Long-term outcomes from a multiple-risk-factor diabetes trial for Latinas: ¡Viva Bien!

Deborah J. Toobert, Lisa A. Strycker, Diane K. King, Manuel Barrera, Diego Osuna, Russell E. Glasgow

Research output: Contribution to journalArticlepeer-review

66 Scopus citations


Latinas with type 2 diabetes are in need of culturally sensitive interventions to make recommended long-term lifestyle changes and reduce heart disease risk. To test the longer-term (24-month) effects of a previously successful, culturally adapted, multiple-health-behavior-change program, ¡Viva Bien!, 280 Latinas were randomly assigned to usual care or ¡Viva Bien!. Treatment included group meetings to promote a culturally adapted Mediterranean diet, physical activity, supportive resources, problem solving, stress-management practices, and smoking cessation. ¡Viva Bien! participants achieved and maintained some lifestyle improvements from baseline through 24 months, including significant improvements for psychosocial outcomes, fat intake, social-environmental support, body mass index, and hemoglobin A1c. Effects tended to diminish over time. The ¡Viva Bien! multiple-behavior program was effective in improving and maintaining some psychosocial, behavioral, and biological outcomes related to heart health across 24 months for Latinas with type 2 diabetes, a high-risk, underserved population (ClinicalTrials.gov number, NCT00233259).

Original languageEnglish (US)
Pages (from-to)416-426
Number of pages11
JournalTranslational behavioral medicine
Issue number3
StatePublished - Sep 2011


  • Diabetes
  • Latina
  • Multiple behavior change
  • Randomized controlled trial
  • Self-management

ASJC Scopus subject areas

  • Applied Psychology
  • Behavioral Neuroscience


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