Banna Jinan
Department of Human Nutrition, Food and Animal Sciences, University of Hawaii at Manoa, Honolulu, Hawaii.
Am J Lifestyle Med. 2017 Aug 17;12(1):21-24. doi: 10.1177/1559827617726503. eCollection 2018 Jan-Feb.
Hispanics are at high risk for diabetes. While there have been a number of diabetes prevention programs targeting Hispanics in the United States, not all recent studies focused on evaluating such programs have made use of validated tools to examine behavior change or examined acceptability and feasibility of the intervention. Tools used to assess behavioral outcomes such as diet should be tested to ensure validity and reliability. Acceptability may be examined using qualitative and quantitative measures to obtain feedback on the content of the intervention. Feasibility of the intervention may be evidenced by the enrollment, attendance, and attrition rates, as well as barriers or facilitators to participating in the program. Appropriate and comprehensive evaluation of such programs will allow for continued improvement of prevention efforts to address high rates of diabetes in this at-risk population.
西班牙裔美国人患糖尿病的风险很高。虽然美国有许多针对西班牙裔美国人的糖尿病预防项目,但并非所有近期专注于评估此类项目的研究都使用经过验证的工具来检查行为变化,或考察干预措施的可接受性和可行性。用于评估饮食等行为结果的工具应进行测试,以确保其有效性和可靠性。可接受性可通过定性和定量措施来考察,以获取关于干预内容的反馈。干预措施的可行性可通过参与率、出席率和流失率以及参与项目的障碍或促进因素来证明。对此类项目进行适当而全面的评估将有助于持续改进预防工作,以应对这一高危人群中糖尿病的高发病率。