Innovative Diabetes Interventions in the U.S. Hispanic Population
Year: 2019
Type: article
Abstract: In the United States, Hispanics have a 66% greater risk of developing type 2 diabetes and, once diagnosed, exhibit worse outcomes than non-Hispanic whites. It is therefore imperative to ensure that interventions meet the specific needs of this at-risk group. This article provides a selective review of the evidence on innovative, real-world approaches (both live and technology-based) to improving behavioral, psychosocial, and clinical outcomes in underserved Hispanics with type 2 diabetes. Key aspects of successful live interventions have included multimodal delivery, greater dosage/attendance, and at least some in-person delivery; effective technology-based approaches involved frequent but intermittent communication, bi-directional messaging, tailored feedback, multimodal delivery, and some human interaction. Across modalities, cultural tailoring also improved outcomes. Additional research is needed to address methodological limitations of studies to date and pinpoint the most efficacious components and optimal duration of interventions. Future efforts should also attend to variability within the U.S. Hispanic population to ensure acceptability and sustainability of interventions in this diverse group.
Source: Diabetes Spectrum
DOI: 10.2337/ds19-0006
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Awards: Dulce Digital-Me: An Adaptive mHealth Intervention for Underserved Hispanics with Diabetes, Medical Assistant Health Coaching for Diabetes in Diverse Primary Care Settings, Incremental Clinical/Cost Effect of RN/Peer, Scripps Translational Science Institute, Mi Puente: My Bridge to Better Cardiometabolic Health and Well-being, New York Regional Center for Diabetes Translation Research
OpenAlex ID: W2989143834