Primary Care Research Institute, Department of Family Medicine, State University of New York at Buffalo, Buffalo, New York, New York State Area Health Education Center System (NYS AHEC) Statewide Office, Buffalo, New York, D’Youville College, Department of Health Services Administration, Buffalo, New York (Dr Cadzow)
Erie Niagara Area Health Education Center (EN AHEC), Buffalo, New York (Ms Craig)
Diabetes Educ. 2013 Jan-Feb;39(1):100-8. doi: 10.1177/0145721712465342. Epub 2012 Nov 13.
The purpose of this study was to evaluate a community-based diabetes education pilot project. The Neighborhood Health Talker project aimed to train and implement cultural health brokers primarily targeting communities of color to improve community members' diabetes knowledge and diabetes self-management skills. A secondary aim was to establish diabetes resource libraries accessible to communities that normally experience barriers to these resources.
Recruited community members completed 1 week of formal training developed by a multidisciplinary team in Buffalo, NY. The effect of training was evaluated through the use of baseline surveys, a pretest/posttest covering all training content, and daily quizzes evaluating knowledge relevant to each of the five training modules. Trained NHTs then held at least five community conversations in various locations and administered anonymous postconversation surveys to participants. Descriptive statistics and qualitative analysis techniques were used to summarize test, quiz, and survey results.
Twelve women and 1 man completed the training program. Working alone as well as in pairs, each held at least five community conversations reaching over 700 community members of all ages over 3 months and established 8 diabetes resource libraries in the community. All trainees increased their diabetes knowledge and confidence as well as their abilities to perform the tasks of a cultural health broker. Trainees also indicated that the goals they set at training initiation were met.
The training was successful in increasing trainee knowledge and confidence about diabetes prevention and self-management. Participants not only developed proficiency in discussing diabetes, they also made important lifestyle changes that demonstrated their commitment to the cause and the project. Low-cost initiatives like this are easily reproducible in other communities of color and could be modified to meet the needs of other communities as well.
本研究旨在评估一项基于社区的糖尿病教育试点项目。邻里健康谈话者项目旨在培训和实施文化健康经纪人，主要针对有色人种社区，以提高社区成员的糖尿病知识和糖尿病自我管理技能。次要目的是建立糖尿病资源库，使通常难以获得这些资源的社区能够获得这些资源。
招募的社区成员完成了由纽约州布法罗的一个多学科团队制定的为期一周的正式培训。通过使用基线调查、涵盖所有培训内容的预测试/后测试以及每天评估与五个培训模块中每个模块相关的知识的测验，评估培训效果。经过培训的 NHT 随后在不同地点举行了至少五次社区对话，并向参与者发放匿名对话后调查。使用描述性统计和定性分析技术来总结测试、测验和调查结果。
12 名女性和 1 名男性完成了培训计划。他们独自或两人一组，至少举行了五次社区对话，覆盖了 3 个月以上的各个年龄段的 700 多名社区成员，并在社区中建立了 8 个糖尿病资源库。所有受训者都提高了他们的糖尿病知识和信心，以及他们作为文化健康经纪人执行任务的能力。受训者还表示，他们在培训开始时设定的目标已经实现。
培训成功地提高了受训者对糖尿病预防和自我管理的知识和信心。参与者不仅在讨论糖尿病方面变得熟练，还做出了重要的生活方式改变，这表明他们对事业和项目的承诺。像这样的低成本举措在其他有色人种社区很容易复制，也可以根据其他社区的需求进行修改。
