一个文化和语言适应的短信糖尿病预防计划拉丁裔:可行性,可接受性和初步有效性
Taynara Formagini1,2, Juliana Teruel Camargo3,4, Jaime Perales-Puchalt5
1Department of Family Medicine, University of California San Diego, San Diego, CA, USA.
Translational behavioral medicine
|September 16, 2023
概括
一个适合拉丁裔的短信糖尿病预防计划 (DPP) 是可行的和可以接受的. 这种创新方法显示了减肥和增加体力活动的潜力,改善了这个人群的DPP结果.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 健康差异 在健康上的差异
背景情况:
- 糖尿病预防计划 (DPP) 取得了成功,但其在拉丁裔人口中的影响力和有效性仍然不理想.
- 个人参与DPP的障碍限制了许多拉丁裔的可访问性.
- 短信干预为克服这些障碍并改善DPP结果提供了潜在的解决方案.
研究的目的:
- 评估一种文化和语言适应的文本消息DPP的可行性,可接受性和初步有效性,用于2型糖尿病风险的西班牙语拉丁裔.
- 确定基于文本消息的DPP是否可以成功实施,并得到目标群体的良好接受.
- 评估最初的健康结果,如减肥和体育活动变化.
主要方法:
- 一项为期6个月的试点研究招募了26名符合条件的西班牙语拉丁裔成年人,他们面临2型糖尿病的风险.
- 参与者每天都会收到自动化的短信,按需的关键字驱动的消息,以及DPP教练的聊天支持.
- 测量结果包括可行性 (遵守),可接受性 (满意度) 和初步有效性 (体重,BMI,腰围,体力活动,饮食质量).
主要成果:
- 24名参与者完成了该计划,证明了高可行性和可接受性.
- 观察到平均体重 (P = .004),BMI (P = .003) 和腰围 (P = .03) 的显著减少.
- 自我报告的体育活动频率显著增加 (P = .003),尽管饮食质量没有显著变化.
- 大多数参与者表示满意,并认为该计划对预防糖尿病有帮助.
结论:
- 一个文化和语言适应的文本消息DPP是一个可行的,可以接受的,和潜在的有效干预拉丁裔在2型糖尿病的风险.
- 这种创新的数字健康方法可以降低参与障碍,增加计划的覆盖范围,并保持忠诚度.
- 基于短信的DPP有望改善服务不足人群的糖尿病预防结果.
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