Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Département de Médecine Familiale et Médecine D'urgence, Université de Montréal, Montreal, Québéc, Canada.
Can J Diabetes. 2013 Oct;37(5):294-300. doi: 10.1016/j.jcjd.2013.07.001.
This article describes the Community Health Awareness Diabetes (CHAD) program and its feasibility. Developing and testing the feasibility of strategies to detect diabetes in the community is an important primary care issue. The CHAD program was designed to be a feasible and reproducible, low-cost community program to identify high-risk individuals for subsequent diabetes screening by their family doctors.
Participants from Grimsby, Ontario, older than age 40, were invited to self-risk-assess for diabetes using a validated questionnaire and 2 near-patient blood tests (capillary blood glucose and glycosylated hemoglobin). Some participants were self-selected, having seen advertising for the program, others were invited by a letter from their family doctor. None of the participants had pre-existing diabetes. Numbers and characteristics of participants, numbers found at risk and satisfaction of participants were examined.
There were 588 participants in CHAD. Of these, the majority had received invitation letters, the majority of participants were seniors and were females, 526 did not have pre-existing diabetes and 16% of participants (n=84 of 526) were identified as being at high risk for diabetes. Participants at high risk of diabetes had significantly more modifiable risk factors, including higher fat, fast food and salt intake, and higher systolic blood pressure. Satisfaction with the program was high.
The CHAD program was feasible and participants were satisfied with it. Participants had a large number of modifiable risk factors. This program could be repeated in other communities and modified to suit the infrastructure of the area.
本文介绍了社区健康意识糖尿病（CHAD）计划及其可行性。开发和测试在社区中检测糖尿病的策略是一个重要的初级保健问题。CHAD 计划旨在成为一种可行且可重复的、低成本的社区计划，通过家庭医生对高危个体进行后续糖尿病筛查。
安大略省格里姆斯比的 40 岁以上参与者被邀请使用经过验证的问卷和 2 种床边血液检测（毛细血管血糖和糖化血红蛋白）进行自我风险评估。一些参与者是自我选择的，他们看到了该计划的广告，而另一些则是收到家庭医生的来信邀请。所有参与者均无既往糖尿病。检查参与者的数量和特征、发现处于风险中的人数以及参与者的满意度。
CHAD 共有 588 名参与者。其中，大多数人收到了邀请信，大多数参与者是老年人且为女性，526 人没有既往糖尿病，16%的参与者（526 人中的 84 人）被认为有患糖尿病的高风险。患有糖尿病高风险的参与者有更多可改变的风险因素，包括更高的脂肪、快餐和盐的摄入量，以及更高的收缩压。参与者对该计划的满意度很高。
CHAD 计划是可行的，参与者对其感到满意。参与者有大量可改变的风险因素。该计划可以在其他社区重复进行，并根据该地区的基础设施进行修改。
