A Family-Based Diabetes Intervention for Hispanic Adults in an Emerging Communit

项目总结（见说明）： 西班牙裔2型糖尿病患者的自我管理能力比非西班牙裔白人差。 强调个人在疾病管理中的作用的干预措施显示出有限的 西班牙人的效率。由于对家庭的强调和家庭支持的重要性， 西班牙文化中的系统，解决家庭对糖尿病管理的影响可能会导致 通过创造一个更加知情和支持的环境来改善健康。因此，本研究的具体目的是测试西班牙裔2型糖尿病患者及其家庭成员8周干预的有效性。 实验组（n=39名糖尿病患者和n=39名家庭成员）将参加一项旨在改善糖尿病自我管理、control.family支持和健康相关生活质量的计划。实验组的八个每周互动模块是从一个以家庭为基础的糖尿病计划修改而来的，反映了国家糖尿病自我管理教育标准和国家糖尿病教育计划。将根据文化信仰和价值观调整模块，并将针对低识字水平进行调整。糖尿病受试者（n=39）及其家庭成员（n=39）的注意力控制组将接受8次一般健康信息会议。参与者将在西班牙裔糖尿病诊所和教堂招募。将在基线（家庭会议）、干预后（家庭会议）、干预后1个月和6个月收集所有参与者的数据。 参与者将完成关于糖尿病知识、家庭支持、糖尿病自我效能、糖尿病自我护理活动、身体活动、饮食和健康相关生活质量的问卷。人体测量将包括身高、体重、腰围、血脂、AlC和血压。将多水平模型（混合效应重复测量）与数据拟合，以检验假设并估计组间差异的大小。拟议的针对具体文化的家庭干预措施有可能影响到我们的 长期目标是加强糖尿病自我管理，实现最佳血糖控制，减少西班牙裔人群中更常见的糖尿病并发症。

PROJECT SUMMARY (See instructions): Hispanics with type 2 diabetes show poorer self-management ofthe disease than non-Hispanic Whites. Interventions that have emphasized the individual's role in disease management have shown limited effectiveness for Hispanics. Because ofthe strong emphasis on family and the importance of family support systems within Hispanic culture, addressing family influences on diabetes management may result in improved health by creating a more informed and supportive context. Therefore, the specific aim of this study is to test the efficacy of an 8-week intervention for Hispanics with type 2 diabetes and their family members. The experimental group (n=39 participants with diabetes and n=39 family members) will participate in a program designed to improve diabetes self-management, glycemic control.family support and health-related quality of life. Eight weekly interactive modules for the experimental group have been modified from a family based diabetes program reflecting the National Standards for Diabetes Self-Management Education and the National Diabetes Education Program. Modules will be tailored to integrate cultural beliefs and values and will be adapted for low literacy levels. An attention control group of participants with diabetes (n=39) and their family members (n=39) will receive 8 sessions on general health information. Participants will be recruited at Hispanic-serving diabetes clinics and churches. Data will be collected on all participants at baseline (family session), post intervention (family session), 1 month and 6 months after the intervention. Participants will complete questionnaires on diabetes knowledge, family support, diabetes self-efficacy, diabetes self-care activities, physical activity, diet and health-related quality of life. Anthropometric measures will include height, weight, waist circumference, lipids, AlC and blood pressure. Multilevel models (mixed effect repeated measures) will be fit to the data to test hypotheses and estimate the magnitude of differences between the groups. The proposed culturally specific family-based intervention has the potential to reach our long-term objective, which is to enhance diabetes self-management, achieve optimal glycemic control and reduce complications more frequently associated with diabetes among the Hispanic population.