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. 2024 Feb 7;14(2):138-147.
doi: 10.1093/tbm/ibad053.

A culturally and linguistically adapted text-message Diabetes Prevention Program for Latinos: Feasibility, acceptability, and preliminary effectiveness

Taynara Formagini  1   2 , Juliana Teruel Camargo  3   4 , Jaime Perales-Puchalt  5 , Betty M Drees  6   7 , Monica Fracachan Cabrera  8 , Mariana Ramírez  8
Affiliations

A culturally and linguistically adapted text-message Diabetes Prevention Program for Latinos: Feasibility, acceptability, and preliminary effectiveness

Taynara Formagini et al. Transl Behav Med. .

Abstract

Despite the general positive outcomes of the Diabetes Prevention Program (DPP), the program's reach, adherence, and effectiveness among Latinos are still suboptimal. Text-message DPP can potentially overcome barriers and improve DPP outcomes for this group. We aimed to assess the feasibility, acceptability, and preliminarily effectiveness of a culturally and linguistically adapted text-message DPP for Latinos. We enrolled 26 eligible Spanish-speaking Latino adults at risk of developing type 2 diabetes (A1c = 5.7%-6.4%, body mass index ≥25) in a 6-month culturally and linguistically adapted text-message DPP. Participants received (i) two to three daily automated text-messages about healthy eating, physical activity, problem-solving skills, lifestyle change motivation, and logistics, (ii) on-demand keyword-driven messages, and (iii) on-demand chat messages with a DPP coach. Outcomes included feasibility (e.g. adherence), acceptability (e.g. satisfaction), and preliminary effectiveness (e.g. weight loss). Twenty-four participants completed the program and follow-up assessments. Participants' mean body weight changed from 191.2 to 186.7 pounds (P = .004); 45.8% of participants lost ≥3%, and 29.2% lost ≥5% of body weight. Body mass index and waist circumference were also reduced [0.9 kg/m2 (P = .003) and 1.1 cm (P = .03), pre-post]. Self-reported physical activity frequency was increased (P = .003). No statistically significant changes in diet quality were found. Most participants were satisfied with the program and perceived it to help prevent diabetes. Our pilot study of an innovative text-message DPP for Latinos demonstrated the program was acceptable, feasible, and potentially effective. Using text-message for DPP can reduce barriers to in-person participation by increasing the program's reach without compromising fidelity and effectiveness.

Keywords: Diabetes Prevention Program (DPP); Latinos; Spanish DPP; pilot study; prediabetes; text message DPP.

Plain language summary

The Diabetes Prevention Program (DPP) is an in-person program that helps people to reduce their risk of having diabetes by supporting them to improve their lifestyles. However, the program is not working well for Latinos. It is possible that offering the program using text-messages for Latinos can support them in improving their lifestyles so they can reduce their chances of getting diabetes. We developed a text-message DPP for Latinos who speak Spanish to test if the program would work for them. A total of 26 Latinos received 2 to 3 daily text-messages about healthy eating, physical activity, and motivations to change lifestyles, for a period of 6 months. Participants also had the chance to send messages to coaches to get individualized responses. By the end of the 6 months, 24 Latinos completed the program. Participants reduced an average of 5.5 pounds in body weight. We also saw reductions in participants’ waist circumferences. In addition, participants started to do more physical activity. Most participants were satisfied with the program and perceived it helped them prevent diabetes. In conclusion, we believe that our program worked well and was successful in helping Latinos to change their lifestyles to prevent diabetes.

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Conflict of interest statement

None to declare.

Figures

Graphical Abstract
Graphical Abstract
Figure 1
Figure 1
Flow diagram of the recruitment process for the text-message DPP for Latinos
See this image and copyright information in PMC

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References

    1. Centers for Disease Control and Prevention (CDC). What Is Diabetes? https://www.cdc.gov/diabetes/basics/diabetes.html (27 July 2022, date last accessed).
    1. Crandall JP, Knowler WC, Kahn SE et al. .; Diabetes Prevention Program Research Group. The prevention of type 2 diabetes. Nat Clin Pract Endocrinol Metab 2008;4:382–393. - PMC - PubMed
    1. Diabetes Prevention Program Research Group (DPPRG). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002;346:393–403. - PMC - PubMed
    1. Aziz Z, Absetz P, Oldroyd J et al. . A systematic review of real-world diabetes prevention programs: learnings from the last 15 years. Implement Sci 2015;10:1–17. - PMC - PubMed
    1. Albright AL, Gregg EW. Preventing type 2 diabetes in communities across the US: the National Diabetes Prevention Program. Am J Prev Med 2013;44:S346–S351. - PMC - PubMed