TY - JOUR
T1 - The Juntos Pilot Study
T2 - A Diabetes Management Intervention for Latino Caregiving Dyads
AU - Mendez-Luck, Carolyn A.
AU - Miranda, Jeanne
AU - Mangione, Carol M.
AU - Yoon, Jangho
AU - VanGarde, Aurora
N1 - Funding Information:
The research described in this article was supported by the National Institutes of Health/National Institute on Aging under grant 1K01AG033122 to C.A.M.-L. and the Oregon State University College of Public Health and Human Sciences Healthy Life Research Initiative to C.A.M.-L. C.M.M. received support from the University of California at Los Angeles (UCLA), Resource Centers for Minority Aging Research Center for Health Improvement of Minority Elderly under National Institutes of Health (NIH)/NIA under Grant P30AG021684, by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the NIH under Grant R18DK105464, the Centers for Disease Control and Prevention (CDC) under Grant U18DP006140 and from NIH/National Center for Advancing Translational Sciences UCLA Clinical and Translational Science Institute under Grant UL1TR001881. C.M.M. holds the Barbara A. Levey and Gerald S. Levey Endowed Chair in Medicine, which partially supported her contributions to this work. The authors thank Irma Acosta, Socorro Ochoa, Ana Reynoso, Monica Juarez-Hernandez, Maira Rodriguez, Erika S. Farkas, and Brianna Duffy-Sinche for their contributions to the research. The views expressed in this article do not necessarily reflect the views of the National Institutes of Health. C.M.M. is a member of the United States Preventive Services Task Force (USPSTF). This article does not necessarily represent the views and policies of the USPSTF. Portions of this work were presented at the 2014 Gerontological Society Annual Meeting in Washington, DC.
Publisher Copyright:
© 2019 The Author(s).
PY - 2019/10/1
Y1 - 2019/10/1
N2 - Purpose: The purpose of this study was to design a culturally sensitive dyad-level diabetes intervention to improve glycemic control for older Latino adults with type 2 diabetes. Methods: This study used a pretest-posttest noncontrol group design. The intervention was developed from formative research with Mexican-origin caregiving dyads. The curriculum was adapted from 2 randomized trials of community interventions specifically designed for Latino older adults with type 2 diabetes. The curriculum consisted of communication skill-building exercises and dyad decision making on lifestyle changes to improve the older adult’s blood glucose levels. Thirty-two community-dwelling dyads completed a 6-week program of one-on-one sessions with a trained program facilitator. Main outcomes were feasibility and acceptability of the Juntos program. The authors assessed feasibility by examining participant burden and retention and acceptability by participant exit interviews. Although underpowered for outcomes, A1C, health status, and dyadic communication were also assessed to evaluate whether trends suggested the effectiveness of the intervention. Results: Most participants viewed Juntos as an acceptable program and wanted the program expanded in terms of length and scope. All outcomes showed improvement from baseline through 6 months postintervention. Conclusions: Results show that Juntos is acceptable to Mexican-origin caregiving dyads and is a promising approach for effectively controlling type 2 diabetes among older Latino adults who have a family caregiver.
AB - Purpose: The purpose of this study was to design a culturally sensitive dyad-level diabetes intervention to improve glycemic control for older Latino adults with type 2 diabetes. Methods: This study used a pretest-posttest noncontrol group design. The intervention was developed from formative research with Mexican-origin caregiving dyads. The curriculum was adapted from 2 randomized trials of community interventions specifically designed for Latino older adults with type 2 diabetes. The curriculum consisted of communication skill-building exercises and dyad decision making on lifestyle changes to improve the older adult’s blood glucose levels. Thirty-two community-dwelling dyads completed a 6-week program of one-on-one sessions with a trained program facilitator. Main outcomes were feasibility and acceptability of the Juntos program. The authors assessed feasibility by examining participant burden and retention and acceptability by participant exit interviews. Although underpowered for outcomes, A1C, health status, and dyadic communication were also assessed to evaluate whether trends suggested the effectiveness of the intervention. Results: Most participants viewed Juntos as an acceptable program and wanted the program expanded in terms of length and scope. All outcomes showed improvement from baseline through 6 months postintervention. Conclusions: Results show that Juntos is acceptable to Mexican-origin caregiving dyads and is a promising approach for effectively controlling type 2 diabetes among older Latino adults who have a family caregiver.
UR - http://www.scopus.com/inward/record.url?scp=85071565514&partnerID=8YFLogxK
U2 - 10.1177/0145721719866619
DO - 10.1177/0145721719866619
M3 - Article
C2 - 31434551
AN - SCOPUS:85071565514
SN - 0145-7217
VL - 45
SP - 507
EP - 519
JO - The Diabetes Educator
JF - The Diabetes Educator
IS - 5
ER -