形成性研究以适应"糖尿病预防计划 - - 预防的力量"在马里巴马科实施
Lancina Doumbia1, Sally Findley2, Hamidou Oumar Ba3
1University Clinical Research Center, Université des Sciences, des Techniques et des Technologies de Bamako, Point-G, Bamako, Bamako, Po Box 5445, Mali. Ldoumbia007@gmail.com.
BMC health services research
|January 11, 2024
概括
这项研究适应了美国对马里的糖尿病预防计划,为低收入,低识字的人创造了文化相关的材料. 调整后的计划显示了改善健康饮食和运动习惯的前景.
科学领域:
- 公共卫生 公共卫生
- 健康 行为干预 干预
- 全球健康 全球健康
背景情况:
- 非洲2型糖尿病和心血管疾病的发病率不断上升.
- 在非洲,针对糖尿病和高血压风险的有限的社区级行为改变干预措施.
- 需要为低收入,低识字人口提供文化适应的健康计划.
研究的目的:
- 为马里巴马科的城市社区适应美国疾病控制和预防中心的"糖尿病预防计划预防力" (DPP-P2P).
- 为低识字人口制定一个文化上适当和可访问的糖尿病预防计划.
- 评估适应方案的可行性和初始影响.
主要方法:
- 通过利益相关者的反和与社区卫生工作者 (CHWs) 聚焦小组反复调整DPP-P2P指南.
- 开发法语PowerPoint演示文稿与视觉辅助工具,角色扮演和小组讨论.
- 对45名处于危险状态的个体进行14个会议计划的试点测试,并评估饮食和运动习惯的变化.
主要成果:
- 在马里巴马科,成功地适应了DPP-P2P的低识字CHW.
- 包括基于CHW建议的以家庭为导向的组件.
- 参与者的日常运动频率显著改善,减少脂肪摄入量,以及更健康的饮食/运动目标.
结论:
- 代的适应过程导致了文化上适当和受欢迎的糖尿病预防计划.
- 经过调整的DPP-P2P计划显示,它有望有效地覆盖巴马科的低收入,低识字人口,他们面临糖尿病风险.
- 根据文化定制的卫生干预措施对于在不同非洲环境中解决非传染性疾病至关重要.
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