Kahn Linda S, Pastore Patricia A, Rodriguez Elisa M, Tumiel-Berhalter Laurene, Kelley Maura, Bartlett Donald P, Saunders Elizabeth A, Fox Chester H
Primary Car Research Institute, Department of Family Medicine, University at Buffalo State University of New York.
Prog Community Health Partnersh. 2012 Winter;6(4):443-50. doi: 10.1353/cpr.2012.0060.
Individuals with serious mental illnesses (SMI) represent a high-risk health disparities population disproportionately affected by diabetes and obesity.
This paper describes a community-based participatory research (CBPR) approach to adapting a well-known evidence-based behavioral change protocol, the Diabetes Prevention Program (DPP) lifestyle intervention, for individuals with diabetes and SMI in the community setting.
A committee composed of university researchers and representatives from the recovery community modified the DPP following three criteria: Person centeredness, practicality, and empowerment.
Major modifications to the DPP were made in light of barriers and challenges faced by individuals with diabetes and SMI.
The adaptations made to the DPP, and the process through which the modifications were made, may be used by physicians, mental health practitioners, and health educators to engage individuals confronting self-management of diabetes and mental illness.
患有严重精神疾病（SMI）的个体是一个健康差距高危人群，受到糖尿病和肥胖症的影响尤为严重。
本文描述了一种基于社区的参与性研究（CBPR）方法，旨在针对社区环境中患有糖尿病和严重精神疾病的个体，调整一种著名的循证行为改变方案——糖尿病预防计划（DPP）生活方式干预。
一个由大学研究人员和康复社区代表组成的委员会根据三个标准对DPP进行了修改：以患者为中心、实用性和赋权。
鉴于糖尿病和严重精神疾病患者所面临的障碍和挑战，对DPP进行了重大修改。
对DPP所做的调整以及做出这些调整的过程，可供医生、心理健康从业者和健康教育工作者用于促使面临糖尿病和精神疾病自我管理问题的个体参与进来。
