Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Challenges encountered in the Implementation of A Diet and Exercise Intervention for Low-Income Hispanic Older Adults with Diabetes

Version 1 : Received: 2 August 2020 / Approved: 4 August 2020 / Online: 4 August 2020 (04:45:46 CEST)

How to cite: Vaccaro, J.; Gaillard, T.; Caceres, S.; Hollifield, M.; Huffman, F. Challenges encountered in the Implementation of A Diet and Exercise Intervention for Low-Income Hispanic Older Adults with Diabetes. Preprints 2020, 2020080076 (doi: 10.20944/preprints202008.0076.v1). Vaccaro, J.; Gaillard, T.; Caceres, S.; Hollifield, M.; Huffman, F. Challenges encountered in the Implementation of A Diet and Exercise Intervention for Low-Income Hispanic Older Adults with Diabetes. Preprints 2020, 2020080076 (doi: 10.20944/preprints202008.0076.v1).

Abstract

The purpose of this study was to present the challenges faced when implementing a diet and exercise intervention for low-income older Hispanics with type 2 diabetes with an observational study of recruitment, attendance, and characteristics of Hispanic adults with type 2 diabetes in a community congregate meal site pre and post administration of a diet and exercise intervention. This report evaluates retentions and diabetes self-management beliefs Hispanic adults ≥60 years with type 2 diabetes (n=17) at baseline, and completion of the six-month intervention in terms of the Health Belief Model. There was limited interest in controlling diabetes with diet and exercise. Major barriers included lack of perceived vulnerability to diabetes complications and a belief that medication alone is sufficient to stabilize blood glucose. Environmental barriers included lack of transportation, access to exercise groups, access grocery stores, and limited ability to pay for healthy foods. A lesson learned from this intervention was that the diet and exercise intervention given was insufficient as a cue to action for this population interventions to engage low-income, older Hispanics with diabetes in diet and exercise need to consider strategies to overcome barriers such as health beliefs, transportation issues, lack of access to nutritious food and group exercise classes.

Subject Areas

low-income Hispanics; type 2 diabetes; diet and exercise intervention; older adults; Health Belief Model

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