Fallas Carla R, Pereira Katherine, Padilla Blanca Iris, Felsman Irene, Allen Sharon, Preik Curtis
Camino Community Center, Charlotte, NC.
Lenoir-Rhyne University, Hickory, NC.
Clin Diabetes. 2020 Jul;38(3):213-221. doi: 10.2337/cd19-0052.
A culturally sensitive Healthy Interactions Conversations Maps program was implemented for teaching diabetes self-management education (DSME) to Latinos with type 2 diabetes using peer-led educators in a community health center. Patients were invited to participate in a group care setting to improve access to providers and DSME. Goals were to improve diabetes distress, self-efficacy, and glycemic control as measured by A1C. Significant improvements were found for mean diabetes self-efficacy scores from before (2.53 ± 0.59) to after (2.91 ± 0.50) DSME ( <0.001). Mean A1C decreased significantly from before (9.51 ± 1.72%) to after (8.79 ± 1.68%) DSME ( = 0.043) at the end of the 6-month intervention. Thus, this program was found to be a useful tool for providing DSME in community health clinics serving low-income Latinos.
在社区健康中心，实施了一项具有文化敏感性的“健康互动对话地图”项目，该项目利用同伴主导的教育者向患有2型糖尿病的拉丁裔人群传授糖尿病自我管理教育（DSME）。患者被邀请参加小组护理，以增加与医疗服务提供者接触的机会并接受DSME。目标是改善糖尿病困扰、自我效能感以及糖化血红蛋白（A1C）所衡量的血糖控制情况。结果发现，DSME前后的糖尿病自我效能感平均得分有显著改善，从之前的（2.53±0.59）提高到之后的（2.91±0.50）（<0.001）。在为期6个月的干预结束时，糖化血红蛋白平均水平从DSME之前的（9.51±1.72%）显著降至之后的（8.79±1.68%）（=0.043）。因此，该项目被证明是在为低收入拉丁裔人群服务的社区健康诊所中提供DSME的有用工具。
