Native American Chronic Disease Self-Management

描述（由申请人提供）：患者自我管理是2型糖尿病患者优质护理的基石。本研究将检查斯坦福慢性病自我管理项目在城市美国印第安人和阿拉斯加原住民（AI/ an）社区中的实施情况。由AI/AN社区领导人组成的社区咨询委员会将用于审查慢性病课程，并进行必要的修改，以使其在文化上适合城市AI/AN人口。通过等候名单对照设计，测量以下评估干预效果的结果：健康状况（与健康相关的生活质量、糖化血红蛋白、体重、身高和血压）自我管理行为（有氧运动、与医生沟通、饮食、血糖自我监测和足部自检）和自我效能感。将对慢性疾病自我管理计划进行过程评估，以检查对课程所做的任何更改，以使课程在文化上符合要求。假设慢性疾病自我管理项目的参与者，在基线后6个月和12个月进行比较时，将显示这些结果测量的改善。

DESCRIPTION (provided by applicant): Patient self-management is a cornerstone of quality care for patients with type 2 diabetes. This study will examine the implementation of the Stanford Chronic Disease Self-Management program within an urban American Indian and Alaska Native (AI/AN) community. A Community Advisory Committee consisting of AI/AN community leaders will be used to review the chronic disease curriculum and make necessary changes so that it is culturally appropriate for the urban AI/AN population. Through a wait-list control design, the following outcomes for evaluating the intervention's impact will be measured: health status (health related quality of life, hemoglobin A1c, weight, height, and blood pressure) self-management behaviors (aerobic exercise, communication with physicians, diet, glucose self-monitoring, and self-examination of the feet), and perceived self-efficacy. A process evaluation of the chronic disease self-management program will be conducted to examine any changes made to the curriculum to make the curriculum culturally competent. It is hypothesized that participants in the chronic disease self-management program, when compared at 6 months and 12 months after baseline, will demonstrate improvements in these outcome measures.