Project Assignment Page In this assignment, you are invited to continue the work of the outline assignment by composing a research project that includes at least one source and idea for each main par

Babey SH, Wolstein J, Diamant AL, Goldstein H. (2016). Prediabetes in California: Nearly Half of California Adults on Path to Diabetes [Policy brief]. UCLA Center for Health Policy Research and California Center for Public Health Advocacy. https://healthpolicy.ucla.edu/publications/Documents/PDF/2016/prediabetes-brief-mar2016.pdf

The article "Prediabetes in California: Nearly Half of California Adults on Path to Diabetes", shows the alarming statistics related to diabetes care in California. An estimated 13 million have diabetes (undiagnosed or prediabetes), with another 3 million diagnosed with diabetes. Notwithstanding, it is prevalent among young adults of color with close to two-thirds of Latinos, African Americans, and American Indians between 18 and 40. With close to half of the state's population having prediabetes, there is a need for more effort to address issues on the prevention, early detection, and intervention of diabetes. Especially in The Imperial Valley where the numbers of prediabetic or diabetic people, are the highest in California counties. According to the study conducted, 62 percent of Imperial Counties residence are either prediabetic or diabetic. Among the solutions, the authors offer to include policy efforts in focusing on reducing diabetes and prediabetes cases via prevention and treatment. The authors collectively come up with disease prevention and promotion measures, including maintaining a healthy weight, limiting sugar intake, exercising, consuming healthy fruits and foods, all in a bid to reduce developing type 2 diabetes.

Kowitt, S. D., Ayala, G. X., Cherrington, A. L., Horton, L. A., Safford, M. M., Soto, S., ... & Fisher, E. B. (2017). Examining the support peer supporters provide using structural equation modeling: Nondirective and directive support in diabetes management. Annals of Behavioral Medicine, 51(6), 810-821.

The article talks more about the research on what characteristic peer support has. It delves deeper into looking at peer support programs for those who have diabetes. In the study, a few things were examined; the type of support (directive or non-directive) reflected in participants' rating when it came to the support they got. Secondly, it looked at how directive and non-directive support were related to diabetes distress, depressive symptoms. The authors respond to questions and issues as the difference in the characteristics of participants who received these types of support and how peer support, especially non-directive support, was concerned more with lower depressive symptoms than those who received directive support. Notwithstanding, research, or lack of it, is addressed, and the authors convincingly propose support programs for those who have diabetes. The research, which looks at the similarities and differences of the directive and non-directive support to those ailing, also looks at the community's involvement when working with the diabetic and how to help and support them.

 Krass, I., Schieback, P., & Dhippayom, T. (2015). Adherence to diabetes medication: a systematic review. Diabetic Medicine, 32(6), 725-737.

Looking at the extent to which factors are associated with routine adherence to medication (Type 2 diabetes), the study took the study to review the figures. Adherence ranged from close to 40 to 93%. The study looks at how depression and medication costs were the most consistent and potential changeable predictors for such medicine-taking behaviors. The authors also show the associations between other facts and adherence as being inconsistent. The authors look to answer how medication adherence is still a problem. In the study, there is an urgent need for a developed consensus on good adherence to diabetes medication. The authors try looking at the modifiable factors as medication cots and depression and how they affect adherence because of further ongoing research. They also provide guidance and focus on questions regarding targeted interventions in promoting compliance and in optimizing the control of diabetes to limit its progression.

 Louie, S. Y. (1912). The association between depression and social support among Hispanics with type 2 diabetes in Imperial County, California (Doctoral dissertation, Health, and Human Services).

 The article looks at diabetes as a chronic disease characterized by high amounts of blood sugar. Looking at its history and background, the report looks at the study of Hispanic adults and how they are twice more likely to become diabetic than their non-Hispanic white adult counterparts. Notwithstanding, the author mentions how diabetic Hispanics are more likely to get depression than their white counterparts. Offering suggestions as studies have proved, such as getting social support, helps patients take better care of themselves by adhering to a neat self-care regime, including sustaining a healthy diet, maintaining blood glucose, and exercising daily, among others. Sabrina Louie further clarifies that the study's purpose assesses the association between depression among Hispanics and social support in Imperial County. By looking at the cognitive functioning of Latinos in an intervention exercise and depression symptoms, the author conclusively suggests that patients who participated in social support groups were less likely to get depressed.

Parada Jr, H., Horton, L. A., Cherrington, A., Ibarra, L., & Ayala, G. X. (2012). Correlates of medication non-adherence among Latinos with type 2 diabetes. The Diabetes Educator, 38(4), 552-561.

The authors in "Correlates of medication non-adherence among Latinos with type 2 diabetes" assess the factors related to diabetes medication non-adherence in Spanish-speaking Mexican adults. Using the four factors examined (health status, characteristics of patient-provider interactions, characteristics, and complexity of drug regimen and patient-related attributes), the study shows that close to 60% of the patients were considered nonadherent. It was mainly in men engaging in diabetes control behaviors less regularly as well as those with depression. Among this number, education and self-care health was said to be among the reasons that negatively and significantly affected medication adherence in diabetic patients. In the article, the authors try to answer why there are so many numbers of diabetic cases in the Imperial Valley. On the other hand, patients who got a high school education or above and those who could rate their health positively are described as nonadherent compared to those who have education lesser than high school or those who rated their health as poor. The authors' conclusions reflect on potentially higher medication non-adherence rates for those with type 2 diabetes living along the US-Mexico border in rural communities. Despite this, the study implies the need to address issues and strategies related to helping and medication adherence, diabetes control, and depression as a community. 

 Soto, S. C., Louie, S. Y., Cherrington, A. L., Parada, H., Horton, L. A., & Ayala, G. X. (2015). An Ecological Perspective on Diabetes Self-care Support, Self-management Behaviors, and Hemoglobin A1C Among Latinos. The Diabetes Educator, 41(2), 214–223. https://doi.org/10.1177/0145721715569078

The article "An Ecological Perspective on Diabetes Self-care Support, Self-management Behaviors, and Hemoglobin A1C Among Latinos" examines the interpersonal, self, and organizational roles when t comes to supporting the performing of diabetes-related self-management behaviors. The authors show that support from an individual was more associated with eating healthy food and fruits at least most days of the week, exercising, eating food high in fats, and daily foot examination. This type of support, self-support, is also shown to be closely related to A1C. Support from family and friends was mostly interested in exercise and eating fruits and healthy food, while organizational or health support mainly was concerned with eating fats for the better part of the week. The authors explicitly explain how a community can get involved in support of a diabetic patient and how people can make a difference. Not only that, but they answer the questions as a health community and support those with diabetes in a community to maintain a healthy lifestyle