{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:52:56Z","timestamp":1787313176770,"version":"build-2736575974"},"reference-count":46,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,4,21]],"date-time":"2017-04-21T00:00:00Z","timestamp":1492732800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["P30DK093002"],"award-info":[{"award-number":["P30DK093002"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["U48\/DP001944"],"award-info":[{"award-number":["U48\/DP001944"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Educ"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of the study was to modify a previously tested Spanish language version of a Mediterranean (Med)-style dietary intervention so that the dietary recommendations align with the cultural and social needs of Hispanic Americans (HAs) with type 2 diabetes (T2D) and evaluate the modified intervention\u2019s feasibility and acceptability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In phase I (formative), semi-structured interviews and focus groups were used to refine the intervention content and format for delivery to HAs with T2D receiving care at a large primary care practice. In phase II (clinical pilot), the 2-month intervention that promoted a Med-style dietary pattern was given to all participants via 2 face-to-face counseling sessions and 2 telephone counseling sessions. Major outcomes were engagement with study activities and intervention acceptability; dietary behavior change at 2 months using the PREDIMED Med-diet score (range, 0-14, higher indicating better dietary pattern) is also reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From clinic records, we identified 86 potentially eligible participants and enrolled 21. Baseline characteristics were: mean age = 52 years, 12 (57%) female, 15 (71%) from Mexico, mean years in the US = 19, low acculturation scores for all, and mean BMI = 33.7 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . Engagement and acceptability were high, with 19 (90%) completing all intervention visits and follow-up measures, all of whom would recommend the program to others. Mean Med-diet score improved from 5.7 to 7.9 (difference = 2.3; 95% CI, 1.0-3.5; P = .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Intervention engagement and acceptability were high, and there was improvement in self-reported dietary behaviors. This type of intervention should be evaluated in randomized trials enrolling HAs with diabetes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0145721717706030","type":"journal-article","created":{"date-parts":[[2017,4,21]],"date-time":"2017-04-21T04:49:27Z","timestamp":1492750167000},"page":"286-296","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Feasibility and Acceptability of a Clinic-based Mediterranean-style Diet Intervention to Reduce Cardiovascular Risk for Hispanic Americans With Type 2 Diabetes"],"prefix":"10.1177","volume":"43","author":[{"given":"Laura","family":"Cubillos","sequence":"first","affiliation":[{"name":"Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, North Carolina (Ms Cubillos, Mr Harbi, Dr Reuland)"},{"name":"UNC Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill, North Carolina (Ms Estrada Del Campo, Dr Keyserling, Dr Samuel-Hodge)"},{"name":"Department of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA (Ms Estrada Del Campo, Dr Samuel-Hodge)"},{"name":"Department of Medicine, UNC School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA (Dr Keyserling, Dr Reuland)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanire","family":"Estrada del Campo","sequence":"additional","affiliation":[{"name":"Cecil G. 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Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, North Carolina (Ms Cubillos, Mr Harbi, Dr Reuland)"},{"name":"UNC Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill, North Carolina (Ms Estrada Del Campo, Dr Keyserling, Dr Samuel-Hodge)"},{"name":"Department of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA (Ms Estrada Del Campo, Dr Samuel-Hodge)"},{"name":"Department of Medicine, UNC School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA (Dr Keyserling, Dr Reuland)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Keyserling","sequence":"additional","affiliation":[{"name":"Cecil G. 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