Trial reportPreventing chronic disease2014
Diabetes prevention in Hispanics: report from a randomized controlled trial.
Trial report in Preventing chronic disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Systematic Review of Physical Activity Interventions in Hispanic Adults.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2018Pooled it
- Pooled it
- Diabetes Prevention Interventions in Latin American Countries: a Scoping Review.Current diabetes reports · 2016Pooled it
- Mediators and Moderators of Improvements in Medication Adherence.Health education & behavior : the official publication of the Society for Public Health Education · 2017Trial
- Type 2 diabetes prevention programs at the community and municipal level: a scoping review of controlled intervention studies.BMC public health · 2026Article
- Lifestyle Interventions for Treatment and Remission of Type 2 Diabetes and Prediabetes in Adults: A Clinical Practice Guideline From the American College of Lifestyle Medicine.American journal of lifestyle medicine · 2025Article
- Adoption of E2PLUS tools and resources to promote the development of institutional capacity for patient-centered and community-engaged research at a cancer center.Journal of clinical and translational science · 2025Article
- Effectiveness and Components of Health Behavior Interventions on Increasing Physical Activity Among Healthy Young and Middle-Aged Adults: A Systematic Review with Meta-Analyses.Behavioral sciences (Basel, Switzerland) · 2024Review
- Eat Healthy, Be Active Community Workshops implemented with rural Hispanic women.BMC women's health · 2021Article
- Small increments in diet cost can improve compliance with the Dietary Guidelines for Americans.Social science & medicine (1982) · 2020Article
- How patient and community involvement in diabetes research influences health outcomes: A realist review.Health expectations : an international journal of public participation in health care and health policy · 2019Review
- Considerations and guidance in designing equity-relevant clinical trials.International journal for equity in health · 2017Article
- Culturally Targeted Strategies for Diabetes Prevention in Minority Population.The Diabetes educator · 2017Review
- Talking About Type 2 Diabetes: Family Communication From the Perspective of At-Risk Relatives.The Diabetes educator · 2015Article
- Effects of education and race on cognitive decline: An integrative study of generalizability versus study-specific results.Psychology and aging · 2015Article
- Perceived barriers and facilitators of using dietary modification for CKD prevention among African Americans of low socioeconomic status: a qualitative study.BMC nephrology · 2014Article
- "The Promotora Explained Everything": Participant Experiences During a Household-Level Diabetes Education Program.The Diabetes educator · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
introductionHispanics are at increased risk of developing type 2 diabetes. Lifestyle interventions are effective in preventing diabetes and restoring glucose regulation.
methodsWe recruited Hispanic men and women (N = 320) who were residents of the Lower Yakima Valley, Washington, aged 18 years or older with hemoglobin A1c (HbA1c) levels higher than 6% to a parallel 2-arm randomized-controlled trial conducted from 2008 through 2012. The trial compared participants in the intervention arm, who received an immediate educational curriculum (n = 166), to participants in the control arm, who received a delayed educational curriculum (n = 154). The home-based curriculum consisted of 5 sessions led by community health workers and was designed to inform participants about diabetes, diabetes treatment, and healthy dietary and physical activity behaviors. Participants were randomly assigned to the intervention and control arms, and analysts were blinded as to participant arm. We evaluated intervention effects on HbA1c levels; frequency (times per week) of fruit and vegetable consumption; and frequency (times per week) of mild, moderate, and strenuous leisure-time physical activity. At baseline, 3 months, and 6 months after randomization, participants completed a questionnaire and provided a blood sample. Analysts were blinded to intervention arm.
resultsThe immediate intervention group (-0.64% [standard error (SE) 0.10]) showed a significant improvement in HbA1c scores (-37.5%, P = .04) compared with the delayed intervention group (-0.44%, P = .14). No significant changes were seen for dietary end points or changes in physical activity. We did observe a trend of greater increases in frequency of moderate and vigorous physical activity and a smaller increase in mild physical activity in the immediate intervention group than in the delayed intervention group.
conclusionThis home-based intervention delivered by CHWs was associated with a clinically and statistically significant reduction in HbA1c levels in Hispanic adults with HbA1c levels higher than 6%.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.