Adherence
A literacy-sensitive, culturally tailored diabetes self-management intervention significantly improves glycemic control (HbA1c) and dietary quality in low-income Latino patients with type 2 diabetes over a 4-month period, though these glycemic benefits are not sustained at 12 months without ongoing support.
For low-income Latino patients with type 2 diabetes, a structured, culturally relevant program focusing on diabetes knowledge, self-efficacy, and hands-on skills (like cooking and glucose monitoring) can significantly improve blood sugar control and diet quality within 4 months. However, without ongoing support, these benefits tend to fade after a year. To maintain results, patients need strategies to sustain behavioral changes, such as regular follow-ups or booster sessions, rather than relying solely on an initial intensive course.
A significant difference in HbA1c change between the groups was observed at 4 months... although this difference decreased and lost statistical significance at 12 months... The intervention resulted in significant change differences in... diet, including dietary quality... These changes were in turn significantly associated with HbA1c change at 12 months.
Why this rating
Large randomized controlled trial (n=252) with intention-to-treat analysis, though limited by short-term sustainability and self-reported behavioral data.
Source
Randomized Trial of a Literacy-Sensitive, Culturally Tailored Diabetes Self-Management Intervention for Low-Income Latinos
Milagros C. Rosal et al. · Diabetes Care · 2011
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