Annals of Behavioral Medicine

, Volume 41, Issue 3, pp 310–323 | Cite as

Outcomes from a Multiple Risk Factor Diabetes Self-Management Trial for Latinas: ¡Viva Bien!

  • Deborah J. ToobertEmail author
  • Lisa A. Strycker
  • Manuel BarreraJr.
  • Diego Osuna
  • Diane K. King
  • Russell E. Glasgow
Original Article



Culturally appropriate interventions are needed to assist Latinas in making multiple healthful lifestyle changes.


The purpose of this study was to test a cultural adaptation of a successful multiple health behavior change program, ¡Viva Bien!


Random assignment of 280 Latinas with type 2 diabetes to usual care only or to usual care + ¡Viva Bien!, which included group meetings for building skills to promote the Mediterranean diet, physical activity, stress management, supportive resources, and smoking cessation.


¡Viva Bien! participants compared to usual care significantly improved psychosocial and behavioral outcomes (fat intake, stress management practice, physical activity, and social–environmental support) at 6 months, and some improvements were maintained at 12 months. Biological improvements included hemoglobin A1c and heart disease risk factors.


The ¡Viva Bien! multiple lifestyle behavior program was effective in improving psychosocial, behavioral, and biological/quality of life outcomes related to heart health for Latinas with type 2 diabetes ( no: NCT00233259).


Latina Diabetes Multiple behavior change Self-management Randomized controlled trial 



This work was supported by a grant from the National Heart, Lung, and Blood Institute (R01 HL077120). We acknowledge the invaluable contributions of the assessment and intervention staffs of the ¡Viva Bien! project, including Cristy Geno Rasmussen, Alyssa Doty, Fabio Almeida, Sara Hoerlein, Carmen Martin, Angela Casola, Eve Halterman, and Breanne A. Griffin. We are deeply indebted to the 280 dedicated and committed women who participated in the study.

Conflict of Interest



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Copyright information

© The Society of Behavioral Medicine 2010

Authors and Affiliations

  • Deborah J. Toobert
    • 1
    Email author
  • Lisa A. Strycker
    • 1
  • Manuel BarreraJr.
    • 1
    • 2
  • Diego Osuna
    • 3
  • Diane K. King
    • 3
  • Russell E. Glasgow
    • 4
  1. 1.Oregon Research InstituteEugeneUSA
  2. 2.Arizona State UniversityPhoenixUSA
  3. 3.Institute for Health Research, Kaiser Permanente ColoradoDenverUSA
  4. 4.Dissemination and Implementation Science, Division of Cancer Control and Population Sciences, National Cancer InstituteRockvilleUSA

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