Sulaiman Nabil, Hadj Elaine, Hussein Amal, Young Doris
Department of Family and Community Medicine and Behavioural Sciences, College of Medicine, University of Sharjah, P.O. Box 27272, Sharjah, UAE ; Department of GP, The University of Melbourne, Carlton, Melbourne, VIC 3053, Australia.
Dianella Community Health, Broadmeadows, Melbourne, VIC 3047, Australia.
ISRN Family Med. 2013 Feb 6;2013:735359. doi: 10.5402/2013/735359. eCollection 2013.
In Australia, type 2 diabetes and prediabetes are more prevalent in culturally and linguistically diverse (CALD) communities than mainstream Australians. Purpose. To develop, implement, and evaluate culturally sensitive peer-supported diabetes education program for the prevention of type 2 diabetes in high-risk middle-aged Turkish- and Arabic-speaking people. Methods. A two-day training program was developed. Ten bilingual peer leaders were recruited from existing health and social networks in Melbourne and were trained by diabetes educators. Each leader recruited 10 high-risk people for developing diabetes. Questionnaires were administered, and height, weight, and waist circumference were measured at baseline and three months after the intervention. The intervention comprised two 2-hour group sessions and 30 minutes reinforcement and support telephone calls. Results. 94 individuals (73% women) completed the program. Three months after the program, the participants' mean body weight (before = 78.1 kg, after = 77.3; Z score = -3.415, P = 0.001) and waist circumference (Z = -2.569, P = 0.004) were reduced, their diabetes knowledge was enhanced, and lifestyle behaviours were significantly improved. Conclusions. A short diabetes prevention program delivered by bilingual peers was associated with improved diabetes awareness, changed lifestyle behaviour, and reduction in body weight 3 months after intervention. The findings are encouraging and should stimulate a larger control-designed study.
在澳大利亚，与澳大利亚主流人群相比，文化和语言多元化（CALD）社区中2型糖尿病和糖尿病前期更为普遍。目的。为预防高危中年土耳其语和阿拉伯语人群的2型糖尿病，制定、实施并评估具有文化敏感性的同伴支持糖尿病教育项目。方法。制定了一个为期两天的培训项目。从墨尔本现有的健康和社交网络中招募了10名双语同伴领袖，并由糖尿病教育工作者进行培训。每位领袖招募10名高危糖尿病患者。在基线和干预后三个月进行问卷调查，并测量身高、体重和腰围。干预包括两次2小时的小组课程和30分钟的强化及支持电话。结果。94人（73%为女性）完成了该项目。项目结束三个月后，参与者的平均体重（之前=78.1千克，之后=77.3千克；Z分数=-3.415，P=0.001）和腰围（Z=-2.569，P=0.004）有所降低，糖尿病知识得到增强，生活方式行为显著改善。结论。由双语同伴提供的短期糖尿病预防项目与干预三个月后糖尿病意识的提高、生活方式行为的改变以及体重的减轻有关。这些发现令人鼓舞，应该促使开展更大规模的对照设计研究。
