Racial and Ethnic Approaches to Community Health (REACH) Detroit partnership: Improving diabetes-related outcomes among African American and Latino adults
Racial and Ethnic Approaches to Community Health (REACH) Detroit partnership: Improving diabetes-related outcomes among African American and Latino adults
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DOI：
10.2105/ajph.2005.066134
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发表时间：
2005-09-01
影响因子：
12.7
通讯作者：
James, SA
中科院分区：
文献类型：
--
作者：
Feathers, JT;Kieffer, EC;James, SA
目标.我们试图确定以社区为基础的、文化上定制的糖尿病生活方式干预对非裔美国人和拉丁美洲2型糖尿病患者糖尿病并发症危险因素的影响。从密歇根州底特律市的3个医疗保健系统招募了151名非洲裔美国人和拉丁美洲成年糖尿病患者，参加种族和民族社区健康方法（REACH）底特律合作伙伴糖尿病生活方式干预。该课程由训练有素的社区居民提供，旨在改善饮食、体育活动和糖尿病自我护理行为。评估基线和干预后糖尿病患者的生活质量、饮食、体力活动、自我护理知识和行为以及血红蛋白A1C水平。干预后饮食知识和行为以及体力活动知识有统计学显著改善。REACH底特律项目参与者的A1C水平在统计学上有显著改善（P
Objectives. We sought to determine the effects of a community-based, culturally tailored diabetes lifestyle intervention on risk factors for diabetes complications among African Americans and Latinos with type 2 diabetes.Methods. One hundred fifty-one African American and Latino adults with diabetes were recruited from 3 health care systems in Detroit, Michigan, to participate in the Racial and Ethnic Approaches to Community Health (REACH) Detroit Partnership diabetes lifestyle intervention. The curriculum, delivered by trained community residents, was aimed at improving dietary, physical activity, and diabetes self-care behaviors. Baseline and postintervention levels of diabetes-specific quality-of-life, diet, physical activity, self-care knowledge and behaviors, and hemoglobin A1C were assessed.Results. There were statistically significant improvements in postintervention dietary knowledge and behaviors and physical activity knowledge. A statistically significant improvement in A1C level was achieved among REACH Detroit program participants (P