Menzies Health Institute Queensland, Griffith University, Queensland, Australia; Faculty of Health, University of Technology Sydney, New South Wales, Australia.
Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, Kings College London, United Kingdom.
Diabetes Res Clin Pract. 2021 Jan;171:108541. doi: 10.1016/j.diabres.2020.108541. Epub 2020 Nov 21.
The current study aimed to examine feasibility of participant recruitment and retention rates for the Women's Wellness with Type 2 Diabetes program (WWDP), and to assess initial efficacy of the program in improving wellbeing outcomes.
70 midlife women with type 2 diabetes mellitus (T2DM) participated in a 12-week wellness-focused intervention, the WWDP. The WWDP involved a structured book (with participatory activities), an interactive website and nurse consultations. This study had an Australian and a UK arm. Analyses were conducted using chi-square, McNemar, paired t-test, and Wilcoxon signed-ranks tests.
The attrition rate for the sample was 22.2%. Overall, significant improvement was observed in diabetes distress (DD), diabetes self-efficacy, weight, BMI, menopausal symptoms and sleep symptoms from baseline to program completion at 12 weeks. Australian participants were also more likely to meet fruit recommendation guidelines and had significant waist- and hip-circumference reductions.
Good retention rates and initial efficacy findings indicated feasibility of the WWDP as a promising 12-week health and wellness program for women with T2DM. They also suggest incorporating a focus on self-efficacy and gendered information may be important in improving wellness and health outcomes related to distress and menopause.
本研究旨在考察 2 型糖尿病女性健康计划（WWDP）的参与者招募和保留率的可行性，并评估该计划在改善健康相关幸福感方面的初步效果。
70 名患有 2 型糖尿病的中年女性（T2DM）参加了为期 12 周的以健康为重点的干预计划，即 WWDP。WWDP 包括一本结构化的书籍（带有参与性活动）、一个互动网站和护士咨询。本研究有澳大利亚和英国两个分支。分析采用卡方检验、McNemar 检验、配对 t 检验和 Wilcoxon 符号秩检验。
该样本的失访率为 22.2%。总体而言，从基线到 12 周的项目完成时，糖尿病困扰（DD）、糖尿病自我效能、体重、BMI、更年期症状和睡眠症状都显著改善。澳大利亚参与者也更有可能符合水果推荐指南，腰围和臀围明显减少。
良好的保留率和初步效果发现表明，WWDP 作为一种有前途的 12 周健康和保健计划，适用于 T2DM 女性。它们还表明，关注自我效能和性别信息可能对改善与困扰和更年期相关的健康结果至关重要。
