Diabetes self-management education exposure and glycated haemoglobin levels among Marshallese participants in a randomized controlled study.
Diabetes self-management education exposure and glycated haemoglobin levels among Marshallese participants in a randomized controlled study.
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DOI：
10.1111/dme.14189
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发表时间：
2020-02
影响因子：
3.5
通讯作者：
Rowland, B.
中科院分区：
文献类型：
--
作者：
McElfish, P. A.;Long, C. R.;Bursac, Z.;Scott, A. J.;Felix, H. C.;Schulz, T. K.;Worley, M. A.;Rowland, B.
糖尿病自我管理教育（DSME）的随机对照试验（RCT），由阿肯色州大学医学科学（UAMS）和阿肯色州马绍尔社区之间的社区参与性研究（CBPR）合作进行。随机对照试验研究了干预暴露时间的影响，假设增加暴露是发现适应性家庭DSME比标准DSME更有效的原因之一。将221名马绍尔2型糖尿病患者随机分为适应性家庭DSME组（家庭环境）（n=110）或标准DMSE组（社区环境）（n=111）。适应性家庭DSME包括10小时的教育，涵盖了美国糖尿病协会（ADA）和美国糖尿病教育者协会（AADE）建议的核心自我护理要素。标准DSME包括10小时的干预，包括所有ADA和AADE核心要素。适应性系列DSME组的干预暴露小时数（平均值=8.0;中位数=10.0）显著高于标准DSME组接受的干预小时数（平均值=1.5;中位数=0.0）。根据假设，在仅包括研究组和暴露量的模型中（P=0.01），以及在包括研究组、暴露量和所有人口统计学变量的模型中（P =0.046），较高的暴露量与HbA 1c显著降低相关。这一发现与之前的综述一致，即增加DSME暴露可改善血糖控制，10小时或更长时间的DSME可使HbA 1c产生具有临床意义的降低。
A randomized control trial (RCT) of diabetes self-management education (DSME), undertaken by a community-based participatory research (CBPR) partnership between the University of Arkansas for Medical Sciences (UAMS) and the Marshallese community in Arkansas. The RCT examined the effect of the hours of intervention exposure, with the hypothesis that increased exposure is one reason the Adapted-Family DSME was found to be more effective than the Standard DSME. 221 Marshallese with type 2 diabetes were randomized to an Adapted-Family DSME group (in-home setting) (n=110) or a Standard DMSE group (community setting) (n=111). The Adapted-Family DSME included 10 hours of education that covered the core self-care elements recommended by the American Diabetes Association (ADA) and American Association of Diabetes Educators’ (AADE) recommendations. The Standard DSME included 10 hours of intervention with all ADA and AADE core elements. The number of hours of intervention exposure in the Adapted-Family DSME arm (Mean=8.0; Median=10.0) was significantly higher than the number of hours of intervention received in the Standard DSME arm (Mean=1.5; Median=0.0). As hypothesized, higher exposure was associated with a significant reduction in HbA1c in a model including only study arm and exposure (P=0.01), and in a model including study arm, exposure, and all demographic variables (P=0.046). This finding is consistent with previous reviews that showed increased exposure to DSME produced improved glycaemic control and 10 hours or more of DSME produces clinically meaningful reductions in HbA1c.
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影响因子：
5.2
作者：
Baig AA;Benitez A;Quinn MT;Burnet DL
通讯作者：
Burnet DL
影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
DOI：
10.1111/cts.12350
发表时间：
2015-12
期刊：
Clinical and translational science
影响因子：
--
作者：
McElfish PA;Kohler P;Smith C;Warmack S;Buron B;Hudson J;Bridges M;Purvis R;Rubon-Chutaro J
通讯作者：
Rubon-Chutaro J
影响因子：
3.3
作者：
Brunisholz, Kimberly D.;Briot, Pascal;Cannon, Wayne
通讯作者：
Cannon, Wayne
影响因子：
1.5
作者：
Kim Yeary KH;Long CR;Bursac Z;McElfish PA
通讯作者：
McElfish PA