Online Program

Assessing the feasibility of promoting physical activity among low income Latinos diagnosed with diabetes: The Physical Activity System of Support (PASOS) program

Wednesday, November 4, 2015

Sandra Echeverria, PhD, MPH, Epidemiology, Rutgers School of Public Health, Piscataway, NJ
Mariam Merced, MA, Community Health Promotion Program, Robert Wood Johnson University Hospital, New Brunswick, NJ
Anindita Fahad, MSW, MPH candidate, Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ
Leslie Malachi, Robert Wood Johnson University Hospital
Kerly Guerrero, Rutgers Robert Wood Johnson Medical School
Timothy Marshall, MS, ACSM/ACS-CET, RWJ Fitness and Wellness Center
Carmen Isasi, MD, PhD, Albert Einstein College of Medicine
Latinos diagnosed with diabetes are more likely to have poor diabetes control and health-related complications than non-Latino Whites. Randomized clinical trials have shown that increasing physical activity for patients diagnosed with diabetes can improve glucose and lipid levels, insulin resistance, and weight reduction goals. Nonetheless, there is scant evidence translating physical activity interventions for Latinos, particularly those with low income and limited English proficiency who may face greater challenges in adopting physical activity behavior change. We developed the Physical Activity System of Support (PASOS) program, a community-based intervention designed to increase physical activity among Latinos diagnosed with diabetes. The intervention consisted of culturally-tailored group-based exercises offered twice per week over an 8 week period. We describe the collaborative process we undertook to develop the intervention and the multi-level nature of the model, which incorporates healthcare providers, physical activity resources and the use of community outreach workers and text messaging to support behavior change. As a feasibility study, the study involved a single group pre and post-test design (n=30). The feasibility of the intervention is analyzed descriptively using data maintained by program staff and the physical activity facility. Pre-post change in study outcomes (physical activity minutes completed per week, self-reported measures of physical activity engagement, estimated VO2 max, heart rate, waist circumference, and blood pressure) are presented using mixed models. We present a novel approach for increasing physical activity among low income Latinos suffering from diabetes and discuss the implications of community-based models to support diabetes care for hard-to-reach populations.

Learning Areas:

Chronic disease management and prevention
Clinical medicine applied in public health
Diversity and culture
Social and behavioral sciences

Learning Objectives:
Demonstrate how diabetes disproportionately affects Latinos. Explain how physical activity can improve diabetes control. Describe a novel community-based, multi-level intervention designed to increase physical activity among Latinos living with diabetes.

Keyword(s): Community Health Programs, Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator of this study, which is focused on increasing physical activity among low income Latinos diagnosed with diabetes. I designed all components of the intervention and implemented the study in collaboration with community partners. This work is part of my broader scientific interest to develop community-based interventions that can begin to reduce health disparities among Latinos and other racially/ ethnically diverse groups.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.