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Outcomes from a multiple risk factor diabetes self-management trial for Latinas: Viva Bien!
Toobert DJ, Strycker LA, Barrera M Jr, Osuna D, King DK, Glasgow RE
Annals of Behavioral Medicine 2011 Jun;41(3):310-323
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Culturally appropriate interventions are needed to assist Latinas in making multiple healthful lifestyle changes. PURPOSE: The purpose of this study was to test a cultural adaptation of a successful multiple health behavior change program, Viva Bien! METHODS: Random assignment of 280 Latinas with type 2 diabetes to usual care only or to usual care plus Viva Bien!, which included group meetings for building skills to promote the Mediterranean diet, physical activity, stress management, supportive resources, and smoking cessation. RESULTS: Viva Bien! participants compared to usual care significantly improved psychosocial and behavioral outcomes (fat intake, stress management practice, physical activity, and social-environmental support) at 6 months, and some improvements were maintained at 12 months. Biological improvements included hemoglobin A1c and heart disease risk factors. CONCLUSIONS: The Viva Bien! multiple lifestyle behavior program was effective in improving psychosocial, behavioral, and biological/quality of life outcomes related to heart health for Latinas with type 2 diabetes (ClinicalTrials.gov number NCT00233259).

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