Utz Sharon W, Williams Ishan C, Jones Randy, Hinton Ivora, Alexander Gina, Yan Guofen, Moore Cynthia, Blankenship Jean, Steeves Richard, Oliver M Norman
The University of Virginia School of Nursing, Rural Health Care Research Center, Charlottesville (Dr Utz, Dr Williams, Dr Jones, Dr Hinton, Ms Alexander, Dr Steeves)
University of Virginia School of Medicine, Charlottesville (Dr Yan, Ms Moore, Ms Blankenship, Dr Oliver)
Diabetes Educ. 2008 Sep-Oct;34(5):854-65. doi: 10.1177/0145721708323642.
The purpose of this pilot study was to evaluate a culturally tailored intervention for rural African Americans. Social Cognitive Theory provided the framework for the study.
Twenty-two participants were recruited and randomly assigned to either Group or Individual diabetes self-management (DSME). Group DSME included story-telling, hands-on activities, and problem-solving exercises. Individual DSME sessions focused on goal-setting and problem-solving strategies. Sessions were offered in an accessible community center over a 10-week period.
Outcomes included glycosylated hemoglobin (A1C), self-care actions, self-efficacy level, goal attainment, and satisfaction with DSME. Participants in both Group and Individual DSME improved slightly over the 3-month period in self-care activities, A1C level, and goal attainment. Although differences were not statistically significant, trends indicate improved scores on dietary actions, foot care, goal attainment, and empowerment for those experiencing Group DSME.
The culturally tailored approach was well received by all participants. Improvements among those receiving Individual DSME may indicate that brief sessions usinga culturally tailored approach could enhance self-care and glycemic control. Additional testing among more participants over a longer time period is recommended.
本初步研究的目的是评估一种针对美国农村非裔美国人的文化适应性干预措施。社会认知理论为该研究提供了框架。
招募了22名参与者，并将他们随机分配到小组或个体糖尿病自我管理（DSME）组。小组DSME包括讲故事、实践活动和解决问题的练习。个体DSME课程侧重于目标设定和解决问题的策略。课程在一个便利的社区中心进行，为期10周。
结果包括糖化血红蛋白（A1C）、自我护理行为、自我效能水平、目标达成情况以及对DSME的满意度。小组和个体DSME组的参与者在3个月的时间里，自我护理活动、A1C水平和目标达成情况均略有改善。尽管差异无统计学意义，但趋势表明，经历小组DSME的参与者在饮食行为、足部护理、目标达成和自我效能方面的得分有所提高。
这种文化适应性方法受到了所有参与者的好评。接受个体DSME的参与者的改善可能表明，采用文化适应性方法的简短课程可以增强自我护理和血糖控制。建议在更长的时间内对更多参与者进行进一步测试。
