底特律社区健康的种族与族裔方法（REACH）伙伴关系：改善非裔美国人和拉丁裔成年人与糖尿病相关的结果。

Racial and Ethnic Approaches to Community Health (REACH) Detroit partnership: improving diabetes-related outcomes among African American and Latino adults.

作者信息

Two Feathers Jacqueline, Kieffer Edith C, Palmisano Gloria, Anderson Mike, Sinco Brandy, Janz Nancy, Heisler Michele, Spencer Mike, Guzman Ricardo, Thompson Janice, Wisdom Kimberlydawn, James Sherman A

机构信息

Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, USA.

出版信息

Am J Public Health. 2005 Sep;95(9):1552-60. doi: 10.2105/AJPH.2005.066134. Epub 2005 Jul 28.

DOI:10.2105/AJPH.2005.066134

PMID:16051927

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1449397/

Abstract

OBJECTIVES

We sought to determine the effects of a community-based, culturally tailored diabetes lifestyle intervention on risk factors for diabetes complications among African Americans and Latinos with type 2 diabetes.

METHODS

One hundred fifty-one African American and Latino adults with diabetes were recruited from 3 health care systems in Detroit, Michigan, to participate in the Racial and Ethnic Approaches to Community Health (REACH) Detroit Partnership diabetes lifestyle intervention. The curriculum, delivered by trained community residents, was aimed at improving dietary, physical activity, and diabetes self-care behaviors. Baseline and postintervention levels of diabetes-specific quality-of-life, diet, physical activity, self-care knowledge and behaviors, and hemoglobin A1C were assessed.

RESULTS

There were statistically significant improvements in postintervention dietary knowledge and behaviors and physical activity knowledge. A statistically significant improvement in A1C level was achieved among REACH Detroit program participants (P<.0001) compared with a group of patients with diabetes in the same health care system in which no significant changes were observed (P=.160).

CONCLUSIONS

A culturally tailored diabetes lifestyle intervention delivered by trained community residents produced significant improvement in dietary and diabetes self-care related knowledge and behaviors as well as important metabolic improvements.

摘要

目的

我们试图确定一种基于社区、文化定制的糖尿病生活方式干预措施对非裔美国人和拉丁裔2型糖尿病患者糖尿病并发症危险因素的影响。

方法

从密歇根州底特律市的3个医疗保健系统招募了151名患有糖尿病的非裔美国人和拉丁裔成年人，参与底特律社区健康种族与族裔方法（REACH）伙伴关系糖尿病生活方式干预。由经过培训的社区居民提供的课程旨在改善饮食、身体活动和糖尿病自我护理行为。评估了特定糖尿病生活质量、饮食、身体活动、自我护理知识和行为以及糖化血红蛋白的基线水平和干预后水平。