A Community-Based Diabetes Prevention Program Evaluation of the Group Lifestyle Balance Program Delivered by Diabetes Educators
A Community-Based Diabetes Prevention Program Evaluation of the Group Lifestyle Balance Program Delivered by Diabetes Educators
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DOI：
10.1177/0145721711411930
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发表时间：
2011-09-01
影响因子：
3.9
通讯作者：
Siminerio, Linda M.
中科院分区：
文献类型：
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作者：
Kramer, M. Kaye;McWilliams, Janis R.;Siminerio, Linda M.
目的随着糖尿病和心血管疾病风险人群的增加，糖尿病教育工作者报告说，越来越多的人推荐进行干预以预防这些疾病。糖尿病教育工作者在糖尿病自我管理教育方面具有专业知识;然而，他们通常不准备提供慢性病一级预防。本项目的目的是确定在糖尿病风险的个人谁参加了由训练有素的糖尿病教育工作者在现有的糖尿病自我管理教育社区为基础的计划提供的干预可以减少糖尿病和心血管疾病的危险因素。（城市、郊区和农村）接受培训和支持，以实施群体生活方式平衡计划，这是对糖尿病预防计划生活方式干预的调整，来自匹兹堡大学糖尿病预防支持中心。患有前驱糖尿病和/或代谢综合征的成年人有资格在医生推荐下参加该计划。与使用现有的糖尿病教育网络，招聘完成通过现场医生在服务，信息的信件，和电子邮件联系，以及参与者导向的报纸advertising.ResultsEighty-one参与者参加了这项研究（71名女性，10名男性）。平均整体体重减轻11.3磅（5.1%，P <0.001），此外，空腹血糖，低密度脂蛋白胆固醇，甘油三酯和血压显着下降。ConclusionsThese结果表明，糖尿病教育工作者提供的组生活方式平衡计划是成功的，在降低糖尿病和心血管疾病的高危人群的风险。此外，糖尿病教育工作者，已经纳入现有的卫生保健系统，提供了另一种资源，在社区提供初级预防计划。
PurposeWith growing numbers of people at risk for diabetes and cardiovascular disease, diabetes educators report increasing referrals for intervention in prevention of these conditions. Diabetes educators have expertise in diabetes self-management education; however, they are generally not prepared for delivery of chronic disease primary prevention. The purpose of this project was to determine if individuals at risk for diabetes who participate in an intervention delivered by trained diabetes educators in existing diabetes self-management education community-based programs can reduce risk factors for diabetes and cardiovascular disease.MethodsDiabetes educators in 3 outpatient-hospital programs (urban, suburban, and rural) received training and support for implementation of the Group Lifestyle Balance program, an adaptation of the Diabetes Prevention Program lifestyle intervention, from the Diabetes Prevention Support Center of the University of Pittsburgh. Adults with prediabetes and/or the metabolic syndrome were eligible to enroll in the program with physician referral. With use of existing diabetes educator networks, recruitment was completed via on-site physician in-services, informative letters, and e-mail contact as well as participant-directed newspaper advertisement.ResultsEighty-one participants enrolled in the study (71 women, 10 men). Mean overall weight loss was 11.3 lb (5.1%, P < .001); in addition, significant decreases were noted in fasting plasma glucose, low-density lipoprotein cholesterol, triglycerides, and blood pressure.ConclusionsThese results suggest that the Group Lifestyle Balance program delivered by diabetes educators was successful in reducing risk for diabetes and cardiovascular disease in high-risk individuals. Furthermore, diabetes educators, already integrated within the existing health care system, provide yet another resource for delivery of primary prevention programs in the community.