ArticleThe Diabetes educator2014
Lessons Learned from 20 Years of Diabetes Self-Management Research With Mexican Americans in Starr County, Texas.
Article in The Diabetes educator, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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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
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Gender differences in the context of interventions for improving health literacy in migrants: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2024Pooled it
- Transitioning From an In-Person Intervention to Augmented Text Messaging During COVID-19 in Mexican Americans With Prediabetes: The Starr County Diabetes Prevention Randomized Clinical Trial.The science of diabetes self-management and care · 2024Trial
- Effects of a Family-based Diabetes Intervention on Behavioral and Biological Outcomes for Mexican American Adults.The Diabetes educator · 2017Trial
- Impact of a community health workers-led structured program on blood glucose control among latinos with type 2 diabetes: the DIALBEST trial.Diabetes care · 2015Trial
- Depression remission, receipt of problem-solving therapy, and self-care behavior frequency among low-income, predominantly Hispanic diabetes patients.General hospital psychiatryTrial
- A remotely accessible plant-based culinary intervention for Latina/o/x adults at risk for diabetes: lessons learned.Frontiers in nutrition · 2024Article
- C-Reactive Protein Levels Correlate with Measures of Dysglycemia and Gut Microbiome Profiles.Current microbiology · 2023Article
- A self-management app to improve asthma control in adults with limited health literacy: a mixed-method feasibility study.BMC medical informatics and decision making · 2023Article
- Culturally Tailoring Plant-Based Nutrition Interventions for Hispanic/Latino Adults at Risk for or With Type 2 Diabetes: An Integrative Review.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2023Review
- Improving Self-management of Type 2 Diabetes in Latinx Patients: Protocol for a Sequential Multiple Assignment Randomized Trial Involving Community Health Workers, Registered Nurses, and Family Members.JMIR research protocols · 2023Article
- Article
- Health-related Quality of Life and Domain-specific Associated Factors among Patients with Type2 Diabetes Mellitus in South India.The review of diabetic studies : RDS · 2022Article
- Equity in Medical Care for People Living With Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2022Article
- Epidemiology of Antibiotic Use and Drivers of Cross-Border Procurement in a Mexican American Border Community.Frontiers in public health · 2022Article
- Incorporating an Increase in Plant-Based Food Choices into a Model of Culturally Responsive Care for Hispanic/Latino Children and Adults Who Are Overweight/Obese.International journal of environmental research and public health · 2020Article
- A Home-Based Type 2 Diabetes Self-Management Intervention in Rural Guatemala.Preventing chronic disease · 2017Article
- Diabetes Cultural Beliefs and Traditional Medicine Use Among Health Center Patients in Oaxaca, Mexico.Journal of immigrant and minority health · 2016Article
- Depression in Mexican Americans with diagnosed and undiagnosed diabetes.Psychological medicine · 2016Article
- Family interventions to improve diabetes outcomes for adults.Annals of the New York Academy of Sciences · 2015Review
- Bilingual Text Messaging Translation: Translating Text Messages From English Into Spanish for the Text4Walking Program.JMIR research protocols · 2015Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
purposeThe purpose is to provide an overview of a 20-year research program aimed at testing diabetes self-management education interventions culturally tailored for Mexican Americans residing in an impoverished rural community on the Texas-Mexico border.
methodsThe research program involved focus group interviews to obtain community input, pilot testing to refine instruments and interventions, and community-based randomized controlled trials to examine intervention effects. Here the authors summarize lessons learned related to the (1) overall effects of culturally tailored diabetes self-management education; (2) impact of culture on study design, intervention development, health outcomes, and community acceptance; (3) benefits of and findings from multiple focus groups held over time in the community; and (4) personal and cultural motivators for behavioral change that were evident among study participants.
resultsPostintervention reductions in A1C ranged from 1.4 to 1.7 percentage points. Individuals who attended ≥ 50% of intervention sessions achieved a 6-percentage point reduction in A1C. Intervention teams included bilingual Mexican American nurses, dietitians, and promotoras, all recruited from the local community. Focus group interviews indicated that a traditional promotora model was not acceptable to the participants who wanted knowledgeable health professionals, or perceived authority figures, to lead intervention sessions while promotoras provided logistical support. Free glucometers and strips, family participation, and interpersonal dynamics within intervention groups motivated individuals to make healthier lifestyle choices.
conclusionsCulturally tailored diabetes interventions are effective in improving the health of socially disadvantaged minorities who bear a disproportional burden of type 2 diabetes, and these interventions are cost-effective.
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Registered trials
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