Racial and Ethnic Approaches to Community Health (REACH) Detroit Partnership: Improving Diabetes-Related Outcomes Among African American and Latino Adults (original) (raw)
Related papers
Diabetes is prevalent among African-American and Latino Detroit residents, with profound consequences to individuals, families, and communities. The REACH Detroit Partnership engaged eastside and southwest Detroit families in focus groups organized by community, age, gender, and language, to plan community-based participatory interventions to reduce the prevalence and impact of diabetes and its risk factors. Community residents participated in planning, implementing, and analyzing data from the focus groups and subsequent planning meetings. Major themes included: 1) diabetes is widespread and risk begins in childhood, with severe consequences for African Americans and Latinos; 2) denial and inadequate health care contribute to lack of public awareness about pre-symptomatic diabetes; 3) diabetes risks include heredity, high sugar, fat and alcohol intake, overweight, lack of exercise, and stress; and 4) cultural traditions, lack of motivation, and lack of affordable, accessible stores, restaurants, and recreation facilities and programs, are barriers to adopting preventive lifestyles. Participants identified community assets and made recommendations that resulted in REACH Detroit's multi-level intervention design and programs. They included development of: 1) family-oriented interventions to support lifestyle change at all ages; 2) culturally relevant community and health provider education and materials; 3) social support group activities promoting diabetes self-management, exercise, and healthy eating; and 4) community resource development and advocacy. (Ethn Dis. 2004;14[suppl 1]:S1-27-S1-37)
The Diabetes Educator, 2014
Purpose-This article reports the results of a community-based, culturally tailored diabetes prevention program for overweight Mexican American adults on weight loss, waist circumference, diet and physical activity self-efficacy, and diet behaviors. Methods-The intervention used content from the Diabetes Prevention Program but culturally tailored the delivery methods into a community-based program for Spanish-speaking adults of Mexican descent. The design was a randomized controlled trial (N = 58) comparing the effects of a 5-month educational intervention with an attention control group. The primary study outcome was weight loss. Secondary outcomes included change in waist circumference, body mass index, diet self-efficacy, and physical activity self-efficacy. Results-There were significant intervention effects for weight, waist circumference, body mass index, and diet self-efficacy, with the intervention group doing better than the control group. These effects did not change over time. Conclusions-Findings support the conclusion that a community-based, culturally tailored intervention is effective in reducing diabetes risk factors in a 5-month program. Diabetes prevalence is estimated to include 25.8 million people of all ages in the United States, resulting in significant morbidity, mortality, and an economic burden of more than $245 billion annually. 1,2 As the fastest-growing minority population in the United States, Mexican Americans have one of the highest rates of diabetes: 11.8% versus 7.1% for non-Hispanic whites. 2 Even more concerning is the estimated 79 million adults in the United States who have prediabetes, most of whom will develop type 2 diabetes within 10 years. 3,4 Prevention of diabetes is clearly a public health imperative. The Diabetes Prevention Program (DPP) clearly demonstrated that intensive lifestyle modification delays or prevents the progression of prediabetes to diabetes, but it required costly resources to promote lifestyle change. 5 Therefore, it is not easily replicated in resource-limited community settings. Community-based diabetes prevention programs offered in convenient and familiar locations have the potential to reach underserved
Diabetes and health disparities: community-based approaches for racial and ethnic populations
2010
Translation, her work focused on developing community models for diabetes prevention and control programs in racial and ethnic communities in the continental U.S., in the Pacific Rim, along the U.S.-Mexico border, and for American Indian tribes in the Southwest. She has written extensively on community-based public health approaches to chronic disease prevention and control, the influence of culture and gender on health beliefs and behaviors, and the elimination of health disparities. Her principal research interests are focused on understanding the intersection of race, class, and gender in chronic disease risks, management, and prevention.
Journal of Nutrition & Food Sciences, 2018
Culturally competent health education can potentially save lives and overall improve quality of life. Health conditions such as diabetes, heart disease and blood pressure, if identified early, can possibly be controlled and less likely to become a major health problem. The present study was conducted to assess the impact of culturally competent health and nutrition education trainings on diabetes type II control directed to male Latinos/ Hispanics living in Atlanta, Georgia. United States. The five-week long education trainings were offered weekly to 50 volunteer participants that had been diagnosed with diabetes type II by their primary physician for over a year. Other than receiving diabetes prescription medication, the participants were not engaging in any other specific health activity intended to support diabetes type II control. Three other health factors were taken in consideration: height, weight, and Body Mass Index (BMI), which were measured at the beginning of each session. After each session, the participants were asked to implement the lessons learned at home, individually monitor blood glucose levels and record results in a tracking sheet provided. Results of the study include a stabilization and/or decline in glucose levels for the participants who reported to have continued their prescribed medications and implemented the knowledge learned in the education trainings. Weight loss was also noted the participants who were intentionally interested in losing weight as a result of the program. The results of the study thus conclude that culturally competent health and nutrition education trainings on diabetes type II control can make a significant impact in the health and nutritional status of male Latino/Hispanics.
The Diabetes Educator, 2014
The purpose of this study is to test the feasibility of conducting a community-based randomized controlled trial evaluating a culturally tailored community-based group diabetes self-management education (DSME) program among rural African Americans. Methods Thirty-two African American rural adults with type 2 diabetes were recruited and 25 adults were retained and participated in an interventional study designed to test the effectiveness of the "Taking Care of Sugar" DSME program for the 2-year follow-up. Participants were selected from rural central Virginia. Primary outcomes variables included average blood sugar levels, cardiovascular risk factors, and general physical and mental health. These outcomes were assessed at baseline, 3 months, 6 months, and 12 months post baseline. Results From baseline to 3-month follow-up assessment, participants exhibited significant improvement on several physiological and behavioral measures. Given the small sample size, hypothesis testing was limited. Results show change from baseline over time, illustrating that the primary outcome of A1C decreased, although not significant. Additionally, participants reported more knowledge about diabetes self-management and personal care 520570T DEXXX10.
Cultural Relevancy of a Diabetes Prevention Nutrition Program for African American Women
Health Promotion Practice, 2006
Diabetes among African American women is a pressing health concern, yet there are few evaluated culturally relevant prevention programs for this population. This article describes a case study of the Eat Well Live Well Nutrition Program, a community-based, culturally specific diabetes prevention nutrition program for African American women. The stages of change theory and principles from community organization guided the development of the program. Health education strategies, including participatory development and program delivery by peer educators, were applied to promote cultural relevance. Results indicated that overall participants (90%) believed the program to be culturally relevant and were very satisfied with the program (82%). Cultural relevancy was significantly associated with greater program satisfaction and changes in dietary patterns when controlling for the number of sessions attended. Conclusions suggest that participatory strategies can be effective in designing culturally specific prevention programs for African American women.
Diabetes Management Among Low-Income African Americans
Journal of Ambulatory Care Management, 2006
Incidence of type II diabetes is increasing in the United States and is most prevalent among low-income African Americans. Community health initiatives supported by partnerships of community leaders and health professionals can contribute to the elimination of inequalities in health status. The focus of Racial and Ethnic Approaches to Community Health (REACH) 2010, an initiative sponsored by the Centers for Disease Control and Prevention, is to facilitate the initiation of community-wide changes as well as increase individual empowerment to reduce disparities in diabetes, cardiovascular disease, and cancer. A pilot program developed by REACH health educators and community health partners to improve disease self-management among low-income African American diabetic patients was implemented at a community health center in Nashville, Tenn. The program's major components included health education, individual counseling, screenings, and outreach. The program shows promise of improving patient care and outcomes.