Families United/Familias Unidas

Family Group Office Visits to Reduce Risk Factors for Type 2 Diabetes

Randa M Kutob, Violet Perez Siwik, Mikel Aickin, Cheryl Ritenbaugh

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: The purpose of the Families United/Familias Unidas study was to evaluate the feasibility and efficacy of group office visits on reducing diabetes risk in a multiethnic, primary care population. Methods: Adults, ages 18 to 70 years, with any diabetes risk factor were recruited to attend 12 group office visits over 6 months. Each participant identified 1 support person, age 14 to 70 years, to accompany them. Data were collected at baseline, postintervention, 6 months, and 12 months. Primary outcome measures were reduction in the total number of predefined, modifiable risk factors (ie, body mass index ≥25 kg/m2; waist circumference ≥88 cm [women], ≥102 cm [men]; blood pressure ≥140/90 mm Hg; hemoglobin A1C ≥5.7%; fasting insulin ≥15 μU/mL; glycemic index ≥52.5% [women], ≥53.4% [men]; and physical activity <150 min/wk). Results: Thirty-nine participants/supporters completed the intervention (mean age 47.8 ± 12.3 years, 69.2% female, 61.5% white, 35.9% Latino). Risk reduction analysis included only participants/supporters who remained paired at the intervention's end (n = 36). At baseline, primary participants (n = 18) had an average of 4.8 ± 1.6 (standard error) predefined risk factors; supporters (n = 18), 4.1 ± 1.4. Primary participants' risk factors decreased approximately 15% immediately after the 6-month intervention (absolute reduction of 1.1 risk factors) and increased to ~20% reduction 1 year postintervention (absolute reduction of 1.4 risk factors). Risk reduction was primarily due to decreases in dietary glycemic index and fasting insulin levels. Conclusions: Group visits provide an innovative and potentially efficacious model of diabetes prevention in multiethnic patients with heterogeneous risk factors.

Original languageEnglish (US)
Pages (from-to)191-201
Number of pages11
JournalDiabetes Educator
Volume40
Issue number2
DOIs
StatePublished - 2014

Fingerprint

Office Visits
Type 2 Diabetes Mellitus
Glycemic Index
Risk Reduction Behavior
Fasting
Insulin
Waist Circumference
Hispanic Americans
Primary Health Care
Hemoglobins
Body Mass Index
Outcome Assessment (Health Care)
Exercise
Blood Pressure
Population

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Health Professions (miscellaneous)
  • Medicine(all)

Cite this

Families United/Familias Unidas : Family Group Office Visits to Reduce Risk Factors for Type 2 Diabetes. / Kutob, Randa M; Siwik, Violet Perez; Aickin, Mikel; Ritenbaugh, Cheryl.

In: Diabetes Educator, Vol. 40, No. 2, 2014, p. 191-201.

Research output: Contribution to journalArticle

@article{da22c504018f4404ab14be2baa60f623,
title = "Families United/Familias Unidas: Family Group Office Visits to Reduce Risk Factors for Type 2 Diabetes",
abstract = "Purpose: The purpose of the Families United/Familias Unidas study was to evaluate the feasibility and efficacy of group office visits on reducing diabetes risk in a multiethnic, primary care population. Methods: Adults, ages 18 to 70 years, with any diabetes risk factor were recruited to attend 12 group office visits over 6 months. Each participant identified 1 support person, age 14 to 70 years, to accompany them. Data were collected at baseline, postintervention, 6 months, and 12 months. Primary outcome measures were reduction in the total number of predefined, modifiable risk factors (ie, body mass index ≥25 kg/m2; waist circumference ≥88 cm [women], ≥102 cm [men]; blood pressure ≥140/90 mm Hg; hemoglobin A1C ≥5.7{\%}; fasting insulin ≥15 μU/mL; glycemic index ≥52.5{\%} [women], ≥53.4{\%} [men]; and physical activity <150 min/wk). Results: Thirty-nine participants/supporters completed the intervention (mean age 47.8 ± 12.3 years, 69.2{\%} female, 61.5{\%} white, 35.9{\%} Latino). Risk reduction analysis included only participants/supporters who remained paired at the intervention's end (n = 36). At baseline, primary participants (n = 18) had an average of 4.8 ± 1.6 (standard error) predefined risk factors; supporters (n = 18), 4.1 ± 1.4. Primary participants' risk factors decreased approximately 15{\%} immediately after the 6-month intervention (absolute reduction of 1.1 risk factors) and increased to ~20{\%} reduction 1 year postintervention (absolute reduction of 1.4 risk factors). Risk reduction was primarily due to decreases in dietary glycemic index and fasting insulin levels. Conclusions: Group visits provide an innovative and potentially efficacious model of diabetes prevention in multiethnic patients with heterogeneous risk factors.",
author = "Kutob, {Randa M} and Siwik, {Violet Perez} and Mikel Aickin and Cheryl Ritenbaugh",
year = "2014",
doi = "10.1177/0145721714520722",
language = "English (US)",
volume = "40",
pages = "191--201",
journal = "Diabetes Educator",
issn = "0145-7217",
publisher = "SAGE Publications Inc.",
number = "2",

