Efficacy of a Language-concordant Health Coaching Intervention for Latinx with Diabetes

Overview

Journal Patient Educ Couns

Publisher Elsevier

Specialties Health Services
Nursing

Date 2021 Dec 13

PMID 34895775

Citations 1

Authors

Usha Menon

Laura A Szalacha

Glenn A Martinez

Margaret C Graham

Jose A Pares-Avila

Kaitlyn Rechenberg

Leah S Stauber

Affiliations

Soon will be listed here.

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.

Citing Articles

Adapting the NIMHD Research Framework for Type 2 Diabetes-Related Disparities.

Diaz M, Braxton M, Owolabi E, Godfrey T, Singh M, Rascon A Curr Diab Rep. 2025; 25(1):24.

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An Evidence Based Rationale for Health and Wellness Coaching as a Complementary Certification in Undergraduate Health Education.

Sibold J, Whitman S, Westervelt K Am J Lifestyle Med. 2024; 18(2):181-185.

PMID: 38559783 PMC: 10979724. DOI: 10.1177/15598276231189206.

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