Lohr Abby M, Kim Sunny W, St Sauver Jennifer, O'Byrne Jamie, Griffin Joan M, McCoy Rozalina G, Ruiz John M, Sia Irene G, Wieland Mark L
Center for Clinical and Translational Science, Mayo Clinic, Rochester, Minnesota, United States of America.
Department of Quantitative Health Sciences, Division of Epidemiology, Mayo Clinic, Rochester, Minnesota, United States of America.
PLoS One. 2025 Jun 6;20(6):e0324647. doi: 10.1371/journal.pone.0324647. eCollection 2025.
Hispanic/Latinx individuals have high prevalence of type 2 diabetes and its complications yet often face barriers in accessing diabetes prevention and self-management interventions. One possible approach is to implement digital storytelling interventions, which involve narrative-driven videos made by individuals who have lived experience with particular conditions or illnesses. These stories can inspire viewers with similar life experiences to change behaviors or attitudes. Little is known about which characteristics influence how individuals respond to digital storytelling interventions with healthful behaviors and improved outcomes - information necessary to further tailor these interventions to improve type 2 diabetes outcomes. Previously, the Rochester Healthy Community Partnership used the digital storytelling process to develop Stories for Change Diabetes and tested intervention effectiveness.
We conducted a secondary analysis to examine the sociodemographic and disease-related factors that affected participants' responses to the Stories for Change Diabetes intervention. Drawing on Social Cognitive Theory and Culture-Centric Health Promotion principles, we analyzed results from the 227 intervention participants stratified by whether they experienced a clinically meaningful decrease (>0.5%) in hemoglobin A1c between baseline and three-month follow-up. We then used multivariable logistic regressions to identify factors associated with change in hemoglobin A1c.
Participants with diabetes duration <5 years and/or whose diabetes self-efficacy improved between baseline and 3-month follow-up were more likely to experience a meaningful decrease in hemoglobin A1c at three months (compared to participants without those characteristics).
These findings will provide insight into how digital storytelling interventions can be effectively tailored to Hispanic/Latinx individuals most likely to benefit. Trial registration: Not applicable.
西班牙裔/拉丁裔个体中2型糖尿病及其并发症的患病率很高，但在获得糖尿病预防和自我管理干预措施方面往往面临障碍。一种可能的方法是实施数字故事讲述干预，即由有特定疾病或病症亲身经历的人制作的叙事驱动视频。这些故事可以激励有相似生活经历的观众改变行为或态度。对于哪些特征会影响个体对数字故事讲述干预在健康行为和改善结果方面的反应，我们知之甚少——而这些信息对于进一步调整这些干预措施以改善2型糖尿病结局是必要的。此前，罗切斯特健康社区伙伴关系利用数字故事讲述过程开发了《糖尿病改变故事》并测试了干预效果。
我们进行了一项二次分析，以研究影响参与者对《糖尿病改变故事》干预反应的社会人口学和疾病相关因素。借鉴社会认知理论和以文化为中心的健康促进原则，我们分析了227名干预参与者的结果，根据他们在基线和三个月随访之间血红蛋白A1c是否出现临床上有意义的下降（>0.5%）进行分层。然后，我们使用多变量逻辑回归来确定与血红蛋白A1c变化相关的因素。
糖尿病病程<5年和/或在基线至3个月随访期间糖尿病自我效能有所提高的参与者，在三个月时血红蛋白A1c更有可能出现有意义的下降（与没有这些特征的参与者相比）。
这些发现将为如何有效地为最可能受益的西班牙裔/拉丁裔个体量身定制数字故事讲述干预提供见解。试验注册：不适用。
