Feasibility of promoting physical activity using mHEALTH technology in rural women: the step-2-it study.

Background: Rural women are more likely to be obese and have a higher risk for chronic disease than their non-rural counterparts. Inadequate physical activity (PA) at least in part contributes to this increased risk. Rural women face personal, social and environmental barriers to PA engagement.

Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes.

Background: Churches may provide a familiar and accessible setting for chronic disease self-management education and social support for Latinos with diabetes.

Objective: We assessed the impact of a multi-faceted church-based diabetes self-management intervention on diabetes outcomes among Latino adults.

Design: This was a community-based, randomized controlled, pilot study.

Community health center provider and staff's Spanish language ability and cultural awareness.

Many community health center providers and staff care for Latinos with diabetes, but their Spanish language ability and awareness of Latino culture are unknown. We surveyed 512 Midwestern health center providers and staff who managed Latino patients with diabetes. Few respondents had high Spanish language (13%) or cultural awareness scores (22%).

The association of English ability and glycemic control among Latinos with diabetes.

Objective: Language barriers may be significant contributors to diabetes disparities. We sought to assess the association of English speaking ability with glycemic control among Latinos with diabetes.

Methods: We analyzed 167 Latinos from a cross-sectional survey of adults with type 2 diabetes.

Lifestyle intervention and cardiovascular disease risk reduction in low-income Hispanic immigrant women participating in the Illinois WISEWOMAN program.

Cardiovascular disease (CVD) is the leading cause of death for Hispanic women in the United States. In 2001, the Illinois Department of Public Health received funding from the Centers for Disease Control and Prevention to implement the enhanced WISEWOMAN program (IWP) to address the disproportionate CVD risk among uninsured and underinsured women enrolled in the Illinois Breast and Cervical Cancer Early Detection Program. This paper presents the results of the Spanish-language arm of the IWP.

Community health center access to resources for their patients with diabetes.

Community health center providers and staff access to resources for their Latino and non-Latino patients with diabetes is unknown. We analyzed survey data from 577 community health center providers and staff who manage diabetes from 85 sites across 10 Midwestern states. Respondents were labeled as high proportion (HP) providers if >25 % of their site's diabetes population was Latino.

"One Can Learn From Other People's Experiences": Latino adults' preferences for peer-based diabetes interventions.

Purpose: To assess Latino adults' preferences for peer-based diabetes self-management interventions and the acceptability of the church setting for these interventions.

Methods: The authors partnered with 2 predominantly Mexican American churches in Chicago and conducted 6 focus groups with 37 adults who had diabetes or had a family member with diabetes. They assessed participant preferences regarding group education and telephone-based one-to-one peer diabetes self-management interventions.

Integrating diabetes self-management interventions for mexican-americans into the catholic church setting.

Churches provide an innovative and underutilized setting for diabetes self-management programs for Latinos. This study sought to formulate a conceptual framework for designing church-based programs that are tailored to the needs of the Latino community and that utilize church strengths and resources. To inform this model, we conducted six focus groups with mostly Mexican-American Catholic adults with diabetes and their family members (N = 37) and found that participants were interested in church-based diabetes programs that emphasized information sharing, skills building, and social networking.