Effectively translating diabetes prevention: a successful model in a historically underserved community
Effectively translating diabetes prevention: a successful model in a historically underserved community
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DOI：
10.1007/s13142-011-0067-6
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发表时间：
2011-09-01
影响因子：
3.6
通讯作者：
Lorig, Kate
中科院分区：
文献类型：
--
作者：
Horowitz, Carol R.;Eckhardt, Sarah;Lorig, Kate
生活方式干预可以通过减肥来预防糖尿病，但它们很少被转化为在服务不足的社区使用。本研究的目的是描述一个社区-学术合作伙伴关系是如何形成的，并通过发展一个低成本的、文化上和经济上合适的、由同伴领导的社区糖尿病预防项目来解决当地的健康差距。该伙伴关系采用参与式方法，重点关注糖尿病预防，并共同制定了所有干预、招募、研究和评估策略。该合作伙伴保持高临床和科学标准的理念与他们代表和参与社区的能力相结合，促进了一项随机对照试验的发展，该试验取得了统计上显著的持续减肥效果，并招募了主要讲西班牙语的低收入无保险人群。这种干预的成功在于伙伴关系对社区的承诺，研究的共同所有权，以及学术严谨性与社区参与和相关性之间的谨慎平衡。
Lifestyle interventions can prevent diabetes through weight loss, but they are rarely translated for use in underserved communities. The aim of this study was to describe how a community-academic partnership formed and developed a program to address local health disparities by developing a low-cost, culturally and economically appropriate, peer-led community-based diabetes prevention program. Using a participatory approach, the partnership chose to focus on diabetes prevention, and co-developed all intervention, recruitment, research, and evaluation strategies. The partnership's philosophy to maintain high clinical and scientific standards paired with their ability to represent and engage the community facilitated the development of a randomized controlled trial that achieved statistically significant and sustained weight loss, and the recruitment of a largely Spanish-speaking, low income, uninsured population. The success of this intervention lies in the partnership's commitment to the community, co-ownership of research, and a careful balance between academic rigor and community engagement and relevance.