Description of an academic community partnership lifestyle program for lower income minority adults at risk for diabetes.

Description of an academic community partnership lifestyle program for lower income minority adults at risk for diabetes.
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DOI:
10.1177/0145721710374368
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发表时间:
2010-07
期刊:
The Diabetes educator
影响因子:
--
通讯作者:
Stewart AL
Stewart AL
中科院分区:
其他
文献类型:
--
作者:
Delgadillo AT;Grossman M;Santoyo-Olsson J;Gallegos-Jackson E;Kanaya AM;Stewart AL

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将成功的基于临床的糖尿病预防计划的生活方式干预的策略和方法转化为社区环境是下一步的关键。本文介绍了由一所主要大学的研究人员和当地卫生部门的公共卫生专业人员合作开发的生活方式计划。 Live Well, Be Well (LWBW) 计划旨在满足有糖尿病风险的低收入、少数族裔和文化程度低的成年人的需求。它改编自已证明有效的干预措施,并由卫生部门工作人员以西班牙语和英语提供。该计划由 6 个月的活跃阶段和 6 个月的维护阶段组成,主要通过电话进行,包括一次面对面的规划会议和几次小组研讨会。面对面和小组会议在方便的社区环境中举行。辅导员提供教育和技能培训,以调整饮食和增加身体活动。强调自我选择和可实现的目标设定和行动计划,以提高自我效能。 LWBW 是一项随机试验的干预部分,主要结果是空腹血糖、体重和其他临床指标。该计划提供了一个独特的转化模型,用于为服务不足的人群实施糖尿病风险降低计划。它是针对个人量身定制的、非规定性的,利用了现有的卫生部门基础设施,侧重于电话咨询,使用适合文化的低识字材料,并在当地社区设施中提供。
Translating strategies and approaches from the successful clinically-based Diabetes Prevention Program's lifestyle intervention to community settings is a key next step. This article describes a lifestyle program developed in partnership by researchers at a major university and public health professionals at a local health department. The Live Well, Be Well (LWBW) program was designed to meet the needs of lower-income, minority, and low-literacy adults at risk for diabetes. It was adapted from interventions with demonstrated efficacy and delivered in Spanish and English by health department staff. The program consisted of a 6-month active phase and a 6-month maintenance phase and was primarily telephone-based, with one in-person planning session and several group workshops. In-person and group sessions were held in convenient community-based settings. Counselors provided education and skills training to modify diet and increase physical activity. Self-selected and attainable goal-setting and action plans were emphasized to enhance self-efficacy. LWBW is the intervention component of a randomized trial with primary outcomes of fasting glucose, weight, and other clinical measures. The program provides a unique translational model for implementing diabetes risk reduction programs for underserved populations. Individually-tailored and non-prescriptive, it utilized existing health department infrastructure, focused on telephone counseling, used culturally-appropriate, low-literacy materials, and was delivered in local, community-based facilities.
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