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Menon U, Szalacha LA, Martinez GA, et al. Efficacy of a language-concordant health coaching intervention for latinx with diabetes. Patient Educ Couns. 2021;doi: 10.1016/j.pec.2021.11.024.
Menon, U., Szalacha, L. A., Martinez, G. A., Graham, M. C., Pares-Avila, J. A., Rechenberg, K., & Stauber, L. S. (2021). Efficacy of a language-concordant health coaching intervention for latinx with diabetes. Patient education and counseling, . https://doi.org/10.1016/j.pec.2021.11.024
Menon, Usha, et al. "Efficacy of a language-concordant health coaching intervention for latinx with diabetes." Patient education and counseling vol. (2021). doi: https://doi.org/10.1016/j.pec.2021.11.024
Menon U, Szalacha LA, Martinez GA, Graham MC, Pares-Avila JA, Rechenberg K, Stauber LS. Efficacy of a language-concordant health coaching intervention for latinx with diabetes. Patient Educ Couns. 2021 Nov 28; doi: 10.1016/j.pec.2021.11.024. Epub 2021 Nov 28. PMID: 34895775.
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Patient Educ Couns. 2021 Nov 28; doi: 10.1016/j.pec.2021.11.024. Epub 2021 Nov 28.

Efficacy of a language-concordant health coaching intervention for latinx with diabetes.

Patient education and counseling

Usha Menon, Laura A Szalacha, Glenn A Martinez, Margaret C Graham, Jose A Pares-Avila, Kaitlyn Rechenberg, Leah S Stauber

Affiliations

  1. College of Nursing, University of South Florida, Tampa, FL, USA. Electronic address: [email protected].
  2. College of Nursing, University of South Florida, Tampa, FL, USA; Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
  3. College of Nursing, The Ohio State University, Columbus, OH, USA.
  4. College of Nursing, University of South Florida, Tampa, FL, USA; College of Nursing, University of Arizona, Tucson, AZ, USA.
  5. College of Nursing, University of South Florida, Tampa, FL, USA.
  6. College of Nursing, University of Arizona, Tucson, AZ, USA.

PMID: 34895775 DOI: 10.1016/j.pec.2021.11.024

Abstract

OBJECTIVE: To describe the effect of a language-concordant health coaching intervention for Spanish-speaking patients with limited English proficiency (LEP) and uncontrolled Type 2 Diabetes (T2D) on glycemic control, anxiety, depression, and diabetes self-efficacy.

METHODS: 64 patients with T2D were randomly assigned to a control or intervention group. Outcomes were assessed by blood work and surveys pre and post intervention.

RESULTS: The mean sample age was 47.8 years (SD=11.3) and 81% were female. HbA1c was not significantly different between groups at baseline. The intervention group's HbA1c was significantly lower at times 2 and 3 than in the control arm (p < .01 and p < .001). There were significant reductions in the intervention group's mean HbA1c levels from baseline 10.37 to midpoint 9.20, p < .001; and from baseline 10.42 to study end 8.14, p < .001. Depression and anxiety scores significantly decreased (p < .05 and p < .001), and diabetes self-efficacy significantly increased (p < .001).

CONCLUSION: Health coaching led to statistically significant and clinically meaningful decreases in HbA1c, depression, and anxiety scores among LEP Latinx adults with uncontrolled T2D.

PRACTICE IMPLICATIONS: Heath coaching can be conducted in primary care clinics by nurses or advanced practice nurses. The short-term intervention tested here could be adapted to the clinical setting.

Copyright © 2021 Elsevier B.V. All rights reserved.

Keywords: Diabetes; Health behaviors; Health disparities; Intervention research; Language; Linguistics; Management; Nursing practice; Self

Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this pa

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