Formative research to adapt the 'Diabetes Prevention Program- Power to Prevent' for implementation in Bamako, Mali.
Formative research to adapt the 'Diabetes Prevention Program- Power to Prevent' for implementation in Bamako, Mali.
复制标题
DOI：
10.1186/s12913-023-10515-6
复制
发表时间：
2024-01-11
影响因子：
2.8
通讯作者：
Doumbia, Seydou
中科院分区：
文献类型：
--
作者：
Doumbia, Lancina;Findley, Sally;Ba, Hamidou Oumar;Maiga, Bonkana;Ba, Aissata;Berethe, Rokiatou Kone;Sangare, Hadja Madje;Kachur, S. Patrick;Besancon, Stephane;Doumbia, Seydou
关键词：
尽管 2 型糖尿病和心血管疾病病例不断增加，但非洲很少有社区层面的行为改变干预措施来降低糖尿病和高血压风险。因此，本研究旨在适应美国疾病控制和预防中心的“糖尿病预防计划力量预防”（DPP-P2P），以用于马里巴马科的低收入城市社区。卫生部的利益相关者、组织合作伙伴和医疗保健提供者对 DPP-P2P 会议指南的最初法语 PowerPoint 改编征求了反馈。选择了糖尿病或高血压高发地区的两个社区卫生中心来协助马里的适应工作。对这些中心的 19 名社区卫生工作者 (CHW) 进行了焦点小组讨论。根据这些讨论的反馈，PowerPoint 演示文稿中添加了更多图形、演示和角色扮演。 19 家社区卫生工作者在 1 个月的时间内对 45 名糖尿病患者或高危患者进行了 12 次试点。每次会议后都会进行反馈讨论，并在参与该计划之前和之后评估饮食和运动习惯的变化。该反馈有助于最终确定 14 个会话序列。 DPP-P2P 会议指南适合文化水平较低的社区卫生工作者，将书面英语指南转换为法文 PowerPoint 演示文稿，并大量使用图片、角色扮演和小组讨论来介绍适合巴马科情况的糖尿病、饮食和运动概念。社区卫生工作者建议采取强有力的以家庭为导向的计划，因此召开了更多会议，争取家庭中所有成年人的支持。试点改编的 45 名参与者对该计划充满热情。计划结束时，日常锻炼的频率、限制脂肪摄入的努力以及更健康饮食和锻炼水平的目标显着增加。本研究记录了开发 DPP-P2P 适应的迭代过程如何导致开发出一套适合文化的材料，受到参与者的欢迎，并有望惠及马里巴马科患有糖尿病或有糖尿病风险的低收入、低识字人群。在线版本包含可在 10.1186/s12913-023-10515-6 获取的补充材料。
There are few community-level behaviors change interventions for reducing diabetes and hypertension risk in Africa, despite increasing cases of type 2 diabetes and cardiovascular diseases. Thus, this study was designed to adapt the United States Centers for Disease Control and Prevention’s “Diabetes Prevention Program Power to Prevent” (DPP-P2P) for use in low-income urban communities of Bamako, Mali. Feedback was elicited on an initial French PowerPoint adaptation of the DPP-P2P session guidelines from stakeholders at the ministry of health, organizational partners, and medical care providers. Two community health centers in districts with high levels of diabetes or hypertension were selected to assist in developing the Malian adaptation. Focus groups were conducted with 19 community health workers (CHWs) of these centers. Based on feedback from these discussions, more graphics, demonstrations, and role plays were added to the PowerPoint presentations. The 19 CHWs piloted the proposed 12 sessions with 45 persons with diabetes or at-risk patients over a one-month period. Feedback discussions were conducted after each session, and changes in dietary and exercise habits were assessed pre and post participation in the program. This feedback contributed to finalization of a 14-session sequence. The DPP-P2P session guidelines were adapted for use by low-literacy CHWs, converting the written English guidelines into French PowerPoint presentations with extensive use of pictures, role plays and group discussions to introduce diabetes, diet, and exercise concepts appropriately for the Bamako context. CHWs recommendations for a strong family-oriented program led to expanded sessions on eliciting support from all adults in the household. The 45 participants in the pilot adaptation were enthusiastic about the program. At the end of the program, there were significant increases in the frequency of daily exercise, efforts to limit fat intake, and goals for more healthy diets and exercise levels. This study documents how an iterative process of developing the DPP-P2P adaptation led to the development of a culturally appropriate set of materials welcomed by participants and having promise for reaching the low-income, low-literacy population with or at risk for diabetes in Bamako, Mali. The online version contains supplementary material available at 10.1186/s12913-023-10515-6.
登录
查看更多内容
基本的调节因素对青少年的健康行为，自我效能和自我保健的影响。
DOI：
10.1080/01460860601087156
发表时间：
2006-10
期刊：
Issues in comprehensive pediatric nursing
影响因子：
--
作者：
Callaghan, Donna
通讯作者：
Callaghan, Donna
影响因子：
3.6
作者：
Helgeson, Vicki S.;Reynolds, Kerry A.;Becker, Dorothy
通讯作者：
Becker, Dorothy
DOI：
10.1177/0272684x18781780
发表时间：
2018-07-01
影响因子：
1.3
作者：
Bakouei, Fatemeh;Seyedi-Andi, Seyed Jalil;Khafri, Soraya
通讯作者：
Khafri, Soraya
影响因子：
2.7
作者：
Busch, Vincent;De Leeuw, Johannes Robertus Josephus
通讯作者：
De Leeuw, Johannes Robertus Josephus
影响因子：
158.5
作者：
Kimm, SYS;Glynn, NW;Liu, K
通讯作者：
Liu, K