Social Support Groups in the Maintenance of Glycemic Control after Community-Based Intervention.
Social Support Groups in the Maintenance of Glycemic Control after Community-Based Intervention.
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DOI：
10.1155/2016/7913258
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发表时间：
2016
影响因子：
4.3
通讯作者：
Kaholokula JK
中科院分区：
文献类型：
--
作者：
Ing CT;Zhang G;Dillard A;Yoshimura SR;Hughes C;Palakiko DM;Kehauoha BP;Sinclair KA;Kaholokula JK
夏威夷原住民和其他太平洋岛民（NH/PI;例如，萨摩亚人和楚克人）与夏威夷其他群体相比，2型糖尿病患病率较高。护理伙伴（PIC）是一种文化定制的，基于社区的糖尿病自我管理教育干预（DSME），可有效改善参与者的血糖控制和自我护理行为。保持改进是一项挑战。糖尿病相关的社会支持团体（SSG）是DSME的一个有前途的维护组成部分。本研究检查了糖尿病特异性SSG组分相对于对照组的影响，在接受3个月的PIC干预后，将其递送给47名患有2型糖尿病的成人NH/PI。然后，参与者被随机分配到3个月，6次SSG或对照组。在基线、3个月和6个月时评估血红蛋白A1 c（HbA 1c）、血压、甘油三酯、胆固醇和糖尿病自我管理知识和行为。结果表明，从基线到3个月评估，HbA 1c、糖尿病相关自我管理知识和行为均有显著改善。然而，从3个月到6个月的评估中，SSG和对照组之间没有差异，这表明所有参与者都能够保持最初的改善。SSG组在3个月至6个月的评估中收缩压显著降低，而对照组没有。研究的局限性和未来的发展方向进行了讨论。
Native Hawaiians and other Pacific Islanders (NH/PI; e.g., Samoan and Chuukese) have higher type 2 diabetes prevalence compared to other groups in Hawai‘i. Partners in Care (PIC), a culturally tailored, community-based, diabetes self-management education intervention (DSME), is effective at improving participants' glycemic control and self-care behaviors. Maintenance of improvements is challenging. Diabetes-related social support groups (SSG) are a promising maintenance component for DSME. This study examined the effects of a diabetes-specific SSG component relative to a control group, after the receipt of the 3-month PIC intervention, which was delivered to 47 adult NH/PI with type 2 diabetes. Participants were then randomized to either a 3-month, 6-session SSG or a control group. Hemoglobin A1c (HbA1c), blood pressure, triglycerides, cholesterol, and diabetes self-management knowledge and behaviors were assessed at baseline, 3 months, and 6 months. Results indicated significant improvements in HbA1c, diabetes-related self-management knowledge, and behaviors from baseline to 3-month assessment. However, no differences between the SSG and control group from 3-month to 6-month assessment suggest that all participants were able to maintain initial improvements. The SSG group had a significant decrease in systolic blood pressure from 3-month to 6-month assessment while the control group did not. Study limitations and future directions are discussed.