}

TY - JOUR

T1 - Families United/Familias Unidas

T2 - Family Group Office Visits to Reduce Risk Factors for Type 2 Diabetes

AU - Kutob, Randa M

AU - Siwik, Violet Perez

AU - Aickin, Mikel

AU - Ritenbaugh, Cheryl

PY - 2014

Y1 - 2014

N2 - Purpose: The purpose of the Families United/Familias Unidas study was to evaluate the feasibility and efficacy of group office visits on reducing diabetes risk in a multiethnic, primary care population. Methods: Adults, ages 18 to 70 years, with any diabetes risk factor were recruited to attend 12 group office visits over 6 months. Each participant identified 1 support person, age 14 to 70 years, to accompany them. Data were collected at baseline, postintervention, 6 months, and 12 months. Primary outcome measures were reduction in the total number of predefined, modifiable risk factors (ie, body mass index ≥25 kg/m2; waist circumference ≥88 cm [women], ≥102 cm [men]; blood pressure ≥140/90 mm Hg; hemoglobin A1C ≥5.7%; fasting insulin ≥15 μU/mL; glycemic index ≥52.5% [women], ≥53.4% [men]; and physical activity <150 min/wk). Results: Thirty-nine participants/supporters completed the intervention (mean age 47.8 ± 12.3 years, 69.2% female, 61.5% white, 35.9% Latino). Risk reduction analysis included only participants/supporters who remained paired at the intervention's end (n = 36). At baseline, primary participants (n = 18) had an average of 4.8 ± 1.6 (standard error) predefined risk factors; supporters (n = 18), 4.1 ± 1.4. Primary participants' risk factors decreased approximately 15% immediately after the 6-month intervention (absolute reduction of 1.1 risk factors) and increased to ~20% reduction 1 year postintervention (absolute reduction of 1.4 risk factors). Risk reduction was primarily due to decreases in dietary glycemic index and fasting insulin levels. Conclusions: Group visits provide an innovative and potentially efficacious model of diabetes prevention in multiethnic patients with heterogeneous risk factors.

AB - Purpose: The purpose of the Families United/Familias Unidas study was to evaluate the feasibility and efficacy of group office visits on reducing diabetes risk in a multiethnic, primary care population. Methods: Adults, ages 18 to 70 years, with any diabetes risk factor were recruited to attend 12 group office visits over 6 months. Each participant identified 1 support person, age 14 to 70 years, to accompany them. Data were collected at baseline, postintervention, 6 months, and 12 months. Primary outcome measures were reduction in the total number of predefined, modifiable risk factors (ie, body mass index ≥25 kg/m2; waist circumference ≥88 cm [women], ≥102 cm [men]; blood pressure ≥140/90 mm Hg; hemoglobin A1C ≥5.7%; fasting insulin ≥15 μU/mL; glycemic index ≥52.5% [women], ≥53.4% [men]; and physical activity <150 min/wk). Results: Thirty-nine participants/supporters completed the intervention (mean age 47.8 ± 12.3 years, 69.2% female, 61.5% white, 35.9% Latino). Risk reduction analysis included only participants/supporters who remained paired at the intervention's end (n = 36). At baseline, primary participants (n = 18) had an average of 4.8 ± 1.6 (standard error) predefined risk factors; supporters (n = 18), 4.1 ± 1.4. Primary participants' risk factors decreased approximately 15% immediately after the 6-month intervention (absolute reduction of 1.1 risk factors) and increased to ~20% reduction 1 year postintervention (absolute reduction of 1.4 risk factors). Risk reduction was primarily due to decreases in dietary glycemic index and fasting insulin levels. Conclusions: Group visits provide an innovative and potentially efficacious model of diabetes prevention in multiethnic patients with heterogeneous risk factors.

UR - http://www.scopus.com/inward/record.url?scp=84898839591&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84898839591&partnerID=8YFLogxK

U2 - 10.1177/0145721714520722

DO - 10.1177/0145721714520722

M3 - Article

VL - 40

SP - 191

EP - 201

JO - Diabetes Educator

JF - Diabetes Educator

SN - 0145-7217

IS - 2

ER -