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Description of an academic community partnership lifestyle program for lower income minority adults at risk for diabetes

  • Author(s): Delgadillo, AT
  • Grossman, M
  • Santoyo-Olsson, J
  • Gallegos-Jackson, E
  • Kanaya, AM
  • Stewart, AL
  • et al.
Abstract

Purpose: Translating strategies and approaches from the successful clinically based Diabetes Prevention Program's lifestyle intervention to community settings is a key next step. This article describes a lifestyle program developed in partnership by researchers at a major university and public health professionals at a local health department. Methods: The Live Well, Be Well (LWBW) program was designed to meet the needs of lower income, minority, and low-literacy adults at risk for diabetes. It was adapted from interventions with demonstrated efficacy and delivered in Spanish and English by health department staff. The program consisted of a 6-month active phase and a 6-month maintenance phase and was primarily telephone based, with one in-person planning session and several group workshops. In-person and group sessions were held in convenient community-based settings. Counselors provided education and skills training to modify diet and increase physical activity. Self-selected and attainable goal-setting and action plans were emphasized to enhance self-efficacy. LWBW is the intervention component of a randomized trial with primary outcomes of fasting glucose, weight, and other clinical measures. Conclusions: The program provides a unique translational model for implementing diabetes risk reduction programs for underserved populations. Individually tailored and non-prescriptive, it utilized existing health department infrastructure, focused on telephone counseling, used culturally appropriate, low-literacy materials, and was delivered in local, community-based facilities. © 2010 The Author(s).

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