A Randomized-Controlled, Pilot Intervention on Diabetes Prevention and Healthy Lifestyles in the New York City Korean Community
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Asian Americans experience diabetes at a higher rate than non-Hispanic whites. Diabetes prevention programs using lifestyle interventions have been shown to produce beneficial results, yet there have been no culturally-tailored programs for diabetes prevention in the Korean community. We explore the impact and feasibility of a pilot Community Health Worker (CHW) intervention to improve health behaviors and promote diabetes prevention among Korean Americans using a randomized controlled trial. Between 2011 and 2012, a total of 48 Korean Americans at risk for diabetes living in New York City (NYC) participated in the intervention. Participants were allocated to treatment or control groups. A community-based participatory research approach guided development of the intervention, which consisted of 6 workshops held by CHWs on diabetes prevention, nutrition, physical activity, diabetes complications, stress and family support, and access to health care. Changes over 6 months were examined for clinical measurements (weight, BMI, waist circumference, blood pressure, glucose, and cholesterol); health behaviors (physical activity, nutrition, food behaviors, diabetes knowledge, self-efficacy, and mental health); and health access (insurance and self-reported health). In this small pilot study, changes were seen in weight, waist circumference, diastolic blood pressure, physical activity nutrition, diabetes knowledge, and mental health. Qualitative findings provide additional contextual information that inform ways in which CHWs may influence health outcomes. These findings demonstrate that a diabetes prevention program can be successful among a Korean American population in NYC, and important insight is provided for ways that programs can be tailored to meet the needs of vulnerable populations.
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- Centers for Disease Control and Prevention. (2011). National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Available from: http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf.
- Knowler, W. C., Barrett-Connor, E., Fowler, S. E., et al. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine, 346(6), 393–403. CrossRef
- Barnes, P. M., Adams, P. F., & Powell-Griner, E. (2008). Health characteristics of the Asian adult population: United States, 2004–2006. Adv Data (394), 1–22.
- Oza-Frank, R., Ali, M. K., Vaccarino, V., & Narayan, K. M. (2009). Asian Americans: Diabetes prevalence across US and World Health Organization weight classifications. Diabetes Care, 32(9), 1644–1646. CrossRef
- Ye, J., Rust, G., Baltrus, P., & Daniels, E. (2009). Cardiovascular risk factors among Asian Americans: Results from a National Health Survey. Annals of Epidemiology, 19(10), 718–723. CrossRef
- Islam, N., Wyatt, L., Kapadia, S., Rey, M., Trinh-Shevrin, C., & Kwon, S. (2013). Diabetes and associated risk factors among Asian American subgroups in New York City. Diabetes Care, 36(1), e5. CrossRef
- Kim, D. J. (2011). The epidemiology of diabetes in Korea. Diabetes & Metabolism Journal, 35(4), 303–308. CrossRef
- Ramachandran, A., & Snehalatha, C. (2011). Diabetes prevention programs. Med Clin North Am, 95(2), 353–372, viii.
- Kim, M. T., Han, H. R., Song, H. J., et al. (2009). A community-based, culturally tailored behavioral intervention for Korean Americans with type 2 diabetes. The Diabetes Educator, 35(6), 986–994. CrossRef
- American Diabetes Association. American Diabetes Association unveils new diabetes risk test. 2012 March, 2013. Available from: http://www.diabetes.org/for-media/2012/american-diabetes-association-new-risk-test.html.
- National Heart, L., & Blood Institute. Healthy heart, healthy family: A community health worker’s manual for the filipino community. 1999 March, 2013. Available from: http://www.nhlbi.nih.gov/health/prof/heart/other/chdfilipino/intro.htm.
- Diabetes Prevention Program Research G. (2002). The diabetes prevention program (DPP): Description of lifestyle intervention. Diabetes Care, 25(12), 2165–2171. CrossRef
- National Diabetes Education Program. The road to health toolkit resource guide. Available from: http://www.ndep.nih.gov/media/road-to-health-toolkit-resources-guide.pdf.
