Study protocol for family model diabetes self-management education with Marshallese participants in faith-based organizations.
Study protocol for family model diabetes self-management education with Marshallese participants in faith-based organizations.
复制标题
DOI：
10.1016/j.conctc.2022.101007
复制
发表时间：
2022-12
影响因子：
1.5
通讯作者：
中科院分区：
文献类型：
--
作者：
使用社区卫生工作者（CHW）的糖尿病自我管理教育和支持（DSMES）的文化适当家庭模式已被证明有助于解决改善种族/少数族裔社区2型糖尿病（T2 DM）自我管理的障碍;然而，马绍尔人和其他太平洋岛民的DSMES研究有限。使用基于社区的参与性研究方法，我们让社区利益相关者共同设计了一项研究，以在信仰组织（FBO）中实施文化适应的家庭模式DSMES（F-DSMES）干预（即，教堂）。采用随机分组对照试验设计，我们将评估F-DSMES干预对阿肯色州和俄克拉荷马州马绍尔T2 DM患者的有效性。24名FBO（每个FBO有12名主要参与者）将被随机分配到两个研究组之一：干预组或等待名单对照组。主要参与者必须至少有一名家庭成员愿意参加教育课程和数据收集活动。F-DSMES干预包括由CHW在8至10周内提供10小时的糖尿病教育。将在干预前（基线）、干预后即刻（12周）和干预后3个月从干预组收集数据。等待列表控制臂将在接收干预之前完成第二次干预前数据收集。主要研究结局将是血糖控制（通过HbA 1c测量）。次要指标包括血糖、体重、体重指数、血压、糖尿病自我管理行为和糖尿病管理自我效能。从这项研究中获得的知识将为未来的DSMES和与马绍尔群岛和其他太平洋岛民社区进行的其他健康促进干预提供信息。
Culturally-appropriate family models of diabetes self-management education and support (DSMES) using community health workers (CHWs) have been shown to help address barriers to improving type 2 diabetes mellitus (T2DM) self-management for racial/ethnic minority communities; however, there is limited DSMES research among Marshallese and other Pacific Islanders. Using a community-based participatory research approach, we engaged community stakeholders to co-design a study to implement a culturally adapted family model DSMES (F-DSMES) intervention in faith-based organizations (FBOs) (i.e., churches). Using a cluster-randomized controlled trial design, we will assess the effectiveness of the F-DSMES intervention for Marshallese patients with T2DM in Arkansas and Oklahoma. Twenty-four FBOs (with 12 primary participants per FBO) will be randomized to one of two study arms: the intervention arm or the wait-list control arm. Primary participants must have at least one family member willing to attend education sessions and data collection events. The F-DSMES intervention consists of ten h of diabetes education delivered by CHWs over eight to ten weeks. Data will be collected from the intervention arm at pre-intervention (baseline), immediate post-intervention (12 weeks), and three months post-intervention. The wait-list control arm will complete a second pre-intervention data collection before receiving the intervention. The primary study outcome will be glycemic control, as measured by HbA1c. Secondary measures include glucose, weight, body mass index, blood pressure, diabetes self-management behaviors, and diabetes management self-efficacy. The knowledge gained from this research will inform future DSMES and other health promotion interventions conducted with Marshallese and other Pacific Islander communities.
DOI：
10.1353/cpr.2017.0030
发表时间：
2017
期刊：
Progress in community health partnerships : research, education, and action
影响因子：
--
作者：
Yeary KH;Aitaoto N;Sparks K;Ritok-Lakien M;Hudson JS;Goulden P;Bing W;Riklon S;Rubon-Chutaro J;Mcelfish PA
通讯作者：
Mcelfish PA