A Brief Culturally Tailored Intervention for Puerto Ricans with Type 2 Diabetes

摘要

The Information-Motivation-Behavioral Skills (IMB) model of health behavior change informed the design of a brief, culturally-tailored diabetes self-care intervention for Puerto Ricans with Type 2 diabetes. Participants (n = 118) were recruited from an outpatient, primary care clinic at an urban hospital in the northeast U.S. ANCOVA models evaluated intervention effects on food label reading, diet adherence, physical activity, and glycemic control (HbA1c). At follow-up, the intervention group was reading food labels and adhering to diet recommendations significantly more than the control group. While the mean HbA1c values decreased in both groups (Intervention: 0.48% vs. Control: 0.27% absolute decrease), only the intervention group showed a significant improvement from baseline to follow-up (p < .008) corroborating improvements in self-care behaviors. Findings support the use of the IMB model to culturally tailor diabetes interventions and to enhance patients’ knowledge, motivation, and behavior skills needed for self-care.