Feathers Jacqueline Two, Kieffer Edith C, Palmisano Gloria, Anderson Mike, Janz Nancy, Spencer Michael S, Guzman Ricardo, James Sherman A
The School of Public Health, Department of Health Behavior and Health Education (Dr. Two Feathers, Dr. Kieffer, Dr. Janz)
Dr Two Feathers is now at the Alaska Native Tribal Health Consortium in Anchorage, Alaska.
Diabetes Educ. 2007 May-Jun;33(3):509-20. doi: 10.1177/0145721707301371.
The purpose of this article was to describe the development, implementation, and process evaluation findings of a culturally tailored diabetes lifestyle intervention for African Americans and Latinos.
African American and Latino adults with type 2 diabetes from 3 health care systems in Detroit, Michigan, participated in diabetes lifestyle intervention of the Racial and Ethnic Approaches to Community Health Detroit Partnership. The intervention curricula were culturally and linguistically tailored for each population. Trained community residents delivered the curricula in 5 group meetings aimed at improving dietary, physical activity, and diabetes self-care behaviors of study participants. The aims of the process evaluation were to assess participant satisfaction with the intervention, utility, and applicability of information and cultural relevance of intervention materials. Content analysis was used to analyze qualitative data. Matrices were developed along thematic lines, and common themes were determined by grouping responses by question.
Ninety-eight percent of participants attended 1 or more intervention classes; 41% attended all 5 meetings. Attendance rates ranged from 59% to 88% for individual meetings. Participants reported that program information and activities were useful, culturally relevant, and applicable to diabetes self-management. Participants also appreciated the convenient community location for meetings and the social support received from other participants.
A community-based, culturally tailored diabetes lifestyle intervention delivered by trained community residents was associated with high participant satisfaction and retention.
本文旨在描述一项针对非裔美国人和拉丁裔的文化定制化糖尿病生活方式干预措施的开发、实施及过程评估结果。
来自密歇根州底特律市3个医疗保健系统的患有2型糖尿病的非裔美国人和拉丁裔成年人参与了底特律社区健康种族与族裔方法伙伴关系的糖尿病生活方式干预。干预课程在文化和语言上针对每个群体进行了定制。经过培训的社区居民在5次小组会议上讲授课程，旨在改善研究参与者的饮食、身体活动和糖尿病自我护理行为。过程评估的目的是评估参与者对干预措施的满意度、信息的实用性和适用性以及干预材料的文化相关性。采用内容分析法分析定性数据。沿着主题线编制矩阵，并通过按问题对回答进行分组来确定共同主题。
98%的参与者参加了1次或更多次干预课程；41%的参与者参加了所有5次会议。各次会议的出席率在59%至88%之间。参与者报告称，项目信息和活动有用、与文化相关且适用于糖尿病自我管理。参与者还对会议地点便利以及从其他参与者那里获得的社会支持表示赞赏。
由经过培训的社区居民提供的基于社区的、文化定制化的糖尿病生活方式干预措施与参与者的高满意度和高留存率相关。
