故事改变方案：一项针对 2 型糖尿病西班牙裔/拉丁裔个体的数字故事讲述干预的随机对照试验。
Stories for change protocol: A randomized controlled trial of a digital storytelling intervention for Hispanic/Latino individuals with type 2 diabetes.
机构信息
Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, USA; Center for Clinical and Translational Science, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, USA.
Health, Homelessness & Criminal Justice Lab, Hennepin Healthcare Research Institute, 730 S 8th St, Minneapolis, MN 55415, USA.
出版信息
Contemp Clin Trials. 2023 Mar;126:107093. doi: 10.1016/j.cct.2023.107093. Epub 2023 Jan 20.
BACKGROUND
Hispanic/Latino adults are disproportionately impacted by type 2 diabetes mellitus (T2D). The Stories for Change (S4C) Diabetes digital storytelling intervention promotes T2D self-management among Hispanic/Latino people. We describe the S4C protocol and participant baseline characteristics.
METHODS
Study eligibility criteria: Hispanic or Latino, age 18-70 years, ≥1 office visit within a year at a participating clinic, T2D diagnosis for ≥6 months, HbA1c ≥ 8%, and intention to continue care at the recruitment clinic. We used a two-group, parallel randomized controlled trial design and an intervention derived through a community-based participatory research approach. All participants received usual diabetes care and two cards describing how to engage healthcare teams and access diabetes-related resources. At baseline, the intervention group additionally viewed the 12-min, intervention video (four stories about diabetes self-management). To encourage subsequent video viewing, participants received five monthly text messages. The messages prompted them to self-rate their motivation and self-efficacy for T2D management. The control group received no additional intervention. Bilingual (English/Spanish) staff collected data at baseline, six weeks, three months, and six months including biometric measurements and a survey on diabetes self-management outcomes, theory-based measures, and the number of video views. We reviewed the number of diabetes-related appointments attended using electronic medical record data.
RESULTS
Participants (n = 451; 70% women, mean age = 53 years) had an average HbA1C ≥9%. Intervention participants reported identifying with the storytellers and engaging with the stories.
CONCLUSION
We present a digital storytelling intervention protocol that provides a template for future health promotion interventions prioritizing health disparity populations.
CLINICALTRIAL
gov#NCT03766438.
背景
西班牙裔/拉丁裔成年人受到 2 型糖尿病（T2D）的影响不成比例。故事改变（S4C）糖尿病数字故事讲述干预措施促进了西班牙裔/拉丁裔人群的 T2D 自我管理。我们描述了 S4C 方案和参与者的基线特征。
方法
研究入选标准：西班牙裔或拉丁裔，年龄 18-70 岁，在参与诊所的一年内至少有 1 次就诊，T2D 诊断至少 6 个月，HbA1c≥8%，并打算在招募诊所继续接受治疗。我们采用了两组平行随机对照试验设计，并采用了一种基于社区参与性研究的干预措施。所有参与者均接受常规糖尿病护理和两张描述如何与医疗保健团队合作并获取糖尿病相关资源的卡片。在基线时，干预组还观看了 12 分钟的干预视频（四个关于糖尿病自我管理的故事）。为了鼓励后续观看视频，参与者每月会收到五条短信。这些消息提示他们自我评估他们对 T2D 管理的动机和自我效能感。对照组没有接受额外的干预。双语（英语/西班牙语）工作人员在基线、六周、三个月和六个月时收集数据，包括生物计量测量和糖尿病自我管理结果、基于理论的测量以及视频观看次数的调查。我们通过电子病历数据审查了参加与糖尿病相关的预约次数。
结果
参与者（n=451；70%为女性，平均年龄为 53 岁）的平均 HbA1C≥9%。干预组参与者表示认同讲述者并参与了这些故事。
结论
我们提出了一个数字故事讲述干预方案，为优先考虑健康差异人群的未来健康促进干预措施提供了模板。
临床试验
gov#NCT03766438。
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