Department of Psychiatry, Olive View-UCLA Medical Center, Sylmar, California.
Department of Psychiatry & Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, California.
Sci Diabetes Self Manag Care. 2023 Oct;49(5):374-383. doi: 10.1177/26350106231192353. Epub 2023 Aug 18.
The purpose of this study is to compare the benefits of a diabetes self-management program led by registered nurses (RNs) versus community health workers () for Spanish-speaking Mexican Americans with type 2 diabetes (T2DM).
Three hundred thirty Spanish-speaking Mexican American adults with T2DM were randomly assigned to "Tomando Control de Su Diabetes" delivered for six 2.5-hour sessions either by or RNs. The primary outcome measure was the Summary of Diabetes Self-Care Activities (SDSCA). Evaluations were made at baseline, 6 weeks, and at 3, 6, and 12 months. Mixed-effects regression models were fit to test if participants had differential changes in the SDSCA total score by group over time, controlling for demographic and clinical factors.
SDSCA scores were significantly higher at all time points compared to baseline and not statistically different between the 2 groups. Only years of education correlated with improvement in diabetes self-management behaviors. No moderating variables predicted improvement between groups.
Spanish-speaking Mexican American adults with T2DM who participated in a diabetes educational program with or RNs demonstrated similar improvements. may increase the accessibility of effective diabetes self-management training for this difficult-to-reach population.
本研究旨在比较由注册护士（RNs）和社区卫生工作者（）主导的糖尿病自我管理计划对西班牙语墨西哥裔美国 2 型糖尿病（T2DM）患者的益处。
330 名西班牙语墨西哥裔美国 T2DM 成年患者被随机分配到“Tomando Control de Su Diabetes”，该计划共进行 6 次，每次 2.5 小时，由或 RNs 提供。主要结局指标是糖尿病自我护理活动综合评估（SDSCA）。在基线、6 周以及 3、6 和 12 个月时进行评估。采用混合效应回归模型，控制人口统计学和临床因素，检验参与者在 SDSCA 总分上是否因组而异。
与基线相比，所有时间点的 SDSCA 评分均显著升高，且两组之间无统计学差异。只有受教育年限与糖尿病自我管理行为的改善相关。没有调节变量预测组间的改善。
参加了有或 RNs 参与的糖尿病教育计划的西班牙语墨西哥裔美国 T2DM 成年患者表现出相似的改善。可能会增加对这一难以接触的人群进行有效糖尿病自我管理培训的可及性。
