2型糖尿病的西班牙裔成年人中血红蛋白A1c控制的数字讲故事干预:一项随机临床试验
Mark L Wieland1, Katherine Diaz Vickery2, Valentina Hernandez3
1Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, Minnesota.
JAMA network open
|August 2, 2024
概括
数字讲故事干预措施有望改善2型糖尿病 (T2D) 的西班牙裔成年人的血糖控制. 这种文化定制的方法被发现是可以接受的,并且可用于增强糖尿病自我管理.
科学领域:
- 在健康方面存在差异.
- 数字健康干预措施 数字健康干预措施
- 糖尿病自我管理 糖尿病自我管理
背景情况:
- 2型糖尿病 (T2D) 的西班牙裔成年人面临更高的并发症和死亡率.
- 现有的关于数字故事讲述在这个人群中T2D结果的研究是有限的.
- 数字讲故事干预利用基于社区的参与性研究来放大患者的声音.
研究的目的:
- 评估数字讲故事干预对T2D西班牙裔患者血糖控制的影响.
- 评估参与者之间干预的可接受性和叙事质量.
主要方法:
- 进行了一项多中心随机临床试验,对西班牙裔成年人进行了控制不良的T2D (血红蛋白A1c ≥8%).
- 干预组观看了12分钟的西班牙语数字讲故事视频,重点关注糖尿病自我管理行为.
- 控制组接受了文化定制的印刷教育材料.
主要成果:
- 与对照组相比,干预组观察到血红蛋白A1c水平的适度,统计学上显著改善 (调整后的分析,P=.04).
- 数字讲故事的干预表明了高度的可接受性和叙事质量.
- 3个月后,参与者保留率高达86%,达到3个月后的86%.
结论:
- 在初级保健中,与T2D的西班牙裔成年人共同开发的数字讲故事干预措施是可以接受和可行的.
- 这项干预导致了血糖控制的适度改善,这表明它有可能被纳入糖尿病自我管理计划.
- 这种可扩展的干预措施可能有助于解决西班牙裔成年人T2D管理中的健康不平等问题.
相关概念视频
Diabetes: Management and Pharmacotherapy
250
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
250
Diabetes Mellitus: Overview and Type I Subtype
2.5K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.5K
Diabetes Mellitus: Type 2 and Gestational
2.3K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.3K
SBAR II: Application of SBAR
4.4K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.4K
Diabetes: Symptoms, Diagnosis, and Complications
521
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
521
Carbohydrate Metabolism
10.9K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
10.9K