- National Diabetes Education Program. Power to prevent: A family lifestyle approach to diabetes prevention. Available from: http://ndep.nih.gov/media/power-to-prevent-508.pdf.
- Islam, N. S., Tandon, D., Mukherji, R., et al. (2012). Understanding barriers to and facilitators of diabetes control and prevention in the New York City Bangladeshi community: A mixed-methods approach. American Journal of Public Health, 102(3), 486–490. CrossRef
- Ruiz, Y., Matos, S., Kapadia, S., et al. (2012). Lessons learned from a community-academic initiative: The development of a core competency-based training for community-academic initiative community health workers. American Journal of Public Health, 102(12), 2372–2379. CrossRef
- United States Census: American community survey. 2011. Available from: http://www.census.gov/acs/www/methodology/questionnaire_archive/.
- CDC: Behavioral risk factor surveillance system. 2011. Available from: http://www.cdc.gov/brfss/questionnaires/english.htm.
- Bandura, A. (2006). Guide for constructing self-efficacy scales. In Self-efficacy beliefs of adolescents. Information Age Publishing.
- Nothwehr, F., Dennis, L., & Wu, H. (2007). Measurement of behavioral objectives for weight management. Health Education & Behavior, 34(5), 793–809. CrossRef
- American Diabetes Association. Diabetes basics: Your risk. 2013 1/9/2013. Available from: http://www.diabetes.org/diabetes-basics/prevention/risk-factors/.
- Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. CrossRef
- Kroenke, K., Spitzer, R. L., Williams, J. B., Monahan, P. O., & Lowe, B. (2007). Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine, 146(5), 317–325. CrossRef
- Consultation, W. H. O. E. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363(9403), 157–163. CrossRef
- Parikh, P., Simon, E. P., Fei, K., Looker, H., Goytia, C., & Horowitz, C. R. (2010). Results of a pilot diabetes prevention intervention in East Harlem, New York City: Project HEED. American Journal of Public Health, 100(Suppl 1), S232–S239. CrossRef
- Islam, N., Wyatt, L., Patel, S., et al. Evaluation of a community health worker pilot intervention to improve diabetes management in Bangladeshi immigrants with type 2 diabetes in New York City. Diabetes Educ (in press).
- D’Eramo-Melkus, G., Spollett, G., Jefferson, V., et al. (2004). A culturally competent intervention of education and care for black women with type 2 diabetes. Applied Nursing Research, 17(1), 10–20. CrossRef
- Mauldon, M., Melkus, G. D., & Cagganello, M. (2006). Tomando control: A culturally appropriate diabetes education program for Spanish-speaking individuals with type 2 diabetes mellitus–evaluation of a pilot project. The Diabetes Educator, 32(5), 751–760. CrossRef
About this Article
- A Randomized-Controlled, Pilot Intervention on Diabetes Prevention and Healthy Lifestyles in the New York City Korean Community
Journal of Community Health
Volume 38, Issue 6 , pp 1030-1041
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Asian Americans
- Korean Americans
- Community health workers
- Community-based participatory research
- Diabetes prevention
- Author Affiliations
- 1. Departments of Population Health and Medicine, Center for the Study of Asian American Health, NYU School of Medicine, 550 First Avenue, VZN #843, New York, NY, USA
- 2. Prevention Research Center, NYU School of Medicine, New York, NY, USA
- 3. Prevention Research Center, NYU School of Medicine, 550 First Avenue, VZN #838B, New York, NY, USA
- 6. Departments of Population Health and Medicine, Center for the Study of Asian American Health, NYU School of Medicine, 550 First Avenue, VZN #838F, New York, NY, USA
- 4. Public Health and Research Center, Korean Community Services of Metropolitan New York, Inc. (KCS), New York, NY, USA
- 5. Korean Community Services of Metropolitan New York, Inc. (KCS), New York, NY, USA
- 7. Departments of Population Health and Medicine, Center for the Study of Asian American Health, NYU School of Medicine, 550 First Avenue, VZN #844, New York, NY, USA
- 8. Departments of Population Health and Medicine, Center for the Study of Asian American Health, NYU School of Medicine, 550 First Avenue, VZN #845, New York, NY, USA