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Randomized Controlled Trial
. 2015 Oct;30(10):1481-90.
doi: 10.1007/s11606-015-3339-x. Epub 2015 Apr 29.

Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes

Arshiya A Baig  1 , Amanda Benitez  2 , Cara A Locklin  3 , Yue Gao  2 , Sang Mee Lee  4 , Michael T Quinn  2 , Marla C Solomon  5 , Lisa Sánchez-Johnsen  6 , Deborah L Burnet  2 , Marshall H Chin  2 ; Little Village Community Advisory Board
Affiliations
Randomized Controlled Trial

Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes

Arshiya A Baig et al. J Gen Intern Med. 2015 Oct.

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.

Trial registration: ClinicalTrials.gov NCT01288300.

Keywords: CBPR; Latino; church-based intervention; diabetes.

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Figures

Figure 1
Figure 1
Study recruitment, enrollment and loss to follow-up flow diagram.
Figure 2
Figure 2
Participant satisfaction with church-based diabetes self-management intervention (n = 33)*.
See this image and copyright information in PMC

Comment in

References

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