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Author Notes:

Megha K. Shah, Email: mkshah@emory.edu

MKS, MA, and KMV designed the study and were major contributors to the writing of the manuscript. SN and NK analyzed and interpreted data. MBW contributed to interpretation of qualitative data and contributed to the writing of the manuscript. NI contributed to the intervention adaptation and structure and writing of the manuscript. All authors read and approved the final manuscript.

The authors would like to acknowledge the assistance of our community advisory board. The Atlanta South Asian Health Alliance (ASHA) for their support and guidance in the design, implementation, and interpretation of this study.

The authors declare that they have no competing interests.

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Research Funding:

This study was supported in part by the National Center for Advancing Translational Sciences of the National Institutes of Health under Award Number UL1TR002378 and KL2TR002381, National Institute on Minority Healthy and Health Disparities (K23 MD015088-01), and P30DK111024 from the Georgia Center for Diabetes Translation Research funded by the NIDDK. The funders did not play a role in the design, collection, analysis, or writing of the manuscript.

Keywords:

  • Asian Americans
  • Community-based participatory research
  • Diabetes mellitus
  • Type 2
  • Pre-diabetic state
  • Shared medical appointment
  • Health programs

A culturally adapted, social support-based, diabetes group visit model for Bangladeshi adults in the USA: a feasibility study

Tools:

Journal Title:

Pilot and Feasibility Studies

Volume:

Volume 8

Publisher:

Type of Work:

Article | Final Publisher PDF

Abstract:

Background Interventions focused on weight loss can prevent, delay, and improve management of type 2 diabetes (T2D). However, implementation of these programs is challenging in diverse populations. South Asians have higher risk for T2D, yet to date, there have been limited programs for this community in the USA. The aim of this project was to develop and test the feasibility of a tailored group visit model for Bangladeshis with type 2 diabetes (T2D) or prediabetes based in primary care. Design Mixed-methods single-arm feasibility study. Setting An academic health center-based primary care clinic in Atlanta, Georgia. Participants Bangladeshi adults > 18 years old with T2D or prediabetes Methods In conjunction with a community-academic board, we conducted focus groups to tailor an existing evidence-based curriculum to a culturally acceptable intervention. Fourteen participants enrolled in the 16-week program focusing on healthy diet, exercise, and weight loss. The primary feasibility outcomes were number of sessions attended and participant satisfaction with the intervention. Weight, blood pressure, cholesterol, and HbA1C were measured at beginning and end of study. Participants were asked to evaluate each session on level of satisfaction. One tailed paired t tests were used to test significance of pre-post changes in outcomes. Results Key themes from the formative focus groups (n = 50) were closely tied to sociocultural beliefs and included: dietary patterns, physical activity perceptions, and healthcare access concerns. In the intervention, 10 of 14 participants had baseline and follow-up data. Participant attendance averaged 50%. Statistically significant reductions in mean weight (− 2%, 95%CI: − 3.1, 0.2 kg), systolic/diastolic blood pressure (− 12.7 mmHg [95%CI: − 23.2, − 2.2]/− 3.7 mmHg [95%CI: − 7.6, − 0.1], respectively), and triglycerides (− 62.6 mg/dl, 95%CI: − 123.1, − 2.0) were noted. Overall, participants reported high levels of satisfaction with the program. Conclusion A lifestyle program based in primary care is feasible and acceptable for Bangladeshi immigrants. Larger studies testing the effectiveness of group programs, in primary care, to improve cardiometabolic factors are important.

Copyright information:

© The Author(s) 2022

This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/rdf).
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