Dallam George M, Foust Carol P
Colorado State University-Pueblo, Pueblo, CO, USA.
Health Promot Pract. 2013 Mar;14(2):199-204. doi: 10.1177/1524839912437786. Epub 2012 Jul 3.
The rapidly increasing rate of non-insulin-dependent diabetes (NIDDM) among both market economy and developing countries is a worldwide health phenomenon. The number of diabetics worldwide has been projected to increase from 135 million in 1995 to 300 million in 2025. The purpose of this study was to examine the relative effectiveness of three different approaches to the implementation of the Diabetes Prevention Program, a standardized diabetes prevention curriculum, in various worksite organizations within a single community. The methods of implementation selected included an intensive one-on-one counseling approach, a support group meeting approach, and a passive transfer of information approach. The intervention was successful in creating significant mean improvements overall in the participants who completed the 26-week program as follows: (a) reduction in overall mean body weight and mean body mass index, (b) reduction in overall average mean arterial blood pressure, (c) reduction in overall mean diabetes risk score, and (d) increase in overall mean physical activity level. Although the largest proportion of these changes occurred in the one-on-one intervention group, significant changes in some factors were found in all groups. This illustrates the utility of an on-site and incentive-driven approach to diabetes risk factor modification in the workplace.
在市场经济国家和发展中国家，非胰岛素依赖型糖尿病（NIDDM）发病率的迅速上升是一种全球健康现象。据预测，全球糖尿病患者人数将从1995年的1.35亿增加到2025年的3亿。本研究的目的是检验在一个社区内的不同工作场所组织中，实施糖尿病预防计划（一种标准化的糖尿病预防课程）的三种不同方法的相对有效性。所选择的实施方法包括强化一对一咨询方法、支持小组会议方法和信息被动传递方法。干预措施成功地使完成26周计划的参与者在以下方面总体上有了显著的平均改善：（a）总体平均体重和平均体重指数降低；（b）总体平均动脉血压降低；（c）总体平均糖尿病风险评分降低；（d）总体平均身体活动水平提高。尽管这些变化中最大比例发生在一对一干预组，但在所有组中某些因素都有显著变化。这说明了在工作场所采用现场和激励驱动方法来改变糖尿病风险因素的效用。
