Culturally competent diabetes self-management education for Mexican Americans - The Starr County Border Health Initiative
Culturally competent diabetes self-management education for Mexican Americans - The Starr County Border Health Initiative
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DOI：
10.2337/diacare.25.2.259
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发表时间：
2002-02-01
期刊：
影响因子：
16.2
通讯作者：
Hanis, CL
中科院分区：
文献类型：
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作者：
Brown, SA;Kouzekanani, K;Hanis, CL
目的-要确定的影响，在墨西哥裔美国人与2型diabetes.RESEARCH设计和METHODS-一个前瞻性的，随机的，重复的措施进行了研究，在得克萨斯州，墨西哥边境斯塔尔县的糖尿病自我管理干预的文化。共有256名随机选择的2型糖尿病患者，年龄在35岁至70岁之间，35岁后被诊断为2型糖尿病，并由家人或朋友陪同。干预包括52个小时的接触超过12个月，并提供双语墨西哥裔美国护士，营养师和社区工作者。干预包括3个月的每周营养指导会议，自我监测血糖，运动和其他自我护理主题，以及6个月的双周支持小组会议，以促进行为改变。这种方法在语言、饮食、社会重点、家庭参与和纳入文化健康信念方面具有文化能力。结果包括指标的代谢控制（糖化血红蛋白（1c）和空腹血糖），糖尿病知识，糖尿病相关的健康believs.Results-实验组表现出显着较低水平的糖化血红蛋白（1c）和空腹血糖在6个月和12个月和较高的糖尿病知识得分。6个月时，实验对象的平均HbA（1c）比对照组的平均值低1.4%;然而，实验对象的平均水平仍然很高（>10%）。结论-这项研究证实了文化能力的糖尿病自我管理教育对改善墨西哥裔美国人的健康结果的有效性，特别是对于HbA（1c）水平> 10%的那些人。
OBJECTIVE- To determine the effects of a culturally competent diabetes self-management intervention in Mexican Americans with type 2 diabetes.RESEARCH DESIGN AND METHODS- A prospective, randomized, repeated measures study was conducted on the Texas-Mexico border in Starr County. A total of 256 randomly selected individuals with type 2 diabetes between 35 and 70 years of age, diagnosed with type 2 diabetes after 35 years of age, and accompanied by a family member or friend were included. The intervention consisted of 52 contact hours over 12 months and was provided by bilingual Mexican American nurses, dietitians, and community workers. The intervention involved 3 months of weekly instructional sessions on nutrition, self-monitoring of blood glucose, exercise, and other self-care topics and 6 months of biweekly support group sessions to promote behavior changes. The approach was culturally competent in terms of language, diet, social emphasis, family participation, and incorporation of cultural health beliefs. Outcomes included indicators of metabolic control (HbA(1c) and fasting blood glucose), diabetes knowledge, and diabetes-related health beliefs.RESULTS- Experimental groups showed significantly lower levels of HbA(1c) and fasting blood glucose at 6 and 12 months and higher diabetes knowledge scores. At 6 months, the mean HbA(1c) of the experimental subjects was 1.4% below the mean of the control group; however, the mean level of the experimental subjects was still high (>10%).CONCLUSIONS- This study confirms the effectiveness of culturally competent diabetes self-management education on improving health outcomes of Mexican Americans, particularly for those individuals with HbA(1c) levels >10%.