Program in Nursing Science, College of Health Sciences, University of California, Irvine, CA, USA
Department of Psychology and Social Behavior, School of Social Ecology, University of California, Irvine, CA, USA
Diabetes Educ. 2012 May-Jun;38(3):377-85. doi: 10.1177/0145721712443292. Epub 2012 Apr 6.
The purpose of this pilot study was to assess the effectiveness, feasibility, and acceptability of a short-duration, culturally tailored, community-based diabetes self- management program (CTCDSP) for Korean immigrants with type 2 diabetes delivered at a non-clinic-affiliated community center.
Forty-one Korean adults with type 2 diabetes participated in a 2-session CTCDSP delivered by a bilingual nurse practitioner at a Korean community center. Outcome measures included biological, behavioral, and general health well-being; diabetes knowledge; and self-efficacy assessed at baseline, post-education, and 3-month follow-up. Repeated-measures analyses of variance were used to explore mean differences in outcomes across the 3 assessment points.
From baseline to 3-month follow-up assessment, participants exhibited significant improvement on several physiological and behavioral measures. Mean levels of hemoglobin A1c and waist circumference decreased, whereas high-density lipoprotein levels increased. Additionally, participants reported an increase in weekly feet checks, and there was a trend increase in participants' reported frequency of exercise activities. The feasibility of the CTCDSP was established, and participant satisfaction with the program was high.
A short-duration CTCDSP may be an effective, feasible, and favorably received approach to improving diabetes outcomes in Korean and potentially other underserved ethnic minority immigrants who have limited access to mainstream clinic-based diabetes self-management programs.
本研究旨在评估一个短期、文化适宜、以社区为基础的糖尿病自我管理项目（CTCDSP）在非诊所附属社区中心为韩国 2 型糖尿病移民提供的有效性、可行性和可接受性。
41 名韩国 2 型糖尿病患者在韩国社区中心由双语执业护士进行了 2 次 CTCDSP。在基线、教育后和 3 个月随访时评估的结果包括生物学、行为和总体健康幸福感、糖尿病知识和自我效能。使用重复测量方差分析来探索 3 个评估点的结果的平均差异。
从基线到 3 个月随访评估，参与者在几个生理和行为测量方面表现出显著改善。血红蛋白 A1c 和腰围的平均水平降低，而高密度脂蛋白水平升高。此外，参与者报告每周进行更多次足部检查，并且参与者报告的运动活动频率呈上升趋势。CTCDSP 的可行性得到了确立，参与者对该项目的满意度很高。
短期 CTCDSP 可能是一种有效的、可行的、并深受韩国和其他可能服务不足的少数民族移民欢迎的方法，这些移民获得主流诊所为基础的糖尿病自我管理项目的机会有限。
