Changes in Glycemic Control Following Use of a Spanish-Language, Culturally Adapted Diabetes Program: Retrospective Study
BackgroundSeveral barriers to diabetes treatment and care exist, particularly in underserved medical communities. ObjectiveThis study aimed to evaluate a novel, culturally adapted, Spanish-language mHealth diabetes program for glycemic control. Methods...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2022-12-01
|
| Series: | JMIR Formative Research |
| Online Access: | https://formative.jmir.org/2022/12/e40278 |
| _version_ | 1827857799596474368 |
|---|---|
| author | Caitlyn Edwards Elisa Orellana Kelly Rawlings Mirta Rodriguez-Pla Aarathi Venkatesan |
| author_facet | Caitlyn Edwards Elisa Orellana Kelly Rawlings Mirta Rodriguez-Pla Aarathi Venkatesan |
| author_sort | Caitlyn Edwards |
| collection | DOAJ |
| description |
BackgroundSeveral barriers to diabetes treatment and care exist, particularly in underserved medical communities.
ObjectiveThis study aimed to evaluate a novel, culturally adapted, Spanish-language mHealth diabetes program for glycemic control.
MethodsProfessional Spanish translators, linguists, and providers localized the entirety of the Vida Health Diabetes Management Program into a culturally relevant Spanish-language version. The Spanish-language Vida Health Diabetes Management Program was used by 182 (n=119 women) Spanish-speaking adults with diabetes. This app-based program provided access to culturally adapted educational content on diabetes self-management, one-on-one remote counseling and coaching sessions, and on-demand in-app messaging with bilingual (Spanish and English) certified health coaches, registered dietitian nutritionists, and certified diabetes care and education specialists. Hemoglobin A1c (HbA1c) was the primary outcome measure, and a 2-tailed, paired t test was used to evaluate changes in HbA1c before and after program use. To determine the relationship between program engagement and changes in glycemic control, a cluster-robust multiple regression analysis was employed.
ResultsWe observed a significant decrease in HbA1c of –1.23 points between baseline (mean 9.65%, SD 1.56%) and follow-up (mean 8.42%, SD 1.44%; P<.001). Additionally, we observed a greater decrease in HbA1c among participants with high program engagement (high engagement: –1.59%, SD 1.97%; low engagement: –0.84%, SD 1.64%; P<.001).
ConclusionsThis work highlights improvements in glycemic control that were clinically as well as statistically significant among Spanish-preferring adults enrolled in the Vida Health Spanish Diabetes Management Program. Greater improvements in glycemic control were observed among participants with higher program engagement. These results provide needed support for the use of digital health interventions to promote meaningful improvements in glycemic control in a medically underserved community. |
| first_indexed | 2024-03-12T12:45:33Z |
| format | Article |
| id | doaj.art-84b57bd3fa814f97b28b8c408c6274e0 |
| institution | Directory Open Access Journal |
| issn | 2561-326X |
| language | English |
| last_indexed | 2024-03-12T12:45:33Z |
| publishDate | 2022-12-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Formative Research |
| spelling | doaj.art-84b57bd3fa814f97b28b8c408c6274e02023-08-28T23:24:15ZengJMIR PublicationsJMIR Formative Research2561-326X2022-12-01612e4027810.2196/40278Changes in Glycemic Control Following Use of a Spanish-Language, Culturally Adapted Diabetes Program: Retrospective StudyCaitlyn Edwardshttps://orcid.org/0000-0003-2476-3259Elisa Orellanahttps://orcid.org/0000-0001-5417-5189Kelly Rawlingshttps://orcid.org/0000-0003-2283-3241Mirta Rodriguez-Plahttps://orcid.org/0000-0001-7093-4798Aarathi Venkatesanhttps://orcid.org/0000-0001-5420-3469 BackgroundSeveral barriers to diabetes treatment and care exist, particularly in underserved medical communities. ObjectiveThis study aimed to evaluate a novel, culturally adapted, Spanish-language mHealth diabetes program for glycemic control. MethodsProfessional Spanish translators, linguists, and providers localized the entirety of the Vida Health Diabetes Management Program into a culturally relevant Spanish-language version. The Spanish-language Vida Health Diabetes Management Program was used by 182 (n=119 women) Spanish-speaking adults with diabetes. This app-based program provided access to culturally adapted educational content on diabetes self-management, one-on-one remote counseling and coaching sessions, and on-demand in-app messaging with bilingual (Spanish and English) certified health coaches, registered dietitian nutritionists, and certified diabetes care and education specialists. Hemoglobin A1c (HbA1c) was the primary outcome measure, and a 2-tailed, paired t test was used to evaluate changes in HbA1c before and after program use. To determine the relationship between program engagement and changes in glycemic control, a cluster-robust multiple regression analysis was employed. ResultsWe observed a significant decrease in HbA1c of –1.23 points between baseline (mean 9.65%, SD 1.56%) and follow-up (mean 8.42%, SD 1.44%; P<.001). Additionally, we observed a greater decrease in HbA1c among participants with high program engagement (high engagement: –1.59%, SD 1.97%; low engagement: –0.84%, SD 1.64%; P<.001). ConclusionsThis work highlights improvements in glycemic control that were clinically as well as statistically significant among Spanish-preferring adults enrolled in the Vida Health Spanish Diabetes Management Program. Greater improvements in glycemic control were observed among participants with higher program engagement. These results provide needed support for the use of digital health interventions to promote meaningful improvements in glycemic control in a medically underserved community.https://formative.jmir.org/2022/12/e40278 |
| spellingShingle | Caitlyn Edwards Elisa Orellana Kelly Rawlings Mirta Rodriguez-Pla Aarathi Venkatesan Changes in Glycemic Control Following Use of a Spanish-Language, Culturally Adapted Diabetes Program: Retrospective Study JMIR Formative Research |
| title | Changes in Glycemic Control Following Use of a Spanish-Language, Culturally Adapted Diabetes Program: Retrospective Study |
| title_full | Changes in Glycemic Control Following Use of a Spanish-Language, Culturally Adapted Diabetes Program: Retrospective Study |
| title_fullStr | Changes in Glycemic Control Following Use of a Spanish-Language, Culturally Adapted Diabetes Program: Retrospective Study |
| title_full_unstemmed | Changes in Glycemic Control Following Use of a Spanish-Language, Culturally Adapted Diabetes Program: Retrospective Study |
| title_short | Changes in Glycemic Control Following Use of a Spanish-Language, Culturally Adapted Diabetes Program: Retrospective Study |
| title_sort | changes in glycemic control following use of a spanish language culturally adapted diabetes program retrospective study |
| url | https://formative.jmir.org/2022/12/e40278 |
| work_keys_str_mv | AT caitlynedwards changesinglycemiccontrolfollowinguseofaspanishlanguageculturallyadapteddiabetesprogramretrospectivestudy AT elisaorellana changesinglycemiccontrolfollowinguseofaspanishlanguageculturallyadapteddiabetesprogramretrospectivestudy AT kellyrawlings changesinglycemiccontrolfollowinguseofaspanishlanguageculturallyadapteddiabetesprogramretrospectivestudy AT mirtarodriguezpla changesinglycemiccontrolfollowinguseofaspanishlanguageculturallyadapteddiabetesprogramretrospectivestudy AT aarathivenkatesan changesinglycemiccontrolfollowinguseofaspanishlanguageculturallyadapteddiabetesprogramretrospectivestudy |