Health and Faith (Salud y Fe): Community-Based Diabetes Pilot Intervention

• Changes in systolic blood pressure at baseline, 3 and 6 months [ Time Frame: baseline to 6 months ] [ Designated as safety issue: No ]
  We will evaluate changes at baseline, at 3 months and then 6 months. We will analyze change from baseline and compare it to the 3 month and 6 month measures.
• Changes in low density lipoprotein from baseline to 3 and 6 month follow up [ Time Frame: baseline to 6 months ] [ Designated as safety issue: No ]
  We will evaluate changes from baseline, at 3 months and then 6 months. We will analyze change from baseline and compare it to the 3 month and 6 month measures
• Changes in diabetes self-care from baseline to 3 and 6 months [ Time Frame: baseline to 6 months ] [ Designated as safety issue: No ]
  We will evaluate changes from baseline, at 3 months and then 6 months. We will analyze change from baseline and compare it to the 3 month and 6 month measures
• Changes in diabetes self-empowerment from baseline to 3 and 6 months [ Time Frame: baseline to 6 months ] [ Designated as safety issue: No ]
  We will evaluate changes from baseline, at 3 months and then 6 months. We will analyze change from baseline and compare it to the 3 month and 6 month measures

Main objective: To improve diabetes outcomes among Mexican-Americans with diabetes through church-based, culturally tailored, diabetes self-management interventions linked to the local healthcare system.

Specific Aim: To pilot test a church-based, culturally tailored diabetes self-management intervention to improve diabetes outcomes among low-income Mexican-American with diabetes

H1 A church-based diabetes self-care management curriculum partnered with the local healthcare system will improve glycosylated hemoglobin.

H2 A church-based diabetes self-care management curriculum partnered with the local healthcare system will improve systolic blood pressure and low-density lipids.

H3 A church-based diabetes self-care management curriculum partnered with the local healthcare system will improve diabetes related self-efficacy, self-empowerment and self-care management.

Diabetes is a very prevalent and morbid condition affecting Latinos, especially Mexican-Americans in the United States. South Lawndale, a predominately-Mexican neighborhood of Chicago, has a disproportionately high diabetes related mortality rate in comparison to the rest of Chicago and the U.S. Many church-based interventions have shown promise improving health outcomes among minority populations; but data on church-based interventions for Latino populations is scarce. Mobilizing community resources to develop church-based, diabetes self-management interventions may lead to sustainable, culturally tailored interventions, and improve outcomes in Latinos with diabetes. Considering the growth of the Hispanic population and their disproportionate burden of chronic diseases, developing programming aimed at decreasing the health disparities in this population is crucial. Our study proposes to fill this gap.

• Behavioral: Picture good health/Imaginate una buena salud
  Diabetes education, self-empowerment training, exercise, patient navigator
• Behavioral: Diabetes lecture
  Diabetes self-management lecture

• Active Comparator: Comprehensive diabetes self-management intervention
  Diabetes education, self-empowerment training, exercise, patient navigator
  Intervention: Behavioral: Picture good health/Imaginate una buena salud
• Control
  Diabetes self-management lecture
  Intervention: Behavioral: Diabetes lecture

Inclusion Criteria:

• over the age of 18
• able to speak either English or Spanish
• self-report of diagnosis of diabetes by a doctor

Exclusion Criteria:

• cannot give informed consent (e.g. due to intoxication or dementia)
• do not speak English or Spanish
• younger than 18 years old.
• pregnant women
• undergoing hemodialysis or treatment for cancer
• unable to attend 3- and 6-month follow up appointments