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Resident: Developing a culturally-tailored social network-based group visit model for South Asians with Type II diabetes and prediabetes in Atlanta
EP30870
Poster Title: Resident: Developing a culturally-tailored social network-based group visit model for South Asians with Type II diabetes and prediabetes in Atlanta
Submitted on 21 Oct 2019
Author(s): Gabrielle Williams, MD1; Alexis Halyard, MSIV1, Nithin Kurra3; Yunbo Xie3; Ebonee Harris4; Madhuri Prayaga3; Sukyi Naing, MPH3; Mohammed K. Ali, MD1,2,3, MBA, MSc; KM Venkat Narayan, MD, MBA, MSc2,3 ; Megha K. Shah MD, MSc
Affiliations: Emory University School of Medicine
Poster Views: 124
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Poster Information
Abstract: Background: Lifestyle interventions 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 specifically for this community. The aim of this project was to develop and test the feasibility of a tailored group visit model for South Asians based in a family medicine clinic.

Methods: In conjunction with a local community-academic board, we conducted focus groups to tailor an existing evidence-based curriculum to a culturally acceptable lifestyle interventions program for South Asians with T2D or prediabetes in Dunwoody. Fourteen participants enrolled into the 16-week program focusing on healthy diet, exercise, and weight loss. Weight, blood pressure, cholesterol, HbA1C, were measured at the beginning and end of the program. Participants were asked to evaluate each session on level of satisfaction. One tailed t-tests were used to test significance of pre-post changes in outcomes.

Results: Out of 14 participants, ten had baseline and follow-up data. Participant attendance averaged 48%. Statistically significant reductions in mean weight (-3.16lbs, p=0.03), systolic/diastolic blood pressure (-12.7mmHg, p=0.01/-3.7mmHg p=0.02 respectively), and triglycerides (-62.6 mg/dl, p=0.02) were noted. Overall, participants reported high levels of satisfaction with the program.

Discussion: A lifestyle program based in primary care is feasible and acceptable for South Asians. Larger studies testing the effectiveness of these programs in improving cardiometabolic factors and weight reduction are important. Overall, these interventions may have broader application to other culturally cohesive communities.
Summary: Collaborating with our community-academic partnership, ASHA, we sought to culturally tailor a primary care-based lifestyle program for South Asian Muslim immigrants in Atlanta.
References: 1. Long Term Effects of a Lifestyle Intervention on Weight and Cardiovascular Risk Factors in Individuals with Type 2 Diabetes: Four Year Results of the Look AHEAD Trial. Arch Intern Med. 2010;170(17):1566-1575. doi:10.1001/archinternmed.2010.334
2. Pi-Sunyer X. The Look AHEAD Trial: A Review and Discussion Of Its Outcomes. Curr Nutr Rep. 2014;3(4):387-391. doi:10.1007/s13668-014-0099-x
3. Diabetes Prevention Program Research Group, Knowler WC, Fowler SE, et al. 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Lancet. 2009;374(9702):1677-1686. doi:10.1016/S0140-6736(09)61457-4
4. Ali MK, Echouffo-Tcheugui J, Williamson DF. How effective were lifestyle interventions in real-world settings that were modeled on the Diabetes Prevention Program? Health Aff (Millwood). 2012;31(1):67-75. doi:10.1377/hlthaff.2011.1009
**Supported in part by the National Center for Advancing Translational Sciences of the National Institut
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