社交网络增强了糖尿病和肥胖症的行为干预:一项3臂随机试验,在约旦进行了2年的随访
Eric L Ding1,2,3, Andrea B Feigl4, Kathleen T Watson5
1New England Complex Systems Institute, Public Health, Cambridge, Massachusetts, United States of America.
PLOS global public health
|March 20, 2024
概括
在约旦,微型诊所计划 (MCP) 通过利用社交网络有效降低了体重,禁食葡萄糖和HbA1c. 激活的社交网络显示出改善肥胖和糖尿病管理的希望.
科学领域:
- 公共卫生 公共卫生
- 健康 行为干预 干预
- 慢性疾病管理 慢性疾病管理
背景情况:
- 肥胖和糖尿病正在加剧全球卫生危机,特别是在中东,约旦面临高患病率.
- 现有的预防和管理策略往往是昂贵的,缺乏有效性,需要创新的方法.
- 基于社交网络的计划为这些不断增长的流行病提供了一个有希望的,低成本的公共卫生干预策略.
研究的目的:
- 评估微型诊所计划 (MCP) 的有效性,这是一个基于社交网络的干预措施,在约旦管理肥胖和糖尿病.
- 为了比较完整的MCP (课程激活的社会互动) 和基本的MCP (有机的社会互动) 与标准护理的结果.
- 为了评估体重,禁食葡萄糖,血红蛋白A1c (HbA1c) 和平均动脉血压在2年时间内的变化.
主要方法:
- 在约旦阿曼进行了一项为期6个月的多社区随机试验,随访2年.
- 患有糖尿病,糖尿病前期或代谢风险因素的参与者被随机分配到三个臂:全MCP,基本MCP或控制 (标准护理).
- 纵向数据的多层模型被用来分析健康指标的变化,并考虑层次数据结构.
主要成果:
- 在所有群体中,在体重,禁食血糖和HbA1c方面都观察到显著的两年差异.
- 在干预期间,与基本MCP相比,全MCP显示出更大的体重减轻,两只MCP手臂在2年后显示出比对照组更大的体重减轻.
- 与对照组相比,在2年内,全MCP在禁食葡萄糖和HbA1c中持续改善,平均动脉血压在6个月后显著降低.
结论:
- 在课堂环境中激活社交网络可以有效地用于促进肥胖和糖尿病管理的更健康的行为.
- 微诊所计划,特别是全MCP,显示了改善与代谢健康相关的关键健康指标的巨大潜力.
- 未来的公共卫生倡议应该探索利用社会网络计划,以实现更广泛的社区层面影响和疾病预防.
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