A resilience intervention in African American adults with type 2 diabetes: a pilot study of efficacy.
A resilience intervention in African American adults with type 2 diabetes: a pilot study of efficacy.
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DOI：
10.1177/0145721708329698
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发表时间：
2009-03
期刊：
影响因子：
--
通讯作者：
Jolly CA
中科院分区：
文献类型：
--
作者：
Steinhardt MA;Mamerow MM;Brown SA;Jolly CA
本初步研究的目的是确定在患有2型糖尿病的非裔美国成年人样本中，为非裔美国人提供糖尿病指导计划（DCP）的可行性。本研究采用单组、前测后测设计来测试DCP的接受度和潜在有效性。研究对象为16名患有2型糖尿病的非裔美国人（8名女性，8名男性）；12名受试者（6名女性，6名男性）完成了该项目。DCP包括每周4次的课程，致力于恢复力教育和糖尿病自我管理，随后是8次每两周一次的支持小组会议。社会心理过程变量（恢复力、应对策略、糖尿病授权）、近端结果（感知压力、抑郁症状、糖尿病自我管理）和远端结果（BMI、空腹血糖、糖化血红蛋白、血脂、血压）在基线和研究开始后6个月进行评估。在8个月时通过焦点小组收集定性数据，以检查DCP的可接受性。初步配对t检验显示，糖尿病赋权、糖尿病自我管理、BMI、HbA1c、总胆固醇、低密度脂蛋白胆固醇、收缩压和舒张压均有统计学显著改善。报告了中到大的效应量。恢复力、感知压力、空腹血糖和高密度脂蛋白胆固醇有所改善，但变化无统计学意义。焦点小组数据证实，参与者对DCP和后续支持小组会议持积极态度，尽管他们建议将项目长度从4周增加到8周。该试点研究证明了DCP在提高非裔美国人社区糖尿病赋权、糖尿病自我管理和减少肥胖、2型糖尿病和心血管疾病进展方面的可行性和潜在有效性。需要随机实验设计来证实这些发现。
The purpose of this pilot study was to determine the feasibility of offering our Diabetes Coaching Program (DCP), adapted for African Americans, in a sample of African American adults with type 2 diabetes. The study utilized a one-group, pretest-posttest design to test the acceptance and potential effectiveness of the DCP. Subjects were a convenience sample of 16 African Americans (8 females; 8 males) with type 2 diabetes; twelve subjects (6 females; 6 males) completed the program. The DCP included four weekly class sessions devoted to resilience education and diabetes self-management, followed by eight biweekly support group meetings. Psychosocial process variables (resilience, coping strategies, diabetes empowerment), and proximal (perceived stress, depressive symptoms, diabetes self-management) and distal outcomes (BMI, fasting blood glucose, HbA1c, lipidemia, blood pressure) were assessed at baseline and six-months post study entry. Qualitative data were collected at eight-months via a focus group conducted to examine the acceptability of the DCP. Preliminary paired t-tests indicated statistically significant improvements in diabetes empowerment, diabetes self-management, BMI, HbA1c, total cholesterol, LDL-cholesterol, and systolic and diastolic blood pressure. Medium to large effect sizes were reported. Resilience, perceived stress, fasting blood glucose, and HDL-cholesterol improved, but changes were not statistically significant. Focus group data confirmed that participants held positive opinions regarding the DCP and follow-up support group sessions, although they suggested an increase in program length from 4 to 8 weeks. The pilot study documented the feasibility and potential effectiveness of the DCP to enhance diabetes empowerment, diabetes self-management, and reductions in the progression of obesity, type 2 diabetes, and CVD in the African American community. Randomized experimental designs are needed to confirm these findings.
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影响因子：
3.8
作者：
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通讯作者：
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影响因子：
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