双一致性和对配对对等支持糖尿病预防干预措施的其他考虑:混合方法评估
Cassie D Turner1, Tainayah W Thomas2, Tali Sedgwick3
1Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, USA; Veterans Affairs Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, USA; Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, USA.
根据人口统计数据匹配同行支持者并没有改善糖尿病预防结果. 对成功的健康行为改变干预更为关键的是同情的沟通和有效的指导技能.
科学领域:
- 健康 行为 改变 改变
- 预防糖尿病 预防糖尿病
- 同行支持干预措施 同行支持干预
背景情况:
- 双向的同行支持有助于患者采取更健康的行为,以获得更好的健康结果.
- 基于种族或性别等人口统计因素匹配同行二元组的影响仍然不清楚.
研究的目的:
- 在糖尿病预防计划中,检查二和患者结局中一致的人口特征之间的关联.
- 通过定性采访,探索参与者对同行支持关系匹配的看法.
主要方法:
- 回归模型分析了177名同行和69名支持者的结果 (体重,HbA1c,社会支持,患者激活,参与计划),这些结果基于6个人口特征的一致性.
- 与39名同行和34名支持者进行了半结构化访谈,以收集定性见解.
主要成果:
- 人口统计学一致性与改善患者结局之间没有发现显著的关联.
- 定性数据显示,参与者优先考虑支持者的同情,非判断性沟通,而不是共同的人口统计.
结论:
- 基于人口统计的匹配不那么重要,而不是为糖尿病前期的成年人提供高质量的沟通和目标设定教练培训.
- 同行支持计划应评估并确保支持者掌握自主支持的沟通和激励面试技巧.
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