Using Path Analysis and Linear Regression to Test for Gender and Participation: Effects in a Culturally Tailored Diabetes Intervention for Latino Adults
While the incidence and prevalence of type 2 diabetes is higher among Latino/as, Latino men are disproportionately affected and have poorer outcomes. We aimed to determine whether gender impacted any outcomes in a culturally tailored type 2 diabetes (T2D) intervention and to evaluate the effects of...
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| Veröffentlicht in: | International journal of environmental research and public health 2022-09, Vol.19 (19), p.11982 |
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| creator | Hawkins, Jaclynn Kieffer, Edith C Sinco, Brandy Piatt, Gretchen Jones, Lenette Mitchell, Jamie Espitia, Nicolaus LeBron, Alana Kloss, Katherine A Kurnick, Katie Palmsiano, Gloria Spencer, Michael S |
| description | While the incidence and prevalence of type 2 diabetes is higher among Latino/as, Latino men are disproportionately affected and have poorer outcomes. We aimed to determine whether gender impacted any outcomes in a culturally tailored type 2 diabetes (T2D) intervention and to evaluate the effects of gender and intervention participation intensity on outcomes at 6-month follow-up. Nested path and regression models were compared with the likelihood ratio test and information criteria in a sample of Latino/a adults with T2D (
= 222) participating in a T2D community health worker (CHW)-led intervention. Path analysis showed that the effect of the intervention did not vary by gender. The intervention was associated with significant improvements in knowledge of T2D management 0.24 (0.10);
= 0.014, diabetes distress, -0.26 (0.12);
= 0.023, and self-efficacy, 0.61 (0.21);
= 0.005. At 6-month follow-up, improved self-management was associated with greater self-efficacy and Hemoglobin A1c (HbA1c) was lower by -0.18 (0.08);
= 0.021 for each unit of self-management behavior. Linear regressions showed that class attendance and home visits contributed to positive intervention results, while gender was non-significant. Pathways of change in a CHW-led culturally tailored T2D intervention can have a significant effect on participant behaviors and health status outcomes, regardless of gender. |
| doi_str_mv | 10.3390/ijerph191911982 |
| format | Article |
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= 222) participating in a T2D community health worker (CHW)-led intervention. Path analysis showed that the effect of the intervention did not vary by gender. The intervention was associated with significant improvements in knowledge of T2D management 0.24 (0.10);
= 0.014, diabetes distress, -0.26 (0.12);
= 0.023, and self-efficacy, 0.61 (0.21);
= 0.005. At 6-month follow-up, improved self-management was associated with greater self-efficacy and Hemoglobin A1c (HbA1c) was lower by -0.18 (0.08);
= 0.021 for each unit of self-management behavior. Linear regressions showed that class attendance and home visits contributed to positive intervention results, while gender was non-significant. Pathways of change in a CHW-led culturally tailored T2D intervention can have a significant effect on participant behaviors and health status outcomes, regardless of gender.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph191911982</identifier><identifier>PMID: 36231282</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adults ; Advisors ; Age ; Community Health Workers ; Community involvement ; Community participation ; Demographics ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 2 - therapy ; Education ; Females ; Gender ; Gender differences ; Glycated Hemoglobin - analysis ; Hemoglobin ; Hispanic Americans ; Hispanic or Latino ; Humans ; Intervention ; Knowledge ; Likelihood ratio ; Linear Models ; Medical personnel ; Participation ; Participatory research ; Regression analysis ; Secondary schools ; Womens health</subject><ispartof>International journal