Jacqueline Two Feathers ^1*, Edith C Kieffer ¹, Ricardo Guzman ², Gloria Palmisano ³, Mike Anderson ³, Brandy Sinco ¹, Nancy Janz ¹, Michele Heisler ¹, Mike Spencer ¹, Janice Thompson ⁴, Kimberly Dawn Wisdom ⁵, Sherman James ⁶

¹ University of Michigan
² Community Health and Social Services, Inc
³ Community Health and Social Services
⁴ University of New Mexico
⁵ Henry Ford Health System
⁶ Duke University

^* To whom correspondence should be addressed. E-mail: jtwofea{at}umich.edu.

	Abstract

Objectives. We sought to determine the effects of a community-based, culturally tailored diabetes lifestyle intervention on risk factors for diabetes complications among African Americans and Latinos with type 2 diabetes. Methods. One hundred fify-one African American and Latino adults with diabetes were recruited from three health care systems in Detroit, Michigan, to participate in the Racial and Ethnic Approaches to Community Health (REACH) Detroit Partnership diabetes lifestyle intervention. The curriculum, delivered by trained community residents, was aimed at improving dietary, physical activity, and diabetes self-care behaviors. Baseline and postintervention levels of diabetes specific quality-of-life, diet, physical activity, self-care knowledge and behaviors, and hmoglobin A1C were assessed. Results. There were statistically significant improvements in postintervention dietary knowledge and behaviors and physical activity knowledge. A statistically significant improvement in A1C level was achieved among REACH Detroit program participants (P<.0001) compared with a group of patients with diabetes in the same health care system in which no significant changes were observed (P=.160). Conclusions. A culturally tailored diabetes lifestyle intervention delivered by trained community residents produced significant improvement in dietary and diabetes self-care related knowledge and behaviors as well as important metabolic improvements. (Am J Public Health. 2005;95:XXX-XXX. doi:10.2105/AJPH.2005.066134

Key Words: Community Health, Health Education, Health Promotion, Prevention, African Americans/Blacks, Hispanics/Latinos

This article has been cited by other articles:

				E. R. Ochoa Jr and C. Nash Community Engagement and its Impact on Child Health Disparities: Building Blocks, Examples, and Resources Pediatrics, November 1, 2009; 124(Supplement_3): S237 - S245. [Abstract] [Full Text] [PDF]

				J. H. Mieres and L. M. Phillips The Interdisciplinary Approach to Culturally Tailored Medical Care: "Social Networking" for Decreasing Risk: Comment on "The Effects of a Nurse Case Manager and and a Community Health Worker Team on Diabetic Control, Emergency Department Visits, and Hospitalizations Among Urban African Americans With Type 2 Diabetes Mellitus: A Randomized Controlled Trial " and "Trial of Family and Friend Support for Weight Loss in African American Adults" Arch Intern Med, October 26, 2009; 169(19): 1804 - 1805. [Full Text] [PDF]

				D. Pekmezi and E. Jennings Interventions to Promote Physical Activity Among African Americans American Journal of Lifestyle Medicine, May 1, 2009; 3(3): 173 - 184. [Abstract] [PDF]

				J. S. Jani, L. Ortiz, and M. P. Aranda Latino Outcome Studies in Social Work: A Review of the Literature Research on Social Work Practice, March 1, 2009; 19(2): 179 - 194. [Abstract] [PDF]

				M. M. Funnell, T. L. Brown, B. P. Childs, L. B. Haas, G. M. Hosey, B. Jensen, M. Maryniuk, M. Peyrot, J. D. Piette, D. Reader, et al. National Standards for Diabetes Self-Management Education Diabetes Care, January 1, 2009; 32(Supplement_1): S87 - S94. [Full Text] [PDF]

				S. W. Utz, I. C. Williams, R. Jones, I. Hinton, G. Alexander, G. Yan, C. Moore, J. Blankenship, R. Steeves, and M. N. Oliver Culturally Tailored Intervention for Rural African Americans With Type 2 Diabetes The Diabetes Educator, September 1, 2008; 34(5): 854 - 865. [Abstract] [Full Text] [PDF]

				J. Leeman, A. H. Skelly, D. Burns, J. Carlson, and A. Soward Tailoring a Diabetes Self-Care Intervention for Use With Older, Rural African American Women The Diabetes Educator, March 1, 2008; 34(2): 310 - 317. [Abstract] [Full Text] [PDF]

				B. Reinert, V. Carver, L. M. Range, and C. Pike Collecting Health Data With Youth at Faith-Based Institutions: Lessons Learned Health Promot Pract, January 1, 2008; 9(1): 68 - 75. [Abstract] [PDF]

				M. M. Funnell, T. L. Brown, B. P. Childs, L. B. Haas, G. M. Hosey, B. Jensen, M. Maryniuk, M. Peyrot, J. D. Piette, D. Reader, et al. National Standards for Diabetes Self-Management Education Diabetes Care, January 1, 2008; 31(Supplement_1): S97 - S104. [Full Text] [PDF]

				R. C. Povey and D. Clark-Carter Diabetes and Healthy Eating: A Systematic Review of the Literature The Diabetes Educator, November 1, 2007; 33(6): 931 - 959. [Abstract] [Full Text] [PDF]

				M. E. Peek, A. Cargill, and E. S. Huang Diabetes Health Disparities: A Systematic Review of Health Care Interventions Med Care Res Rev, October 1, 2007; 64(5_suppl): 101S - 156S. [Abstract] [PDF]

				M. M. Funnell, T. L. Brown, B. P. Childs, L. B. Haas, G. M. Hosey, B. Jensen, M. Maryniuk, M. Peyrot, J. D. Piette, D. Reader, et al. National Standards for Diabetes Self-Management Education The Diabetes Educator, July 1, 2007; 33(4): 599 - 614. [Full Text] [PDF]

				M. M. Funnell, T. L. Brown, B. P. Childs, L. B. Haas, G. M. Hosey, B. Jensen, M. Maryniuk, M. Peyrot, J. D. Piette, D. Reader, et al. National Standards for Diabetes Self-Management Education Diabetes Care, June 1, 2007; 30(6): 1630 - 1637. [Full Text] [PDF]

				J. T. Feathers, E. C. Kieffer, G. Palmisano, M. Anderson, N. Janz, M. S. Spencer, R. Guzman, and S. A. James The Development, Implementation, and Process Evaluation of the REACH Detroit Partnership's Diabetes Lifestyle Intervention The Diabetes Educator, May 1, 2007; 33(3): 509 - 520. [Abstract] [Full Text] [PDF]

				R. Whittemore Culturally Competent Interventions for Hispanic Adults With Type 2 Diabetes: A Systematic Review J Transcult Nurs, April 1, 2007; 18(2): 157 - 166. [Abstract] [PDF]

				E. C. Kieffer, B. Sinco, and C. Kim Health Behaviors Among Women of Reproductive Age With and Without a History of Gestational Diabetes Mellitus Diabetes Care, August 1, 2006; 29(8): 1788 - 1793. [Abstract] [Full Text] [PDF]

				E. C. Kieffer, B. R. Sinco, A. Rafferty, M. S. Spencer, G. Palmisano, E. E. Watt, and M. Heisler Chronic Disease - Related Behaviors and Health Among African Americans and Hispanics in the REACH Detroit 2010 Communities, Michigan, and the United States Health Promot Pract, July 1, 2006; 7(3_suppl): 256S - 264S. [Abstract] [PDF]