Department of Family Health Care Nursing, University of California San Francisco, 2 Koret Way, Box 0606, San Francisco, CA 94143-0606, USA.
Res Nurs Health. 2013 Aug;36(4):359-72. doi: 10.1002/nur.21543. Epub 2013 Apr 19.
Chinese Americans demonstrate greater prevalence of diabetes than non-Hispanic whites and find standard diabetes care disregards their cultural health beliefs. Academic researchers and Chinatown agencies collaborated to culturally adapt and test an efficacious cognitive-behavioral intervention using community-based participatory research. Using a delayed-treatment repeated-measures design, 145 adult Chinese immigrants with Type 2 diabetes completed treatment. Immediate benefits of treatment were evident in the improvement (p < .05) in diabetes self-efficacy, diabetes knowledge, bicultural efficacy, family emotional and instrumental support, diabetes quality of life, and diabetes distress. Prolonged benefits were evident in all changed variables 2 months post-intervention. The CBPR approach enabled the development of a culturally acceptable, efficacious behavioral intervention, and provides a model for working with communities that demonstrate health disparities.
美籍华人的糖尿病患病率高于非西班牙裔白人，而且他们发现标准的糖尿病护理忽视了他们的文化健康信念。学术研究人员和唐人街机构合作，利用社区参与式研究对一种有效的认知行为干预措施进行了文化适应性和测试。采用延迟治疗重复测量设计，145 名患有 2 型糖尿病的成年中国移民完成了治疗。治疗的即时效益明显体现在糖尿病自我效能感、糖尿病知识、双语效能感、家庭情感和工具支持、糖尿病生活质量和糖尿病困扰方面的改善（p <.05）。干预后 2 个月，所有变化的变量都表现出了持久的益处。CBPR 方法使一种文化上可接受、有效的行为干预措施得以发展，并为解决存在健康差异的社区提供了一种模式。
