Ingram Maia, Torres Emma, Redondo Flor, Bradford Gail, Wang Chin, O'Toole Mary L
The Mel and End Zuckerman College of Public Health, University of Arizona, Tucson (Ms Ingram, Ms Bradford)
Campesinos Sin Fronteras, Somerton, Arizona (Ms Torres, Ms Redondo)
Diabetes Educ. 2007 Jun;33 Suppl 6:172S-178S. doi: 10.1177/0145721707304170.
The purpose of this study is to describe the effect of a promotora-driven intervention to build social support as a means to affect self-management behaviors and clinical outcomes in a farmworker community on the US-Mexico border.
Promotoras implemented a community-based intervention that included support groups, home/hospital visits, telephone support, and advocacy to people with diabetes. A 12-month pre/post study design was used to investigate the relationship between promotora contact, perceived support, and clinical outcomes. Clinical data were gathered from 70 participants during routine physician visits. A pre/post questionnaire was used to measure perceived support and self-management practices.
Glycosylated hemoglobin (HbA1c) levels decreased 1% among high-risk participants. Improved HbA1c level was associated with promotora advocacy and participation in promotora-led support groups. Participants reported increased support from family and friends and more comfort speaking about diabetes (la enfermedad) with family and friends.
These findings document improvement in both clinical and social health indicators for Mexican Americans in a farmworker community when a promotora model is used to provide and facilitate culturally relevant support for diabetes self-management practices.
本研究旨在描述由健康促进员推动的一项干预措施的效果，该措施旨在建立社会支持，以此作为影响美墨边境一个农场工人社区中自我管理行为和临床结果的一种手段。
健康促进员实施了一项基于社区的干预措施，包括为糖尿病患者提供支持小组、家庭/医院探访、电话支持以及宣传倡导。采用一项为期12个月的前后对照研究设计，以调查健康促进员接触、感知到的支持与临床结果之间的关系。在常规医生问诊期间收集了70名参与者的临床数据。使用一份前后对照问卷来测量感知到的支持和自我管理实践情况。
高危参与者的糖化血红蛋白（HbA1c）水平下降了1%。HbA1c水平的改善与健康促进员的宣传倡导以及参与健康促进员主导的支持小组有关。参与者报告称，从家人和朋友那里得到的支持有所增加，并且在与家人和朋友谈论糖尿病（“la enfermedad”）时更加自在。
这些研究结果表明，当采用健康促进员模式为糖尿病自我管理实践提供并促进具有文化相关性的支持时，美籍墨西哥裔农场工人社区的临床和社会健康指标均有所改善。
