn>1090-1981</issn><eissn>1552-6127</eissn><coden>HEDBFS</coden><abstract>The information-motivation-behavioral skills (1MB) model of health behavior change informed the design of a brief, culturally tailored diabetes self-care intervention for Puerto Ricans with type 2 diabetes. Participants (n = 118) were recruited from an outpatient, primary care clinic at an urban hospital in the northeast United States. ANCOVA models evaluated intervention effects on food label reading, diet adherence, physical activity, and glycemic control (HbAlc). At follow-up, the intervention group was reading food labels and adhering to diet recommendations significantly more than the control group. Although the mean HbAlc values decreased in both groups (Intervention: 0.48% vs. Control: 0.27% absolute decrease), only the intervention group showed a significant improvement from baseline to follow-up (p < .008), corroborating improvements in diabetes self-care behaviors. Findings support the use of the IMB model to culturally tailor diabetes interventions and to enhance patients' knowledge, motivation, and behavior skills needed for self-care.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>21076128</pmid><doi>10.1177/1090198110366004</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of daily living Age Factors Aged Behavior Change Behavior Modification Biochemistry Biological and medical sciences Brief interventions Control Groups Cultural Awareness Cultural Competency Diabetes Diabetes mellitus Diabetes Mellitus, Type 2 - ethnology Diabetes Mellitus, Type 2 - therapy Diabetes. Impaired glucose tolerance Diet Diet - ethnology Dietetics Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Exercise Female Food Food Labeling Glycated Hemoglobin A - analysis Glycemic control Health Behavior Health care Health Education - organization & administration Health Knowledge, Attitudes, Practice Healthy food Hispanic Americans Hospitals Humans Intervention Knowledge Level Labels Male Medical sciences Middle Aged Miscellaneous Motivation Patients Physical Activities Physical activity Prevention and actions Primary care Public health. Hygiene Public health. Hygiene-occupational medicine Puerto Rican people Puerto Ricans Puerto Rico - ethnology Self care Self Care - methods Selfcare Sex Factors Skills Socioeconomic Factors Statistical Analysis Type 2 diabetes mellitus Urban Areas |
| title | A Brief Culturally Tailored Intervention for Puerto Ricans With Type 2 Diabetes |
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