Resilience-based Diabetes Self-management Education: Perspectives From African American Participants, Community Leaders, and Healthcare Providers.
Resilience-based Diabetes Self-management Education: Perspectives From African American Participants, Community Leaders, and Healthcare Providers.
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DOI：
10.1177/0145721717714894
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发表时间：
2017-08
影响因子：
3.9
通讯作者：
Steinhardt, Mary A.
中科院分区：
文献类型：
--
作者：
Lehrer, H. Matthew;Dubois, Susan K.;Brown, Sharon A.;Steinhardt, Mary A.
这项定性焦点小组研究的目的是进一步完善基于复原力的糖尿病自我管理教育 (RB-DSME) 招募流程和干预措施，在社区中建立更大的信任，并确定增强其作为非裔美国教会环境中基于社区的干预措施的可持续性的策略。六个两小时的焦点小组（N = 55；10 名男性和 45 名女性）由训练有素的主持人主持，并提供书面指南以促进讨论。两次会议的对象是参加过之前 RB-DSME 试点干预措施的 2 型糖尿病 (T2DM) 患者及其家人，两次会议是与当地教会领袖举行，两次会议是与护理 T2DM 患者的社区医疗保健提供者举行。两名独立审稿人使用扎根理论方法进行内容分析，以确定主要主题。通过外部审查和随后与两位定性方法顾问的讨论，增强了核心主题的有效性。人们对 RB-DSME 计划表示了兴趣和接受。教会联系和牧师支持被认为是建立信任和加强该计划的招募、保留和可持续性的关键因素。所有群体的核心主题包括：激励的价值；需要真诚地分享基础知识；视觉教学；应对否认；平衡不利后果的现实与希望；社会支持的重要性；并解决医疗保健提供障碍。焦点小组记录了 RB-DSME 干预措施在加强非裔美国人社区糖尿病护理方面的可行性和潜在有效性。在临床实践中，纳入这些核心主题可能会增强 T2DM 的自我护理和治疗结果。
The purpose of this qualitative, focus group study was to further refine the Resilience-Based Diabetes Self-Management Education (RB-DSME) recruitment process and intervention, build greater trust in the community, and identify strategies to enhance its sustainability as a community-based intervention in African-American church settings. Six two-hour focus groups (N = 55; 10 males and 45 females) were led by a trained moderator with a written guide to facilitate discussion. Two sessions were conducted with individuals diagnosed with type 2 diabetes mellitus (T2DM) who participated in previous RB-DSME pilot interventions and their family members, two sessions with local church leaders, and two sessions with community healthcare providers who care for patients with T2DM. Two independent reviewers performed content analysis to identify major themes using a grounded theory approach. The validity of core themes was enhanced by external review and subsequent discussions with two qualitative methods consultants. There was expressed interest and acceptability of the RB-DSME program. Church connection and pastor support were noted as key factors in building trust and enhancing recruitment, retention, and sustainability of the program. Core themes across all groups included: the value of incentives; the need for foundational knowledge shared with genuine concern; teaching with visuals; dealing with denial; balancing the reality of adverse consequences with hope; the importance of social support; and addressing healthcare delivery barriers. Focus groups documented the feasibility and potential effectiveness of RB-DSME interventions to enhance diabetes care in the African-American community. In clinical practice, inclusion of these core themes may enhance T2DM self-care and treatment outcomes.
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影响因子：
11.4
作者：
Grol, R;Wensing, M
通讯作者：
Wensing, M
影响因子：
64.8
作者：
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通讯作者：
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影响因子：
3.9
作者：
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通讯作者：
Bangdiwala, Shrikant I.
影响因子：
3.3
作者：
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通讯作者：
Von Korff, Michael
影响因子：
2.8
作者：
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通讯作者：
Buse, John B.