Vivian Eva M, Chewning Betty A, Voils Corrine I, Brown Roger L
University of Wisconsin Madison School of Pharmacy, Madison, Wisconsin, USA.
University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Diabetes Obes Metab. 2024 Jul;26(7):2598-2605. doi: 10.1111/dom.15574. Epub 2024 Apr 3.
To assess the protocol feasibility and intervention acceptability of a community-based, peer support diabetes prevention programme (DPP) for African-American (AA) grandmother caregivers at risk for diabetes.
Grandmother caregivers were randomized in a 2:1 ratio to DPP (active comparator) or DPP plus HOPE (Healthy Outcomes through Peer Educators; intervention). DPP + HOPE incorporated support from a peer educator who met with participants in person or by telephone every week during the 1-year intervention. Outcomes included: (1) recruitment rates, outcome assessment, and participation adherence rates assessed quantitatively; and (2) acceptability of the programme assessed through end-of-programme focus groups.
We successfully consented and enrolled 78% (n = 35) of the 45 AA grandmothers screened for eligibility. Eighty percent of participants (aged 64.4 ± 5.7 years) were retained up to Week 48 (74% for DPP [n = 17] and 92% for DPP + HOPE [n = 11]). All grandmothers identified social support, neighbourhood safety, and access to grocery stores as influences on their health behaviours. At Month 12, the active comparator (DPP) group and the intervention group (DPP + HOPE) had a mean change in body weight from baseline of -3.5 ± 5.5 (-0.68, -6.29) kg and - 4.4 ± 5.7 (-0.59, -8.2) kg, respectively.
This viable study met the aim of educating and equipping AA grandmothers with the practical and sustained support needed to work toward better health for themselves and their grandchildren, who may be at risk for diabetes. The intervention was both feasible and acceptable to participating grandmothers and their organizations.
评估一项基于社区的同伴支持糖尿病预防计划（DPP）对有糖尿病风险的非裔美国（AA）祖母照顾者的方案可行性和干预可接受性。
祖母照顾者以2:1的比例随机分为DPP组（活性对照）或DPP加HOPE组（通过同伴教育实现健康结果；干预组）。DPP + HOPE纳入了同伴教育者的支持，同伴教育者在为期1年的干预期间每周与参与者进行面对面或电话交流。结果包括：（1）定量评估招募率、结果评估和参与依从率；（2）通过项目结束时的焦点小组评估该计划的可接受性。
在45名接受资格筛查的AA祖母中，我们成功征得同意并招募了78%（n = 35）。80%的参与者（年龄64.4±5.7岁）在第48周时仍在参与（DPP组为74% [n = 17]，DPP + HOPE组为92% [n = 11]）。所有祖母都认为社会支持、社区安全和杂货店的便利性会影响她们的健康行为。在第12个月时，活性对照组（DPP）和干预组（DPP + HOPE）的体重较基线的平均变化分别为-3.5±5.5（-0.68，-6.29）kg和-4.4±5.7（-0.59，-8.2）kg。
这项可行的研究达到了教育和帮助AA祖母获得为自己和可能有糖尿病风险的孙辈改善健康所需的实际和持续支持的目的。该干预措施对参与的祖母及其组织而言既可行又可接受。
