College of Nursing, New York University, New York, NY, USA.
J Relig Health. 2012 Dec;51(4):1075-97. doi: 10.1007/s10943-011-9481-9.
Non-traditional avenues, such as faith-based organizations (FBOs), must be explored to expand delivery of diabetes self-management education (DSME) to benefit Black Americans with type 2 diabetes (T2D). The purpose of this study was to methodologically review the faith-based health promotion literature relevant to Blacks with T2D. A total of 14 intervention studies were identified for inclusion in the review. These studies detailed features of methods employed to affect health outcomes that DSME similarly targets. Analysis of the faith-based studies' methodological features indicated most studies used (1) collaborative research approaches, (2) pre-experimental designs, (3) similar recruitment and retention strategies, and (4) culturally sensitive, behaviorally oriented interventions with incorporation of social support to achieve positive health outcomes in Black Americans. Findings indicate FBOs may be a promising avenue for delivering DSME to Black Americans. Informed by the findings, a focused discussion on advancing the science of faith-based interventions to expand delivery of DSME to Black Americans with diabetes is provided.
必须探索非传统途径,如信仰组织(FBO),以扩大糖尿病自我管理教育(DSME)的提供,使 2 型糖尿病(T2D)的美国黑人受益。本研究的目的是从方法论上审查与 T2D 黑人相关的基于信仰的健康促进文献。共确定了 14 项干预研究纳入审查。这些研究详细介绍了影响 DSME 同样针对的健康结果的方法特征。对基于信仰的研究方法特征的分析表明,大多数研究采用了(1)合作研究方法,(2)预实验设计,(3)类似的招募和保留策略,以及(4)文化敏感、行为导向的干预措施,结合社会支持,以实现美国黑人的积极健康结果。研究结果表明,FBO 可能是向美国黑人提供 DSME 的有前途的途径。根据研究结果,提供了关于推进基于信仰的干预措施科学的重点讨论,以扩大向患有糖尿病的美国黑人提供 DSME。