of environmental research and public health, 2022-09, Vol.19 (19), p.11982</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c421t-536956e82f92d0c9bc3f946f5840d06d9171e4cef5bf0e5134fe67cebbdcb7153</citedby><cites>FETCH-LOGICAL-c421t-536956e82f92d0c9bc3f946f5840d06d9171e4cef5bf0e5134fe67cebbdcb7153</cites><orcidid>0000-0003-0964-4673 ; 0000-0002-8626-4060 ; 0000-0003-1441-4549 ; 0000-0001-8132-790X ; 0000-0001-6641-6330 ; 0000-0002-6182-5706</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9565909/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9565909/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36231282$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hawkins, Jaclynn</creatorcontrib><creatorcontrib>Kieffer, Edith C</creatorcontrib><creatorcontrib>Sinco, Brandy</creatorcontrib><creatorcontrib>Piatt, Gretchen</creatorcontrib><creatorcontrib>Jones, Lenette</creatorcontrib><creatorcontrib>Mitchell, Jamie</creatorcontrib><creatorcontrib>Espitia, Nicolaus</creatorcontrib><creatorcontrib>LeBron, Alana</creatorcontrib><creatorcontrib>Kloss, Katherine A</creatorcontrib><creatorcontrib>Kurnick, Katie</creatorcontrib><creatorcontrib>Palmsiano, Gloria</creatorcontrib><creatorcontrib>Spencer, Michael S</creatorcontrib><title>Using Path Analysis and Linear Regression to Test for Gender and Participation: Effects in a Culturally Tailored Diabetes Intervention for Latino Adults</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>While the incidence and prevalence of type 2 diabetes is higher among Latino/as, Latino men are disproportionately affected and have poorer outcomes. We aimed to determine whether gender impacted any outcomes in a culturally tailored type 2 diabetes (T2D) intervention and to evaluate the effects of gender and intervention participation intensity on outcomes at 6-month follow-up. Nested path and regression models were compared with the likelihood ratio test and information criteria in a sample of Latino/a adults with T2D (
= 222) participating in a T2D community health worker (CHW)-led intervention. Path analysis showed that the effect of the intervention did not vary by gender. The intervention was associated with significant improvements in knowledge of T2D management 0.24 (0.10);
= 0.014, diabetes distress, -0.26 (0.12);
= 0.023, and self-efficacy, 0.61 (0.21);
= 0.005. At 6-month follow-up, improved self-management was associated with greater self-efficacy and Hemoglobin A1c (HbA1c) was lower by -0.18 (0.08);
= 0.021 for each unit of self-management behavior. Linear regressions showed that class attendance and home visits contributed to positive intervention results, while gender was non-significant. Pathways of change in a CHW-led culturally tailored T2D intervention can have a significant effect on participant behaviors and health status outcomes, regardless of gender.</description><subject>Adults</subject><subject>Advisors</subject><subject>Age</subject><subject>Community Health Workers</subject><subject>Community involvement</subject><subject>Community participation</subject><subject>Demographics</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Education</subject><subject>Females</subject><subject>Gender</subject><subject>Gender differences</subject><subject>Glycated Hemoglobin - analysis</subject><subject>Hemoglobin</subject><subject>Hispanic Americans</subject><subject>Hispanic or Latino</subject><subject>Humans</subject><subject>Intervention</subject><subject>Knowledge</subject><subject>Likelihood ratio</subject><subject>Linear Models</subject><subject>Medical personnel</subject><subject>Participation</subject><subject>Participatory research</subject><subject>Regression analysis</subject><subject>Secondary schools</subject><subject>Womens