The Vivir Mejor! Consortium: A Rural, US-México Collaborative Model to Prevent and Treat Diabetes

Kunz, Susan; Ingram, Maia; Piper, Rosalinda; Ochoa, Sylvia; Sander, Alicia; Navarro, Cecilia; McKenzie, Sean K.

doi:10.1353/hpu.2016.0188

Cited by 3 publications

(2 citation statements)

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“…A limitation to this case study is the lack of data collected to document the effectiveness of the Consortium. Whereas the program evaluation team collected pre- and postdata from diabetes education participants (Kunz et al, 2016), the team did not collect information to quantify the Consortium’s impact on diabetes prevention and management or the community at-large. There is limited guidance in the literature on what measures would capture the benefits of community-level partnerships to effect change.…”

Section: Discussionmentioning

confidence: 99%

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Rural Collaborative Model for Diabetes Prevention and Management: A Case Study

Kunz

Ingram

Piper

et al. 2017

Health Promotion Practice

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Diabetes disproportionately affects racial and ethnic minorities, rural, and impoverished populations. This case study describes the program components and key lessons learned from implementing Vivir Mejor! (Live Better!), a diabetes prevention and management program tailored for the rural, Mexican American population. The program used workforce innovations and multisector partnerships to engage and activate a rural, mostly Hispanic population. Community health worker (CHW) roles were designed to reach and support distinct populations. Promotoras focused exclusively on health education and patient navigators individually coached patients with chronic disease management issues for the high-risk patient population. To extend diabetes health education to the broader community in Santa Cruz County, promotoras trained lay leaders to become peer educators. Multisector partnerships allowed the program to offer health and social services around diabetes care. The partners also supported provider engagement through continuing education workshops and digital story screening to encourage referrals to the program. Multisector partnerships, including partnering with critical access hospitals, for diabetes management and prevention, as well as using different types of CHWs to implement programs that target high-and low-risk populations are innovative and valuable components of the Vivir Mejor! model.

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Section: Discussionmentioning

confidence: 99%

“…evaluation assessed three aspects of the program: diabetes education classes, nutrition counseling, and diabetes management. The data and methodology are published elsewhere (Kunz et al, 2016) and the effects of Vivir Mejor! on health behaviors and outcomes are described below.…”

Section: Strategiesmentioning

confidence: 99%