Kwon Simona C, Wyatt Laura C, Kum Susan S, Zanowiak Jennifer M, Kim Sara S, Yi Stella S, Min Deborah, Lee Linda, Islam Nadia S
Department of Population Health, NYU Grossman School of Medicine, New York, New York, USA.
Evernorth, St. Louis, Missouri, USA.
Health Equity. 2022 Mar 3;6(1):167-177. doi: 10.1089/heq.2021.0137. eCollection 2022.
Despite the small but growing number of studies documenting the increasing prevalence of diabetes among Korean Americans, no culturally adapted interventions have been developed for Korean Americans at risk for diabetes. We evaluate the efficacy of a culturally tailored lifestyle intervention among Korean American immigrants at risk for diabetes in New York City (NYC).
Korean Americans at risk for diabetes were recruited into a culturally adapted, community health worker (CHW) intervention in NYC. Treatment group participants received 6 group sessions and 10 follow-up phone calls from CHWs over the 6-month period. Control participants received only the first session. Study outcomes included changes in weight, body mass index (BMI), blood pressure, physical activity (PA) and PA behaviors, nutrition behaviors, and diabetes knowledge. Paired -tests and chi-square tests assessed group differences for each group for each outcome measure.
The treatment group reported significant positive changes in recommended weekly PA, PA self-efficacy, PA barriers, nutrition self-efficacy, diabetes knowledge, weight, BMI, and systolic blood pressure compared with control participants. Generalized estimated equations models for repeated measures assessed change across time while adjusting for study arm, time point, and the interaction between study arm and time point. The intervention effect was significant for weekly moderate and vigorous PA, recommended weekly PA, PA self-efficacy, and diabetes knowledge.
Results suggest that a culturally adapted lifestyle intervention for Korean American immigrants at risk for diabetes have the potential to improve behaviors associated with cardiovascular disease outcomes and diabetes prevention. Further research among Korean Americans is warranted.
尽管记录韩裔美国人中糖尿病患病率上升的研究数量不多但在不断增加，但尚未针对有糖尿病风险的韩裔美国人开发出适合其文化背景的干预措施。我们评估了一种针对纽约市有糖尿病风险的韩裔美国移民的文化适应性生活方式干预措施的效果。
招募有糖尿病风险的韩裔美国人参与纽约市一项经过文化适应性调整的社区卫生工作者干预项目。治疗组参与者在6个月内接受6次小组会议和社区卫生工作者的10次随访电话。对照组参与者仅接受第一次会议。研究结果包括体重、体重指数（BMI）、血压、身体活动（PA）及PA行为、营养行为和糖尿病知识的变化。配对t检验和卡方检验评估了每组在每个结果指标上的组间差异。
与对照组参与者相比，治疗组在推荐的每周PA、PA自我效能感、PA障碍、营养自我效能感、糖尿病知识、体重、BMI和收缩压方面报告了显著的积极变化。重复测量的广义估计方程模型在调整研究组、时间点以及研究组与时间点之间的相互作用的同时，评估了随时间的变化。干预效果在每周中等强度和剧烈PA、推荐的每周PA、PA自我效能感和糖尿病知识方面具有显著性。
结果表明，针对有糖尿病风险的韩裔美国移民的文化适应性生活方式干预措施有可能改善与心血管疾病结局和糖尿病预防相关的行为。有必要在韩裔美国人中进行进一步研究。
