Vissenberg Charlotte, Nierkens Vera, Uitewaal Paul J M, Middelkoop Barend J C, Nijpels Giel, Stronks Karien
Academic Medical Center (AMC), Amsterdam, Netherlands.
The Hague's Public Health Department, The Hague, Netherlands.
Front Public Health. 2017 Dec 18;5:334. doi: 10.3389/fpubh.2017.00334. eCollection 2017.
This article describes the development of the social network-based intervention which aims to improve diabetes self-management (DSM) among patients with type 2 diabetes living in socioeconomically deprived neighborhoods by stimulating social support for DSM and diminishing social influences hindering DSM (e.g., peer pressure and social norms). The intervention was specifically developed for patients with Dutch, Turkish, Moroccan, and Surinamese backgrounds. The intervention was developed according to Intervention Mapping. This article describes the first four steps of Intervention Mapping: (1) the needs assessment; (2) development of performance and change objectives; (3) selection of theory-based methods and strategies; and (4) the translation of these into an organized program. These four steps resulted in , a 10-month group-based intervention consisting of 24 meetings, 6 meetings for significant others, and 2 meetings for participants and their spouses. The IM method resulted in a tailored approach with a specific focus on the social networks of its participants. This article concludes that the IM method helped our planning team to tailor the intervention to the needs of our target population and facilitated our evaluation design. However, in hindsight, the intervention could have been improved by investing more in participatory planning and community involvement.
本文介绍了基于社交网络的干预措施的开发情况,该干预措施旨在通过促进对糖尿病自我管理(DSM)的社会支持并减少阻碍DSM的社会影响(如同伴压力和社会规范),来改善生活在社会经济贫困社区的2型糖尿病患者的DSM。该干预措施是专门为具有荷兰、土耳其、摩洛哥和苏里南背景的患者开发的。该干预措施是根据干预映射法开发的。本文描述了干预映射法的前四个步骤:(1)需求评估;(2)制定绩效和变革目标;(3)选择基于理论的方法和策略;以及(4)将这些转化为一个有组织的项目。这四个步骤产生了一个为期10个月的基于小组的干预措施,包括24次会议、6次针对重要他人的会议以及2次针对参与者及其配偶的会议。干预映射法产生了一种量身定制的方法,特别关注其参与者的社交网络。本文得出结论,干预映射法帮助我们的规划团队根据目标人群的需求定制干预措施,并促进了我们的评估设计。然而,事后看来,通过在参与式规划和社区参与方面投入更多,可以改进该干预措施。