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

项目总结(见说明)： 患有2型糖尿病的西班牙裔人表现出比非西班牙裔白人更差的自我管理能力。 强调个人在疾病管理中的作用的干预措施显示出有限的 对拉美裔美国人的有效性。由于对家庭的强烈重视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 通过创造更知情和更具支持性的环境来改善健康状况。因此，这项研究的具体目的是测试对西班牙裔2型糖尿病患者及其家庭成员进行为期8周的干预的有效性。 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、血糖控制、家庭支持和与健康相关的生活质量的计划。试验组的八个每周互动模块是从反映国家糖尿病自我管理教育标准和国家糖尿病教育计划的家庭糖尿病计划修改而来的。模块将根据文化信仰和价值观进行调整，以适应识字水平较低的学生。糖尿病参与者(n=39)及其家庭成员(n=39)的注意控制组将接受8次关于一般健康信息的培训。参与者将在为西班牙裔服务的糖尿病诊所和教堂招募。将收集所有参与者在基线(家庭会议)、干预后(家庭会议)、干预后1个月和6个月的数据。 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、体力活动、饮食和健康相关生活质量的问卷调查。人体测量将包括身高、体重、腰围、血脂、糖化血红蛋白和血压。多水平模型(混合效应重复测量)将适用于数据，以检验假设并估计组间差异的大小。拟议的基于文化的基于家庭的干预措施有可能到达我们的 长期目标是加强糖尿病的自我管理，实现最佳的血糖控制，并减少拉美裔人群中与糖尿病更频繁相关的并发症。

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.