一项注重文化敏感性、以赋权为重点、基于社区的健康促进项目对2型糖尿病成年患者健康结局的影响。
The effects of a culturally sensitive, empowerment-focused, community-based health promotion program on health outcomes of adults with type 2 diabetes.
作者信息
Tucker Carolyn M, Lopez Manuel Thomas, Campbell Kendall, Marsiske Michael, Daly Katherine, Nghiem Khanh, Rahim-Williams Bridgett, Jones Jessica, Hariton Eduardo, Patel Avani
出版信息
J Health Care Poor Underserved. 2014 Feb;25(1):292-307. doi: 10.1353/hpu.2014.0044.
Abstract
The purpose of the present study was to test the effects of a culturally sensitive, health empowerment-focused, community-based health promotion program tailored to adult patients with type 2 diabetes on these patients' body mass index (BMI), blood pressure, and self-reported blood glucose levels, treatment adherence, and stress levels. Study participants (N = 130) consisted mostly of African Americans (70%) and Hispanic/Latinos (22.3%) who were divided almost evenly between an intervention group and wait-list control group. The tested health promotion program is informed by Health Self-Empowerment Theory. At post-test, program participants in the intervention group as compared to those in the control group demonstrated significantly lower levels of BMI, diastolic blood pressure, and physical stress. Implications of these study findings for future similar programs and research are discussed.
摘要
本研究的目的是测试一项针对成年2型糖尿病患者量身定制的、具有文化敏感性、以健康赋权为重点的社区健康促进项目对这些患者的体重指数（BMI）、血压、自我报告的血糖水平、治疗依从性和压力水平的影响。研究参与者（N = 130）主要是非洲裔美国人（70%）和西班牙裔/拉丁裔（22.3%），他们几乎平均分配到干预组和等待名单对照组。所测试的健康促进项目以健康自我赋权理论为依据。在测试后，与对照组相比，干预组的项目参与者表现出BMI、舒张压和身体压力水平显著降低。讨论了这些研究结果对未来类似项目和研究的启示。
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