health</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkU9rFDEYxoMotlbP3iTgxcva_JnJTDwIy1prYcEi23PIJG92s8wma5Ip7Dfx45pua6klhwTye548eR-E3lPymXNJzv0W0n5DZV1U9uwFOqVCkFkjCH355HyC3uS8JYT3jZCv0QkXjFPWs1P05yb7sMbXumzwPOjxkH3GOli89AF0wr9gnSBnHwMuEa8gF-xiwpcQLKQjeK1T8cbvdanQF3zhHJiSsQ9Y48U0linpcTzglfZjTGDxN68HKJDxVSiQbiHc6Y6my2oRIp7bqspv0SunxwzvHvYzdPP9YrX4MVv-vLxazJcz0zBaZi0XshXQMyeZJUYOhjvZCNf2DbFEWEk7Co0B1w6OQEt540B0BobBmqGjLT9DX-9999OwA2tqnhpY7ZPf6XRQUXv1_03wG7WOt6o-20oiq8GnB4MUf091QGrns4Fx1AHilBXrWEslFx2t6Mdn6DZOqU79SDWskYyLSp3fUybFnBO4xzCUqLvW1bPWq-LD0z888v9q5n8BXbiskA</recordid><startdate>20220922</startdate><enddate>20220922</enddate><creator>Hawkins, Jaclynn</creator><creator>Kieffer, Edith C</creator><creator>Sinco, Brandy</creator><creator>Piatt, Gretchen</creator><creator>Jones, Lenette</creator><creator>Mitchell, Jamie</creator><creator>Espitia, Nicolaus</creator><creator>LeBron, Alana</creator><creator>Kloss, Katherine A</creator><creator>Kurnick, Katie</creator><creator>Palmsiano, Gloria</creator><creator>Spencer, Michael S</creator><general>MDPI AG</general><general>MDPI</general><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0964-4673</orcidid><orcidid>https://orcid.org/0000-0002-8626-4060</orcidid><orcidid>https://orcid.org/0000-0003-1441-4549</orcidid><orcidid>https://orcid.org/0000-0001-8132-790X</orcidid><orcidid>https://orcid.org/0000-0001-6641-6330</orcidid><orcidid>https://orcid.org/0000-0002-6182-5706</orcidid></search><sort><creationdate>20220922</creationdate><title>Using Path Analysis and Linear Regression to Test for Gender and Participation: Effects in a Culturally Tailored Diabetes Intervention for Latino Adults</title><author>Hawkins, Jaclynn ; 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We aimed to determine whether gender impacted any outcomes in a culturally tailored type 2 diabetes (T2D) intervention and to evaluate the effects of gender and intervention participation intensity on outcomes at 6-month follow-up. Nested path and regression models were compared with the likelihood ratio test and information criteria in a sample of Latino/a adults with T2D (
= 222) participating in a T2D community health worker (CHW)-led intervention. Path analysis showed that the effect of the intervention did not vary by gender. The intervention was associated with significant improvements in knowledge of T2D management 0.24 (0.10);
= 0.014, diabetes distress, -0.26 (0.12);
= 0.023, and self-efficacy, 0.61 (0.21);
= 0.005. At 6-month follow-up, improved self-management was associated with greater self-efficacy and Hemoglobin A1c (HbA1c) was lower by -0.18 (0.08);
= 0.021 for each unit of self-management behavior. Linear regressions showed that class attendance and home visits contributed to positive intervention results, while gender was non-significant. Pathways of change in a CHW-led culturally tailored T2D intervention can have a significant effect on participant behaviors and health status outcomes, regardless of gender.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36231282</pmid><doi>10.3390/ijerph191911982</doi><orcidid>https://orcid.org/0000-0003-0964-4673</orcidid><orcidid>https://orcid.org/0000-0002-8626-4060</orcidid><orcidid>https://orcid.org/0000-0003-1441-4549</orcidid><orcidid>https://orcid.org/0000-0001-8132-790X</orcidid><orcidid>https://orcid.org/0000-0001-6641-6330</orcidid><orcidid>https://orcid.org/0000-0002-6182-5706</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; PubMed Central Open Access |
| subjects | Adults Advisors Age Community Health Workers Community involvement Community participation Demographics Diabetes Diabetes mellitus Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - therapy Education Females Gender Gender differences Glycated Hemoglobin - analysis Hemoglobin Hispanic Americans Hispanic or Latino Humans Intervention Knowledge Likelihood ratio Linear Models Medical personnel Participation Participatory research Regression analysis Secondary schools Womens health |
| title | Using Path Analysis and Linear Regression to Test for Gender and Participation: Effects in a Culturally Tailored Diabetes Intervention for Latino Adults |
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