Loya Julio, Garcia David O, Maldonado Adriana, Villavicencio Edgar
Advanced Nursing Practice and Science, College of Nursing, University of Arizona, 1305 North Martin Avenue, Tucson, AZ, 85721-0203, United States, 1 520-621-9112.
Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United States.
JMIR Diabetes. 2025 Jun 10;10:e62876. doi: 10.2196/62876.
Type 2 diabetes mellitus (T2DM) is a metabolic disease that affects over 38 million adults in the United States, who are disproportionately Hispanic.
This study describes the development and implementation of Salud Paso por Paso, a culturally tailored and linguistically appropriate intervention to increase engagement in physical activity (PA) for Hispanic adults living with T2DM.
Participants were enrolled in a 6-week pre-post pilot test of a culturally tailored intervention that included sessions covering different aspects of PA and T2DM. Participants were recruited at a local free clinic. Nonparametric paired-sample Wilcoxon signed-rank tests were used to examine differences between pre- and postintervention measures.
Twenty-one participants were recruited, and 19 (90.5%) completed the intervention. Participants significantly increased average hours spent in moderate PA, by 3.16 hours (from 4.73, SD 3.79 minutes to 9.63, SD 6.39 minutes; Z=-3.52; P<.001), average steps per week (from 23,006.38, SD 14,357.13 steps to 43,000.81, SD 30,237.17 steps; Z=-2.79; P=.005), and minutes per week of PA (from 105.94, SD 72.23 minutes to 224.19, SD 167.85 minutes; Z=-3.36; P<.001).
Developing effective culturally tailored interventions that can ameliorate the deleterious effects of T2DM in Hispanic adults is an important strategy to promote health equity. The Salud Paso por Paso intervention is an effective way to promote PA in Hispanic adults living with T2DM.
2型糖尿病（T2DM）是一种代谢性疾病，在美国影响着超过3800万成年人，其中西班牙裔患者比例过高。
本研究描述了“健康步步行”（Salud Paso por Paso）的开发与实施情况，这是一种针对文化特点进行调整且语言适宜的干预措施，旨在提高患有T2DM的西班牙裔成年人的身体活动（PA）参与度。
参与者被纳入一项为期6周的前后对照试点测试，该测试采用了一种针对文化特点进行调整的干预措施，其中包括涵盖PA和T2DM不同方面的课程。参与者在当地一家免费诊所招募。采用非参数配对样本Wilcoxon符号秩检验来检验干预前后测量值之间的差异。
招募了21名参与者，19名（90.5%）完成了干预。参与者中度PA的平均时长显著增加，增加了3.16小时（从4.73小时，标准差3.79分钟增至9.63小时，标准差6.39分钟；Z = -3.52；P <.001），每周平均步数（从23,006.38步，标准差14,357.13步增至43,000.81步，标准差30,237.17步；Z = -2.79；P =.005），以及每周PA的分钟数（从105.94分钟，标准差72.23分钟增至224.19分钟，标准差167.85分钟；Z = -3.36；P <.001）。
开发有效的、针对文化特点进行调整的干预措施，以改善T2DM对西班牙裔成年人的有害影响，是促进健康公平的重要策略。“健康步步行”干预措施是促进患有T2DM的西班牙裔成年人进行PA的有效方式。
