一个基于社区的试点糖尿病预防和管理计划,针对糖尿病和糖尿病前期的成年人
Ranjita Misra1, Samantha Shawley-Brzoska2
1School of Public Health Professor, Department of Social & Behavioral Sciences, Robert C Byrd Health Science Center West Virginia University, Morgantown, WV, USA.
Journal of clinical and translational science
|December 10, 2024
概括
在西弗吉尼亚州农村地区,一项由健康教练领导的糖尿病预防和管理计划显示出可行性,并改善了2型糖尿病成年人的A1C. 干预表明了将其纳入农村医疗保健系统的潜力.
科学领域:
- 公共卫生 公共卫生
- 慢性疾病管理 慢性疾病管理
- 卫生干预措施 卫生干预措施
背景情况:
- 西弗吉尼亚州面临2型糖尿病 (T2DM) 和糖尿病前期的高发病率,特别是在农村地区.
- 糖尿病预防与管理 (DPM) 计划是一项为期12个月的社区生活方式干预,由健康教练 (HC) 领导.
研究的目的:
- 评估DPM计划对T2DM和糖尿病前期的农村成年人糖化血红蛋白 (A1C) 和体重变化的影响.
- 评估HC领导的DPM计划在农村环境中的可行性和可接受性.
主要方法:
- 采用了一种解释性的顺序定量和定性研究设计.
- 94名肥胖成年人 (63%患有T2DM,37%患有糖尿病前期) 参加,其中22人参与焦点小组.
- 经过培训的HC提供了12个月的教育课程和每周反.
主要成果:
- 观察到平均4.4磅的体重减轻,在T2DM参与者中,A1C有0.4%的改善.
- 节目保留率为82%,在老年人和血糖控制较差的人中更高.
- 参与者报告了高的项目接受度和满意度,参与的障碍很少.
结论:
- 在农村社区实施HC领导的DPM计划是可行的,可以改善T2DM成年人的A1C.
- 经过培训的医疗保健员可以有效地融入农村医疗保健团队.
- 该DPM计划显示了在服务不足的农村人口中管理糖尿病和糖尿病前期的前景.
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