Toobert Deborah J, Strycker Lisa A, King Diane K, Barrera Manuel, Osuna Diego, Glasgow Russell E
Oregon Research Institute, 1715 Franklin Blvd, Eugene, OR 97403- 1983, USA.
Transl Behav Med. 2011 Sep;1(3):416-426. doi: 10.1007/s13142-010-0011-1.
Latinas with type 2 diabetes are in need of culturally sensitive interventions to make recommended longterm lifestyle changes and reduce heart disease risk. To test the longer-term (24-month) effects of a previously successful, culturally adapted, multiple-healthbehavior- change program, ¡Viva Bien!, 280 Latinas were randomly assigned to usual care or ¡Viva Bien!. Treatment included group meetings to promote a culturally adapted Mediterranean diet, physical activity, supportive resources, problem solving, stress-management practices, and smoking cessation. ¡Viva Bien! participants achieved and maintained some lifestyle improvements from baseline through 24 months, including significant improvements for psychosocial outcomes, fat intake, social-environmental support, body mass index, and hemoglobin A1c. Effects tended to diminish over time. The ¡Viva Bien! multiple-behavior program was effective in improving and maintaining some psychosocial, behavioral, and biological outcomes related to heart health across 24 months for Latinas with type 2 diabetes, a high-risk, underserved population (ClinicalTrials.gov number, NCT00233259).
患有2型糖尿病的拉丁裔女性需要符合其文化特点的干预措施，以做出推荐的长期生活方式改变并降低心脏病风险。为了测试此前成功的、经过文化调适的多健康行为改变项目“¡Viva Bien!”的长期（24个月）效果，280名拉丁裔女性被随机分配到常规护理组或“¡Viva Bien!”组。治疗包括小组会议，以推广经过文化调适的地中海饮食、体育活动、支持资源、问题解决、压力管理措施和戒烟。“¡Viva Bien!”组参与者从基线到24个月实现并维持了一些生活方式的改善，包括心理社会结果、脂肪摄入、社会环境支持、体重指数和糖化血红蛋白的显著改善。效果往往会随着时间推移而减弱。对于患有2型糖尿病的拉丁裔女性这一高风险、服务不足的人群，“¡Viva Bien!”多行为项目在24个月内有效改善并维持了一些与心脏健康相关的心理社会、行为和生物学结果（临床试验.gov编号，NCT00233259）。
