University of Sheffield, School of Health and Related Research, Sheffield, South Yorkshire S1 4DA, United Kingdom.
University of Sheffield, School of Health and Related Research, Sheffield, South Yorkshire S1 4DA, United Kingdom.
Diabetes Res Clin Pract. 2011 Aug;93(2):150-158. doi: 10.1016/j.diabres.2011.06.004. Epub 2011 Jul 12.
This review aimed to synthesise available qualitative evidence on barriers and facilitators to the implementation of community based lifestyle behaviour interventions to reduce the risk of diabetes in black and minority ethnic (BME) groups in the UK.
A search of medical and social science databases was carried out and augmented by hand-searching of reference lists and contents of key journals. Qualitative evidence was synthesised thematically.
A total of 13 papers varying in design and of mainly good quality were included in the review. A limited number of intervention evaluations highlighted a lack of resources and communication between sites. A lack of understanding by providers of cultural and religious requirements, and issues relating to access to interventions for users was reported. Behaviour change was impeded by cultural and social norms, and resistance to change. There were variations in the way dietary change and physical activity was approached by different groups and contrasting practices between generations.
Qualitative data provided insight into the ways that providers might improve or better design future interventions. Acknowledgement of the way that different groups approach lifestyle behaviours may assist acceptability of interventions.
本综述旨在综合现有的定性证据，探讨在英国实施基于社区的生活方式行为干预措施，以降低黑人及少数族裔群体患糖尿病风险的障碍和促进因素。
对医学和社会科学数据库进行了检索，并通过手动检索参考文献和主要期刊的目录进行了补充。定性证据通过主题进行了综合分析。
共纳入了 13 篇设计各异且质量主要较好的论文。有限数量的干预评估强调了各地点之间资源和沟通的缺乏。报告称，提供者对文化和宗教要求以及用户获得干预措施的相关问题缺乏了解。文化和社会规范以及对变革的抵制阻碍了行为的改变。不同群体在饮食改变和体育活动方面的方式存在差异，不同代际之间的做法也存在差异。
定性数据深入了解了提供者可能改进或更好地设计未来干预措施的方式。承认不同群体对待生活方式行为的方式可能有助于提高干预措施的可接受性。
