有效转化糖尿病预防：一个在历史上服务不足社区的成功模式。
Effectively translating diabetes prevention: a successful model in a historically underserved community.
作者信息
Horowitz Carol R, Eckhardt Sarah, Talavera Sandra, Goytia Crispin, Lorig Kate
机构信息
Department of Health Evidence and Policy, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1077, New York, NY 10029, USA.
出版信息
Transl Behav Med. 2011 Sep;1(3):443-452. doi: 10.1007/s13142-011-0067-6.
Lifestyle interventions can prevent diabetes through weight loss, but they are rarely translated for use in underserved communities. The aim of this study was to describe how a community-academic partnership formed and developed a program to address local health disparities by developing a low-cost, culturally and economically appropriate, peer-led community-based diabetes prevention program. Using a participatory approach, the partnership chose to focus on diabetes prevention, and co-developed all intervention, recruitment, research, and evaluation strategies. The partnership's philosophy to maintain high clinical and scientific standards paired with their ability to represent and engage the community facilitated the development of a randomized controlled trial that achieved statistically significant and sustained weight loss, and the recruitment of a largely Spanish-speaking, low income, uninsured population. The success of this intervention lies in the partnership's commitment to the community, co-ownership of research, and a careful balance between academic rigor and community engagement and relevance.
生活方式干预可以通过减肥预防糖尿病，但这些干预措施很少被转化用于服务不足的社区。本研究的目的是描述一个社区与学术机构的合作关系如何形成并开展一个项目，通过开发一个低成本、文化和经济上合适、由同伴主导的社区糖尿病预防项目来解决当地的健康差异问题。通过采用参与式方法，该合作关系选择专注于糖尿病预防，并共同制定了所有干预、招募、研究和评估策略。该合作关系秉持维持高临床和科学标准的理念，同时具备代表和吸引社区参与的能力，这促进了一项随机对照试验的开展，该试验实现了具有统计学意义的持续体重减轻，并招募了大量讲西班牙语、低收入、未参保的人群。这项干预措施的成功在于该合作关系对社区的承诺、研究的共同所有权，以及在学术严谨性与社区参与及相关性之间的谨慎平衡。
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