一个文化定制的糖尿病自我管理教育计划与移动健康整合为美国华人与2型糖尿病:发展和试点评估研究研究
Bin Xie1, Yawen Li2, Wei-Chin Hwang3
1Claremont Graduate University, Claremont, CA, United States.
JMIR formative research
|February 3, 2026
概括
这项试点研究表明,文化定制的糖尿病自我管理教育 (DSME) 计划改善了患有2型糖尿病的华裔美国人的健康结果. 综合mHealth技术的CASCADe计划显著降低了HbA1c,并增强了自我管理技能.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 数字健康数字健康
背景情况:
- 对于患有2型糖尿病的华裔美国人 (CA) 的文化适应,基于证据的糖尿病自我管理教育 (DSME) 计划存在有限的研究.
- 现有的DSME项目往往缺乏文化定制,阻碍了在不同人群中的有效性.
- 解决CA社区糖尿病管理中的健康差异至关重要.
研究的目的:
- 开发和试点测试一个文化定制的DSME计划,中国裔美国人糖尿病 (CASCADe) 计划的文化适当策略,整合移动健康 (mHealth) 技术.
- 评估CASCADe计划在改善华裔美国人糖尿病自我管理方面的初步有效性.
- 在项目开发中利用社区伙伴关系和参与式方法.
主要方法:
- 综合,理论驱动和社区参与的方法被用于程序开发,由焦点小组,采访,调查和文献评论提供信息.
- 为了评估该计划的可行性和初步有效性,在3个月的时间内采用了单组前后测试设计.
- 该CASCADe计划包括家庭访问,每周的小组会议,以及基于微信的随访,包括监控设备和广泛使用的移动消息平台.
主要成果:
- 在CASCADe计划中,糖化血红蛋白 (HbA1c) 从7.48%降至7.09% (P=.03) 的显著降低.
- 参与者在糖尿病管理的自我有效性 (6.59至8.01,P=.003),生活质量 (3.21至3.69,P=.005) 和应对压力的技能 (3.18至3.74,P=.01) 中显著改善.
- 58%的参与者实现了临床显著下降 (>0.5) 在HbA1c.
结论:
- 试点研究表明,CASCADe计划在患有2型糖尿病的华裔美国人中是可行的.
- 该计划在改善糖尿病自我管理技能,血糖控制和整体幸福感方面显示出有希望的结果.
- 需要在更大的随机对照试验中进行进一步评估,以确认这些发现.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
5.0K
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...
5.0K
Diabetes: Management and Pharmacotherapy
1.1K
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...
1.1K
Diabetes Mellitus: Overview and Type I Subtype
5.4K
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...
5.4K
Pathophysiology of Diabetes
3.6K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.6K
Psychoneuroimmunology: Diabetes and Cancer
505
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
505
Diabetes: Symptoms, Diagnosis, and Complications
2.3K
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...
2.3K


