テキサス州食品銀行で提供される糖尿病の自己管理に関する教育と支援サービスの評価
Daniel P Hatfield1, Dayna S Alexander2, Mary-Esther Gourdin1
1Social Marketing & Communication, FHI 360, Washington, District of Columbia, USA.
Journal of prevention & intervention in the community
|September 3, 2025
まとめ
食品銀行は 糖尿病の自己管理教育と支援 (DSMES) を効果的に提供できます DSMESは単独で改善された結果をもたらしますが,糖尿病患者 (PWD) のための追加的な利益についてはさらなる調査が必要です.
科学分野:
- コミュニティ・ヘルス
- 糖尿病 管理
- 公衆衛生 栄養
背景:
- 食料バンクが健康への介入の 可能性として認識されつつあります
- 糖尿病の自己管理教育および支援サービス (DSMES) は,糖尿病患者 (PWD) の結果を改善します.
- 食品バンクの環境でDSMESと製品パッケージを統合する影響は十分に理解されていません.
研究 の 目的:
- DSMESのみと製品パッケージのDSMESによるPWDへの影響を評価する.
- 血糖コントロール (HbA1c),食品安全,その他の健康上の結果の変化を評価する.
- 2つの介入モデルでの参加者の満足度を比較する.
主な方法:
- 2つの8週間の介入はテキサス州の食品銀行によって実施されました.DSMES単独 (糖尿病ハンドスオン [DHO]) とDSMESと果物/野菜パッケージ (糖尿病ハンドスオンプラス [DHO+]).
- HbA1cとBMIの直接的な測定は,食糧安全保障,糖尿病の苦悩,自己有効性,知識,薬剤の遵守,社会的サポート,および食事の摂取を評価する調査と共に使用されました.
- 介入前のデータと介入後のデータを収集し,分析した.
主要な成果:
- DHOとDHO+の両方の介入は,HbA1c,BMI,糖尿病の苦悩,自己効能,知識,および野菜摂取の有意な改善をもたらしました.
- HbA1cの減少は,DHO+グループ (- 0. 2%) と比較して,DHOグループ (- 0. 6%) でより大きい.
- 食品安全と薬の摂取は DHO グループのみで著しく改善され,果物の摂取は DHO+ グループのみで著しく増加しました. 2つのプログラムで95%以上の参加者の満足度が報告されました.
結論:
- フードバンクベースのDSMESサービスは,生産されたものでもなければ,PWDの臨床的,行動的,心理的社会的な結果を改善する効果を示しています.
- DSMESと並ぶ製品パッケージの具体的な利点は不明であり,さらなる研究が必要である.
- 将来の研究では,最適な配達方法,持続時間,および家庭での生産利用を調査し,異なる環境での一般化を調査する必要があります.
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