National Hispanic Council on Aging, 734 15th Street NW Suite 1050, Washington, DC, 20005, USA.
J Community Health. 2013 Dec;38(6):1124-31. doi: 10.1007/s10900-013-9722-9.
We evaluated the effectiveness of the Salud y Bienestar program to deliver diabetes education in the Hispanic population in the United States. This program uses a community outreach model where community health promoters are trained and then they deliver education to other community members regarding diabetes disease, risk factors, and ways to prevent and control disease. This intervention applies a one-group pre- and post-test design to improve diabetes knowledge. The intervention carried out in the states of California, Texas, and Washington DC. A total of 1,413 participants were enrolled. Of these, 73% were females, 46% were 65 years or older, 59% were Mexican, 64% had at least elementary education, 56% had lived in the US for more than 20 years, and 38% participants were self-reported diabetic. Among diabetic participants, a significant improvement was observed on diabetes knowledge when comparing pre- and post-test scores (13.7 vs. 18.6, P < 0.001; Cohen's d = 1.2). Among non-diabetic participants, diabetes knowledge also increased significantly after one-single training session (12.9 vs. 18.2, P < 0.001; Cohen's d = 1.2). The Salud y Bienestar program conducted by community health workers was effective approach to improving diabetes knowledge in the Hispanic population.
我们评估了 Salud y Bienestar 项目在美国西班牙裔人群中开展糖尿病教育的效果。该项目采用社区外展模式，培训社区健康促进者，然后向其他社区成员传授有关糖尿病疾病、风险因素以及预防和控制疾病的方法。这种干预措施采用了一种单组前后测试设计来提高糖尿病知识。该干预措施在加利福尼亚州、德克萨斯州和华盛顿特区进行。共有 1413 名参与者入组。其中，73%为女性，46%年龄在 65 岁或以上，59%为墨西哥人，64%至少接受过小学教育，56%在美国生活了 20 年以上，38%的参与者自我报告患有糖尿病。在糖尿病患者中，与前测和后测得分相比，糖尿病知识显著提高（13.7 对 18.6，P < 0.001；Cohen's d = 1.2）。在非糖尿病患者中，单次培训后糖尿病知识也显著增加（12.9 对 18.2，P < 0.001；Cohen's d = 1.2）。社区卫生工作者开展的 Salud y Bienestar 项目是提高西班牙裔人群糖尿病知识的有效方法。
