Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults.
Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults.
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DOI：
10.1371/journal.pone.0279084
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
Rosen, Rochelle K.
中科院分区：
文献类型：
--
作者：
Hawley, Nicola L.;Rivara, Anna C.;Naseri, Joshua;Faumuina, Kitiona;Potoa'e-Solaita, Noelle;Iopu, Francine;Faiai, Mata'uitafa;Naveno, Eminoni;Tasele, Susie;Lefale, Temukisa;Lantini, Ryan;Carlson, Jenna C.;Rabin, Tracy L.;Semaia, Penny;Mugadza, Phyllis;Rosen, Rochelle K.
在过去的二十年里，美国2型糖尿病的诊断增加了一倍多。太平洋岛民是一个风险不成比例的少数群体，他们在预防和自我保健方面面临许多障碍。为了满足这一群体的预防和治疗需求，并建立以家庭为中心的文化，我们将对一种以降血糖为中介的干预措施进行试点测试，该干预措施旨在改善诊断为糖尿病的成对成年家庭成员的血糖控制和自我护理实践。我们将在美属萨摩亚进行一项随机对照试验，受试者为n = 160对夫妇（无糖尿病的青少年和糖尿病成人）。青少年将接受为期六个月的糖尿病干预或领导和生活技能为重点的控制课程。除了研究评估之外，我们将不会与二元体中的成年人接触，他们将继续进行常规护理。为了验证我们的假设，即青少年将是糖尿病知识的有效渠道，并将支持他们配对的成年人采取自我护理策略，我们的主要疗效结局将是成人血糖控制和心血管风险因素（BMI，血压，腰围）。其次，由于我们相信接触干预可能会鼓励青少年自身的积极行为改变，我们将在青少年中测量相同的结果。将在基线、主动干预后（随机化后6个月）和随机化后12个月测量结局，以检查维持效果。为了确定可持续性和规模的潜力，我们将研究干预的可接受性，可行性，保真度，范围和成本。这项研究将探讨萨摩亚青少年作为家庭健康行为改变的代理人的能力。干预的成功将产生一个可扩展的计划，有可能在美国其他以家庭为中心的少数民族群体中复制，这些群体是降低慢性病风险和消除健康差距的创新的理想受益者。
Diagnoses of Type 2 Diabetes in the United States have more than doubled in the last two decades. One minority group at disproportionate risk are Pacific Islanders who face numerous barriers to prevention and self-care. To address the need for prevention and treatment in this group, and building on the family-centered culture, we will pilot test an adolescent-mediated intervention designed to improve the glycemic control and self-care practices of a paired adult family member with diagnosed diabetes. We will conduct a randomized controlled trial in American Samoa among n = 160 dyads (adolescent without diabetes, adult with diabetes). Adolescents will receive either a six-month diabetes intervention or a leadership and life skills-focused control curriculum. Aside from research assessments we will have no contact with the adults in the dyad who will proceed with their usual care. To test our hypothesis that adolescents will be effective conduits of diabetes knowledge and will support their paired adult in the adoption of self-care strategies, our primary efficacy outcomes will be adult glycemic control and cardiovascular risk factors (BMI, blood pressure, waist circumference). Secondarily, since we believe exposure to the intervention may encourage positive behavior change in the adolescent themselves, we will measure the same outcomes in adolescents. Outcomes will be measured at baseline, after active intervention (six months post-randomization) and at 12-months post-randomization to examine maintenance effects. To determine potential for sustainability and scale up, we will examine intervention acceptability, feasibility, fidelity, reach, and cost. This study will explore Samoan adolescents’ ability to act as agents of familial health behavior change. Intervention success would produce a scalable program with potential for replication in other family-centered ethnic minority groups across the US who are the ideal beneficiaries of innovations to reduce chronic disease risk and eliminate health disparities.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
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影响因子：
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作者：
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Heisler M
影响因子：
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作者：
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通讯作者：
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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：
12.7
作者：
Glasgow, Russell E.;Vinson, Cynthia;Hunter, Christine
通讯作者：
Hunter, Christine