Community Health Worker Coalition for Migrants and Refugees, Edmonds, WA, USA.
Seattle Children's, Seattle, WA, USA.
J Prim Care Community Health. 2023 Jan-Dec;14:21501319231158285. doi: 10.1177/21501319231158285.
The Stanford Youth Diabetes Coaching Program (SYDCP) is an evidence-based program led by health care professionals to teach healthy youth who then coach family members with diabetes or other chronic conditions. This purpose of this study is to evaluate a Community Health Worker (CHW)-led implementation of the SYDCP for low-income Latinx students from underserved agricultural communities.
CHWs were trained and virtually led 10 training sessions virtually during the COVID-19 for Latinx students who were recruited from high schools in agricultural regions of Washington state. Feasibility measures include recruitment, retention, class attendance, and successful coaching of a family member or friend. Acceptability was measured by responses on the post-training survey. Effectiveness was evaluated by pre-post changes in measures used in prior studies of the SYDCP such as level of activation and diabetes knowledge.
Thirty-four students were recruited, 28 completed the training and 23 returned both pre- and post-surveys. Over 80% of students attended 7 or more classes. All met with a family or friend and 74% met with them weekly. Approximately 80% of the students rated the program's usefulness as "very good" or "excellent." Pre-post increases in diabetes knowledge, nutrition-related behaviors, resilience, and activation were significant and similar to those observed in prior published studies of the SYDCP.
Findings support the feasibility, acceptability, and effectiveness of a CHW-led implementation of the SYDCP in underserved Latinx communities using a virtual remote model.
斯坦福青少年糖尿病辅导计划（SYDCP）是一项由医疗保健专业人员领导的循证计划，旨在教授健康的青少年，然后让他们辅导有糖尿病或其他慢性病的家庭成员。本研究的目的是评估社区卫生工作者（CHW）领导的 SYDCP 在服务不足的农业社区中为拉丁裔低收入学生实施的情况。
CHW 接受了培训，并在 COVID-19 期间远程领导了 10 次培训课程，培训对象是从华盛顿州农业地区的高中招募的拉丁裔学生。可行性措施包括招募、保留、班级出勤率以及成功辅导家庭成员或朋友。可接受性通过培训后调查的回应来衡量。有效性通过 SYDCP 先前研究中使用的措施（如激活水平和糖尿病知识）的预-后变化来评估。
共招募了 34 名学生，28 名完成了培训，23 名学生返回了预-后调查。超过 80%的学生参加了 7 次或更多课程。所有学生都与家人或朋友见面，其中 74%的学生每周见面一次。大约 80%的学生将该计划的实用性评为“非常好”或“优秀”。糖尿病知识、营养相关行为、适应力和激活的预-后增加具有统计学意义，且与 SYDCP 先前发表的研究中观察到的相似。
研究结果支持在服务不足的拉丁裔社区中使用虚拟远程模式，由 CHW 领导实施 SYDCP 的可行性、可接受性和有效性。
