Community-Based Participatory Research Interventions to Improve Diabetes Outcomes: A Systematic Review.
Community-Based Participatory Research Interventions to Improve Diabetes Outcomes: A Systematic Review.
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DOI：
10.1177/0145721720962969
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发表时间：
2020-12
期刊：
影响因子：
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通讯作者：
Egede LE
中科院分区：
文献类型：
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作者：
Campbell JA;Yan A;Egede LE
本研究的目的是对社区参与式研究（CBPR）干预糖尿病结局进行系统评估。对CBPR干预对糖尿病预后的有效影响的了解有限，研究结果仍不清楚。采用可重复搜索策略来确定测试CBPR干预以改善糖尿病结局的研究，包括糖化血红蛋白、空腹血糖、血压、血脂和生活质量。Pubmed、PsychInfo和CINAHL检索了2010年至2020年间发表的文章。使用CBPR连续体框架，研究根据外联、咨询、参与、合作和共同领导进行分类。总共筛选了172份，并进行了标题搜索以确定资格。共纳入16篇文章进行合成。在使用CBPR方法进行糖尿病干预的16项研究中，有12项在干预后时间点测量的1项或多项糖尿病结局具有统计学显著差异。研究表明，CBPR在糖尿病预后方面有统计学上的显著改善。在纳入合成的16项研究中，14项研究显示在糖化血红蛋白、空腹血糖、血压、血脂和生活质量方面有统计学意义的变化。大多数研究使用社区卫生工作者（CHWs）在群体和个人环境中提供干预措施，并证明糖尿病结局显著降低。本综述总结的证据表明，保健工作者和糖尿病护理和教育专家不仅在干预提供方面发挥着关键作用，而且在以个人和社区为中心的面向外部的糖尿病护理方法的发展中也发挥着关键作用。
The purpose of this study was to conduct a systematic evaluation of community-based participatory research (CBPR) interventions on diabetes outcomes. Understanding of effective CBPR interventions on diabetes outcomes is limited, and findings remain unclear. A reproducible search strategy was used to identify studies testing CBPR interventions to improve diabetes outcomes, including A1C, fasting glucose, blood pressure, lipids, and quality of life. Pubmed, PsychInfo, and CINAHL were searched for articles published between 2010 and 2020. Using a CBPR continuum framework, studies were classified based on outreach, consulting, involving, collaborating, and shared leadership. A total of 172 were screened, and a title search was conducted to determine eligibility. A total of 16 articles were included for synthesis. Twelve out of the 16 studies using CBPR approaches for diabetes interventions demonstrated statistically significant differences in 1 or more diabetes outcomes measured at a postintervention time point. Studies across the spectrum of CBPR demonstrated statistically significant improvements in diabetes outcomes. Of the 16 studies included for synthesis, 14 demonstrated statistically significant changes in A1C, fasting glucose, blood pressure, lipids, and quality of life. The majority of studies used community health workers (CHWs) to deliver interventions across group and individual settings and demonstrated significant reductions in diabetes outcomes. The evidence summarized in this review shows the pivotal role that CHWs and diabetes care and education specialists play in not only intervention delivery but also in the development of outward-facing diabetes care approaches that are person- and community-centered.
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影响因子：
16.2
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影响因子：
39.2
作者：
Heisler M;Choi H;Palmisano G;Mase R;Richardson C;Fagerlin A;Montori VM;Spencer M;An LC
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影响因子：
16.2
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