Weight Loss and Prevention in Latina Immigrants: Advancing Methods of Community-Based Intervention Delivery

The 8-week weight loss program, ESENCIAL Para Vivir (Essential for Life), is comprised of 6 groups sessions and 2 individual sessions delivered by a bilingiual, bi-cultural Community Health Advisor. All sessions are interactive with activities that build on educative content and most contain an interactive DVD component. We propose an innovative approach that will employ the DVD in tandem with our education sessions delivered by a Community Health Advisor to maximize buy-in from participants as well as provide access to community health leaders (medical professionals - endocrinologists, internists, nutritionists). Participants will be over 19 years of age, self-identifying as Hispanic women without diabetes, not pregnant or have given birth within the previous six months. The participants will be recruited from Jefferson County through community agencies and organization. Participants will be recruited and screened with an initial contact sheet to ensure that they meet our criteria, then they will be consented and complete baseline measurements. At the completion of the program, participants will repeat measures done at baseline, and 6 months post program completion.

Inclusion criteria

• female aged 19 years or older,
• foreign born, self-identified as Latina,
• no history of diagnosed diabetes,
• fasting blood sugar < 126 mg/dL, and overweight or obese (BMI > 25kg/m2).

Exclusion criteria

• any medical condition for which weight loss was contraindicated; a fasting glucose > 126 mg/dL,
• pregnancy, postpartum less than 6 months, or planning a pregnancy before the end of the study period.