The baseline and follow-up assessments took place separately from the intervention.
Patients assigned to the intervention group completed the intervention within 5 days of
the baseline assessment. Patients assigned to the control group maintained care as usual,
which included a combination of medical treatment, physician monitoring, and an optional
diabetes support group coupled with group-based didactic education delivered in Spanish.
This diabetes support or education group was free, available on a monthly basis, and
facilitated by a bilingual diabetes community health worker of Puerto Rican heritage.
Group discussion focused on physical activity, meal planning strategies, adherence to
medications, and blood glucose monitoring. The presentation of educational content was conducted in groups of 5 to 15 participants and was specifically not tailored to each
participant or organized on the basis of the IMB model. All participants returned 3 months
later to complete the follow-up assessment.