Outcomes of a Latino community-based intervention for the prevention of diabetes: the Lawrence Latino Diabetes Prevention Project
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OBJECTIVES: We tested the effectiveness of a community-based, literacy-sensitive, and culturally tailored lifestyle intervention on weight loss and diabetes risk reduction among low-income, Spanish-speaking Latinos at increased diabetes risk. METHODS: Three hundred twelve participants from Lawrence, Massachusetts, were randomly assigned to lifestyle intervention care (IC) or usual care (UC) between 2004 and 2007. The intervention was implemented by trained Spanish-speaking individuals from the community. Each participant was followed for 1 year. RESULTS: The participants' mean age was 52 years; 59% had less than a high school education. The 1-year retention rate was 94%. Compared with the UC group, the IC group had a modest but significant weight reduction (-2.5 vs 0.63 lb; P = .04) and a clinically meaningful reduction in hemoglobin A1c (-0.10% vs -0.04%; P = .009). Likewise, insulin resistance improved significantly in the IC compared with the UC group. The IC group also had greater reductions in percentage of calories from total and saturated fat. CONCLUSIONS: We developed an inexpensive, culturally sensitive diabetes prevention program that resulted in weight loss, improved HbA1c, and improved insulin resistance in a high-risk Latino population.
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Lifestyle and behavior change interventions that are culturally adapted to the needs of specific groups are more likely to be effective.
“lifestyle and behavior change interventions that are culturally adapted to the needs of specific groups are more likely to be effective [19-21].”
From British South Asian Patients’ Perspectives on the Relevance and Acceptability of Mobile Health Text Messaging to Support Medication Adherence for Type 2 Diabetes: Qualitative Study (2020) · cites this paper as [21]
The Methods describe a culturally tailored intervention for Latinos, and the Abstract reports modest but significant benefits compared with usual care. The paper does not compare culturally adapted interventions with otherwise similar nonadapted interventions, so it does not establish that adaptation makes interventions more likely to be effective across groups. No page numbers are available in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThe Lawrence Latino Diabetes Prevention project, which recruited 312 participants at high risk for T2D for a lifestyle intervention involving 3 individual and 13 group sessions over 12 months versus usual care, found a significant reduction in weight, BMI, and HbA1c in the intervention group as compared with usual care at 1 year.
“To emphasize the importance of addressing disparities, the TT discussed key studies such as the Lawrence Latino Diabetes Prevention project (89), which recruited 312 participants at high risk for T2D for a lifestyle intervention involving 3 individual and 13 group sessions over 12 months versus usual care.The curriculum was adapted to address knowledge gaps and language barriers, customize dietary”
From The CardioMetabolic Health Alliance (2015) · cites this paper as [89]
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“Research into the cultural adaptation of health promotion interventions, including SMS text messaging interventions, is growing steadily, with an increasing recognition that lifestyle and behavior change interventions that are culturally adapted to the needs of specific groups are more likely to be effective [19-21].”
BackgroundEvaluation of a Digital Diabetes Prevention Program Adapted for Low-Income Patients, 2016–2018
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Diabetes Prevention in Hispanics: Report From a Randomized Controlled Trial
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Social Inequalities in Early Antidepressant Discontinuation
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- Authors
- Ockene, I. S., Tellez, T. L., Rosal, M. C., Reed, G. W., Mordes, J., Merriam, P. A., Olendzki, B. C., Handelman, G., Nicolosi, R., & Ma, Y.
- Affiliations
- University of Massachusetts Chan Medical School (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2012-02
- Volume
- 102
- Issue
- 2
- Pages
- 336-342
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC3483988
- OpenAlex
- W2114205894
- Cited by
- 201
- References
- 29
- Citations by year
- 2026: 7 · 2025: 12 · 2024: 11 · 2023: 4 · 2022: 7 · 2021: 18 · 2020: 15 · 2019: 13 · 2018: 12 · 2017: 19 · 2016: 24 · 2015: 20 · 2014: 26 · 2013: 10 · 2012: 3
- FWCI
- 10.22
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
- Funders
- American Heart Association
- University of Massachusetts
- National Heart, Lung, and Blood Institute (R01HL094575)
- National Institute of Diabetes and Digestive and Kidney Diseases (R18DK067549, DK 32520, R18DK065985, 5 P30 DK 32520, P30DK032520)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- diabetes prevention, Spanish-speaking Latinos, low-income adults, weight loss, HbA1c, insulin resistance, dietary fat intake
- MeSH terms
- Adult, Aged, Community Health Services, Diabetes Mellitus, Type 2, Diet, Health Promotion, Glycated Hemoglobin, Hispanic or Latino, Humans, Insulin Resistance, Life Style, Massachusetts, Middle Aged, Poverty, Socioeconomic Factors, Weight Loss, Health Behavior, Exercise, Outcome Assessment, Health Care, Cultural Competency
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