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• W3131173929 abstract "Rural-dwelling Latinos are an underresourced population in need of accessible and effective wellness programs.To evaluate patients' long-term health-related outcomes after lifestyle intervention.An uncontrolled pilot trial assessing change in health from pretreatment to long-term follow-up (12 mo after intervention completion, no contact) and from posttreatment to long-term follow-up.Rural, community-based primary care.Latino and Hispanic safety-net primary care patients, ages 50 to 64 yr.A culturally tailored, 4-mo lifestyle intervention co-led by occupational therapy practitioners and Latino community health workers that features telehealth and in-home sessions covering topics such as healthy eating and navigating health care.Self-reported and physiological outcomes: symptom-well-being (primary), stress, sleep disturbance, social satisfaction, physical activity, patient activation, blood pressure, and weight. Exit interviews addressed health experiences and intervention impact on participants' lives.Participants (N = 27) demonstrated clinically significant pretreatment to long-term follow-up benefits in all symptom-well-being dimensions (Cohen's d ≥ 0.8, p ≤ .004), with additional gains from posttreatment to long-term follow-up (d ≥ 0.4, p ≤ .05). Significant improvements from pre- to posttreatment in systolic blood pressure, stress, and social role and activity satisfaction were maintained at long-term follow-up. No changes were observed in weight, physical activity, or diastolic blood pressure. Participants described the intervention's sustained positive effect on their wellness.A lifestyle intervention led by occupational therapy practitioners and community health workers in a primary care context has potential to achieve long-term health benefits in rural-dwelling, late-midlife Latinos.This study reveals that rural, late-midlife Latinos showed long-lasting improvements in psychological and physical health after finishing a program that helped them make healthy lifestyle choices. This finding supports the unique contribution of occupational therapy in primary care settings." @default.
• W3131173929 created "2021-03-01" @default.
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• W3131173929 date "2021-01-25" @default.
• W3131173929 modified "2023-10-01" @default.
• W3131173929 title "Long-Term Follow-Up of a Lifestyle Intervention for Late-Midlife, Rural-Dwelling Latinos in Primary Care" @default.
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• W3131173929 doi "https://doi.org/10.5014/ajot.2021.042861" @default.
• W3131173929 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7929605" @default.
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