Nguyen Annie L, Angulo Marco, Haghi Linda L, Cruz Maya, Nikroo Nahal, Peraza Sarah, Bennink Justin, Duru O Kenrik, Moore Alison A, Mosqueda Laura A
USC Keck School of Medicine Department of Family Medicine, 1000 South Fremont Ave, unit 22, Alhambra, CA 91803.
UC, Irvine, Department of Family Medicine, 101 The City Drive South Building 200, Suite 835, Orange, CA 92868.
J Health Environ Educ. 2016;8:1-6. doi: 10.18455/08001.
Successful diabetes self-management requires behavioral and lifestyle changes. However, low-income patients may face challenges related to poverty that make it difficult to engage in lifestyle changes. We piloted an intervention designed to help older, low-income, Hispanic, patients with diabetes access free or low-cost community resources to enhance diabetes self-management. Results from this pilot intervention are reported.
Patients were recruited at baseline to complete surveys assessing diabetes self-care activities, diabetes self-efficacy, and general self-efficacy. Volunteers were trained by a clinic social worker to help patients identify needs and make referrals to local community resources (e.g., housing, transportation, food, clothing, dental and prescription services, employment, or family social services). Identical surveys were administered at 3-month follow-up.
28 patients were recruited at baseline and 18 patients completed the follow-up assessment. No significant changes in diabetes care and self-efficacy were detected. All patients requested at least one referral to a community resource. The most common requests were for low-cost dental clinics, food assistance, and housing support. At follow-up, nine (50%) patients contacted their given referrals.
The need for assistance with basic social services is high in this population. The rate of referral uptake (50%) is high for a relatively low intensity intervention. Since the completion of the pilot, the program has trained 21 volunteers and helped over 220 patients in a primary care clinic. Using a volunteer model and creating connections to existing community resources is a cost-conscious way to deliver needed services to patients.
成功的糖尿病自我管理需要行为和生活方式的改变。然而，低收入患者可能面临与贫困相关的挑战，这使得他们难以进行生活方式的改变。我们开展了一项干预措施，旨在帮助年龄较大、低收入的西班牙裔糖尿病患者获取免费或低成本的社区资源，以加强糖尿病自我管理。本文报告了该试点干预措施的结果。
在基线时招募患者，以完成评估糖尿病自我护理活动、糖尿病自我效能感和一般自我效能感的调查。志愿者由诊所社会工作者培训，以帮助患者确定需求并转介至当地社区资源（如住房、交通、食品、衣物、牙科和处方服务、就业或家庭社会服务）。在3个月的随访时进行相同的调查。
在基线时招募了28名患者，18名患者完成了随访评估。未检测到糖尿病护理和自我效能感有显著变化。所有患者至少请求转介至一项社区资源。最常见的请求是低成本牙科诊所、食品援助和住房支持。在随访时，9名（50%）患者联系了他们所获得的转介资源。
该人群对基本社会服务援助的需求很高。对于强度相对较低的干预措施，转介接受率（50%）较高。自试点完成以来，该项目已培训了21名志愿者，并在一家初级保健诊所帮助了220多名患者。采用志愿者模式并与现有社区资源建立联系是一种经济高效的方式，可为患者提供所需服务。
