文化适应糖尿病自我管理教育:一个社区参与的共同设计方法
Tina Kansariwala1, Martha Maurer1, Meng-Jung Wen1,2
1Division of Social and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison School of Pharmacy, Madison, WI, United States.
Translational behavioral medicine
|February 16, 2026
概括
黑人成年人面对糖尿病自我管理教育 (DSME) 的障碍. 与利益相关者咨询委员会共同设计补充指南,提高了黑人成年人在DSME计划中的文化相关性和参与度.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 社区健康 社区健康
背景情况:
- 由于系统和文化障碍,黑人成年人经历了不成比例的糖尿病负担.
- 将糖尿病自我管理教育 (DSME) 适应文化价值观,可以提高其对黑人成年人的有效性.
研究的目的:
- 为糖尿病健康生活 (HLWD) 课程的促进者共同设计一个文化适应的补充指南.
- 在糖尿病教育中解决黑人成年人的生活经验和文化价值观.
主要方法:
- 参与了一个利益相关者咨询委员会 (SAB),包括患有糖尿病的黑人成年人,促进者和社区领导人.
- 进行了五次结构化的共同设计会议,以定制DSME的内容和实施.
- 分析了SAB会议的定性反,以告知指南开发.
主要成果:
- SAB强调需要解决社会/历史背景,不信任,家庭,耻辱和情感挑战.
- 开发了一份附加指南,其中包含了文化相关的视觉效果,类比和促进策略.
- 专注于建立关系,创伤信息化方法和肯定语言的实施.
结论:
- 与SAB参与的共同设计方法产生了一个文化适应的DSME指南.
- 该指南旨在增强DSME对黑人成年人的参与度和文化相关性.
- 文化根深蒂固的适应是改善糖尿病自我管理教育成果的关键.
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