Osborn Chandra Y, Amico K Rivet, Cruz Noemi, Perez-Escamilla Rafael, Kalichman Seth C, O'Connell Ann A, Wolf Scott A, Fisher Jeffrey D
Division of General Internal Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN ; Diabetes Research and Training Center, Vanderbilt Eskind Diabetes Center, Vanderbilt University, Nashville, TN.
Transl Behav Med. 2011 Sep;1(3):568-479. doi: 10.1007/s13142-011-0064-9.
Diabetes education for ethnic minorities should address variations in values underlying motivations, preferences, and behaviors of individuals within an ethnic group. This paper describes the development and implementation of a culturally tailored diabetes intervention for Puerto Rican Americans that can be delivered by a health care paraprofessional and implemented in routine clinical care. We describe a formative process, including interviews with providers, focus groups with patients and a series of multidisciplinary collaborative workshops used to inform intervention content. We highlight the intervention components and link them to a well-validated health behavior change model. Finally, we present support for the intervention's clinical effects, feasibility, and acceptability and conclude with implications and recommendations for practice. Lessons learned from this process should guide future educational efforts in routine clinical care.
针对少数族裔的糖尿病教育应考虑到同一族裔群体中个体在动机、偏好和行为背后价值观的差异。本文描述了一种专门为波多黎各裔美国人量身定制的糖尿病干预措施的开发与实施，该措施可由医疗辅助人员提供，并在常规临床护理中实施。我们描述了一个形成过程，包括与医护人员的访谈、患者焦点小组以及一系列用于确定干预内容的多学科协作研讨会。我们强调了干预措施的各个组成部分，并将它们与一个经过充分验证的健康行为改变模型联系起来。最后，我们展示了对该干预措施临床效果、可行性和可接受性的支持，并就实践中的意义和建议进行了总结。从这个过程中吸取的经验教训应指导未来常规临床护理中的教育工作。
