A Family-Based, Culturally Tailored Diabetes Intervention for Hispanics and Their Family Members
A Family-Based, Culturally Tailored Diabetes Intervention for Hispanics and Their Family Members
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DOI：
10.1177/0145721716636961
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发表时间：
2016-06-01
影响因子：
3.9
通讯作者：
Silva, Zulema
中科院分区：
文献类型：
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作者：
Hu, Jie;Amirehsani, Karen A.;Silva, Zulema
目的探讨以家庭为基础、以文化为导向的干预措施对西班牙裔2型糖尿病患者及其家庭成员的干预效果。干预组接受了为期8周的西班牙语糖尿病教育课程，而注意力控制组在研究完成后接受了8次关于一般健康信息的每周会议和2次关于糖尿病的会议。在基线、干预后以及患者和家属的1个月和6个月的随访中收集数据。结果干预后患者的糖尿病知识和糖尿病自我效能感随着时间的推移而提高(但在6个月的随访期内未维持)。A1C在1个月随访时降低。家庭成员在糖尿病相关知识和身体健康相关生活质量方面均有改善。结论将家庭纳入干预可提高血糖控制、糖尿病知识、自我效能感和身体健康相关生活质量。然而，持续改进的战略是必要的。
Purpose The purpose of this study was to test efficacy of a family-based, culturally tailored intervention for Hispanics with type 2 diabetes and their family members.Methods Hispanic patients with type 2 diabetes and their family members recruited from community clinics and ethnic churches were assigned to groups (N = 186). The intervention group received an 8-week culturally tailored diabetes educational program delivered in Spanish while the attention control group received 8 weekly sessions on general health information and 2 sessions on diabetes after completion of the study. Data were collected at baseline, after intervention, and at 1- and 6-month follow-ups for both patients and families. Comparisons of change over time were performed using growth curve analyses after propensity score adjustment.Results Intervention patients improved in diabetes knowledge and diabetes self-efficacy over time (but did not sustain at 6-month follow-up). A1C was lower at 1-month follow-up. Family members had improvements in diabetes knowledge and physical health-related quality of life.Conclusions Including families in the interventions may improve glycemic control, diabetes knowledge, self-efficacy, and physical health-related quality of life. However, strategies for sustaining improvements are needed.