《针对夏威夷原住民和太平洋岛民的糖尿病自我管理干预措施的结果：关爱伙伴》。
Outcomes from a diabetes self-management intervention for Native Hawaiians and Pacific People: Partners in Care.
机构信息
Department of Native Hawaiian Health, University of Hawaii, Honolulu, 96813, USA.
出版信息
Ann Behav Med. 2013 Feb;45(1):24-32. doi: 10.1007/s12160-012-9422-1.
BACKGROUND
Culturally adapted interventions are needed to reduce diabetes-related morbidity and mortality among Native Hawaiian and Pacific People.
PURPOSE
The purpose of this study is to pilot test the effectiveness of a culturally adapted diabetes self-management intervention.
METHODS
Participants were randomly assigned in an unbalanced design to the Partners in Care intervention (n = 48) or wait list control group (n = 34). Assessments of hemoglobin A1c, understanding of diabetes self-management, performance of self-care activities, and diabetes-related distress were measured at baseline and 3 months (post intervention). Analysis of covariance was used to test between-group differences. The community steering committee and focus group data informed the cultural adaptation of the intervention.
RESULTS
There were significant baseline adjusted differences at 3 months between the Partners in Care and wait list control group in intent-to-treat (p < 0.001) and complete case analyses (p < 0.0001) for A1c, understanding (p < 0.0001), and performing diabetes self-management (p < 0.0001).
CONCLUSIONS
A culturally adapted diabetes self-management intervention of short duration was an effective approach to improving glycemic control among Native Hawaiian and Pacific Islanders.
背景
需要进行文化适应性干预，以降低美属夏威夷和太平洋岛民的糖尿病相关发病率和死亡率。
目的
本研究旨在初步测试一种文化适应性糖尿病自我管理干预的效果。
方法
参与者以非平衡设计随机分配到伙伴关怀干预组（n = 48）或等待名单对照组（n = 34）。在基线和 3 个月（干预后）时测量血红蛋白 A1c、对糖尿病自我管理的理解、自我护理活动的执行情况以及与糖尿病相关的困扰程度。采用协方差分析检验组间差异。社区指导委员会和焦点小组数据为干预的文化适应性提供了信息。
结果
在意向治疗（p < 0.001）和完整病例分析（p < 0.0001）中，伙伴关怀组与等待名单对照组在 3 个月时的 A1c、理解（p < 0.0001）和执行糖尿病自我管理（p < 0.0001）方面存在显著的基线调整差异。
结论
短期的文化适应性糖尿病自我管理干预是改善美属夏威夷和太平洋岛民血糖控制的有效方法。
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