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A culturally adapted, social support-based, diabetes group visit model for Bangladeshi adults in the USA: a feasibility study
BACKGROUND: Interventions focused on weight loss can prevent, delay, and improve management of type 2 diabetes (T2D). However, implementation of these programs is challenging in diverse populations. South Asians have higher risk for T2D, yet to date, there have been limited programs for this communi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8785445/ https://www.ncbi.nlm.nih.gov/pubmed/35074000 http://dx.doi.org/10.1186/s40814-022-00974-9 |
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author | Shah, Megha K. Naing, Sukyi Kurra, Nithin Weber, Mary Beth Islam, Nadia Ali, Mohammed K. Narayan, K. M. Venkat |
author_facet | Shah, Megha K. Naing, Sukyi Kurra, Nithin Weber, Mary Beth Islam, Nadia Ali, Mohammed K. Narayan, K. M. Venkat |
author_sort | Shah, Megha K. |
collection | PubMed |
description | BACKGROUND: Interventions focused on weight loss can prevent, delay, and improve management of type 2 diabetes (T2D). However, implementation of these programs is challenging in diverse populations. South Asians have higher risk for T2D, yet to date, there have been limited programs for this community in the USA. The aim of this project was to develop and test the feasibility of a tailored group visit model for Bangladeshis with type 2 diabetes (T2D) or prediabetes based in primary care. DESIGN: Mixed-methods single-arm feasibility study. SETTING: An academic health center-based primary care clinic in Atlanta, Georgia. PARTICIPANTS: Bangladeshi adults > 18 years old with T2D or prediabetes METHODS: In conjunction with a community-academic board, we conducted focus groups to tailor an existing evidence-based curriculum to a culturally acceptable intervention. Fourteen participants enrolled in the 16-week program focusing on healthy diet, exercise, and weight loss. The primary feasibility outcomes were number of sessions attended and participant satisfaction with the intervention. Weight, blood pressure, cholesterol, and HbA1C were measured at beginning and end of study. Participants were asked to evaluate each session on level of satisfaction. One tailed paired t tests were used to test significance of pre-post changes in outcomes. RESULTS: Key themes from the formative focus groups (n = 50) were closely tied to sociocultural beliefs and included: dietary patterns, physical activity perceptions, and healthcare access concerns. In the intervention, 10 of 14 participants had baseline and follow-up data. Participant attendance averaged 50%. Statistically significant reductions in mean weight (− 2%, 95%CI: − 3.1, 0.2 kg), systolic/diastolic blood pressure (− 12.7 mmHg [95%CI: − 23.2, − 2.2]/− 3.7 mmHg [95%CI: − 7.6, − 0.1], respectively), and triglycerides (− 62.6 mg/dl, 95%CI: − 123.1, − 2.0) were noted. Overall, participants reported high levels of satisfaction with the program. CONCLUSION: A lifestyle program based in primary care is feasible and acceptable for Bangladeshi immigrants. Larger studies testing the effectiveness of group programs, in primary care, to improve cardiometabolic factors are important. TRIALS REGISTRATION: ClinicalTrials.gov; NCT03861546. Registered 28 February 2019. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40814-022-00974-9. |
format | Online Article Text |
id | pubmed-8785445 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-87854452022-01-24 A culturally adapted, social support-based, diabetes group visit model for Bangladeshi adults in the USA: a feasibility study Shah, Megha K. Naing, Sukyi Kurra, Nithin Weber, Mary Beth Islam, Nadia Ali, Mohammed K. Narayan, K. M. Venkat Pilot Feasibility Stud Research BACKGROUND: Interventions focused on weight loss can prevent, delay, and improve management of type 2 diabetes (T2D). However, implementation of these programs is challenging in diverse populations. South Asians have higher risk for T2D, yet to date, there have been limited programs for this community in the USA. The aim of this project was to develop and test the feasibility of a tailored group visit model for Bangladeshis with type 2 diabetes (T2D) or prediabetes based in primary care. DESIGN: Mixed-methods single-arm feasibility study. SETTING: An academic health center-based primary care clinic in Atlanta, Georgia. PARTICIPANTS: Bangladeshi adults > 18 years old with T2D or prediabetes METHODS: In conjunction with a community-academic board, we conducted focus groups to tailor an existing evidence-based curriculum to a culturally acceptable intervention. Fourteen participants enrolled in the 16-week program focusing on healthy diet, exercise, and weight loss. The primary feasibility outcomes were number of sessions attended and participant satisfaction with the intervention. Weight, blood pressure, cholesterol, and HbA1C were measured at beginning and end of study. Participants were asked to evaluate each session on level of satisfaction. One tailed paired t tests were used to test significance of pre-post changes in outcomes. RESULTS: Key themes from the formative focus groups (n = 50) were closely tied to sociocultural beliefs and included: dietary patterns, physical activity perceptions, and healthcare access concerns. In the intervention, 10 of 14 participants had baseline and follow-up data. Participant attendance averaged 50%. Statistically significant reductions in mean weight (− 2%, 95%CI: − 3.1, 0.2 kg), systolic/diastolic blood pressure (− 12.7 mmHg [95%CI: − 23.2, − 2.2]/− 3.7 mmHg [95%CI: − 7.6, − 0.1], respectively), and triglycerides (− 62.6 mg/dl, 95%CI: − 123.1, − 2.0) were noted. Overall, participants reported high levels of satisfaction with the program. CONCLUSION: A lifestyle program based in primary care is feasible and acceptable for Bangladeshi immigrants. Larger studies testing the effectiveness of group programs, in primary care, to improve cardiometabolic factors are important. TRIALS REGISTRATION: ClinicalTrials.gov; NCT03861546. Registered 28 February 2019. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40814-022-00974-9. BioMed Central 2022-01-24 /pmc/articles/PMC8785445/ /pubmed/35074000 http://dx.doi.org/10.1186/s40814-022-00974-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Shah, Megha K. Naing, Sukyi Kurra, Nithin Weber, Mary Beth Islam, Nadia Ali, Mohammed K. Narayan, K. M. Venkat A culturally adapted, social support-based, diabetes group visit model for Bangladeshi adults in the USA: a feasibility study |
title | A culturally adapted, social support-based, diabetes group visit model for Bangladeshi adults in the USA: a feasibility study |
title_full | A culturally adapted, social support-based, diabetes group visit model for Bangladeshi adults in the USA: a feasibility study |
title_fullStr | A culturally adapted, social support-based, diabetes group visit model for Bangladeshi adults in the USA: a feasibility study |
title_full_unstemmed | A culturally adapted, social support-based, diabetes group visit model for Bangladeshi adults in the USA: a feasibility study |
title_short | A culturally adapted, social support-based, diabetes group visit model for Bangladeshi adults in the USA: a feasibility study |
title_sort | culturally adapted, social support-based, diabetes group visit model for bangladeshi adults in the usa: a feasibility study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8785445/ https://www.ncbi.nlm.nih.gov/pubmed/35074000 http://dx.doi.org/10.1186/s40814-022-00974-9 |
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