Pilot Study to Assess the Effectiveness of the Sustainable Culturally Adaptive Nutrition Program (SCAN) to Improve Adherence to the National Diabetes Prevention Program.

IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
American Journal of Health Promotion Pub Date : 2024-09-01 Epub Date: 2024-03-21 DOI:10.1177/08901171241237522
William B Perkison, Pierre Fwelo, Fernanda Velasco-Huerta, Natalia I Heredia, James J Yang, Sidra S Beg, Belinda M Reininger, Serena A Rodriguez, Maha Almohamad, Catherine Pulicken, Ella Garza, Grace E White, Maria E Fernandez
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引用次数: 0

Abstract

Purpose: The Sustainable Culturally Adapted Nutrition Program (SCAN) is a novel adaptation to the National Diabetes Prevention Program (NDPP) that aims to improve attendance and effectiveness. This paper presents its feasibility and impact through the initial 6-month outcomes.

Design: A pragmatic quasi-experimental pilot study with intervention (DPP plus SCAN) and control (DPP only) groups.

Samples and inclusion criteria: Sustainable Culturally Adapted Nutrition Program participants were recruited from federally qualified health center (FQHC) clinic patients enrolled in a NDPP in Houston, Texas. Participants needed to be (1) ≥18 years old, (2) body mass index >25, (3) no prior diagnosis of diabetes, and (4) not pregnant.

Intervention: Sustainable Culturally Adapted Nutrition Program cooking classes were designed to teach skills to prepare fresh produce, and utilized Motivational Interviewing (MI) techniques to encourage participants to adapt these skills for foods that were culturally important to them.

Outcome measures: (1) National Diabetes Prevention Program attendance, (2) BMI and (3) percent weight loss.

Analysis: We used linear mixed models to test the association between weights and NDPP attendance.

Results: 22 intervention and 15 control participants completed the program to the 6-month point. Intervention participants had increased DPP attendance over controls (7.14 vs 6.87 session). Intervention participants also demonstrated on average, 1.5% weight loss for each additional SCAN class attended (P = .144).

Conclusions: The SCAN adaptation shows promising results for effectively increasing both NDPP attendance and weight loss.

评估 "可持续文化适应性营养计划"(SCAN)对改善国家糖尿病预防计划依从性的效果的试点研究。
目的:可持续文化适应性营养计划(SCAN)是对国家糖尿病预防计划(NDPP)的一种新的调整,旨在提高参与率和有效性。本文通过最初 6 个月的结果介绍了该计划的可行性和影响:设计:一项务实的准实验性试点研究,包括干预组(DPP 加 SCAN)和对照组(仅 DPP):可持续文化适应性营养计划的参与者是从德克萨斯州休斯顿市参加 NDPP 的联邦合格医疗中心 (FQHC) 诊所患者中招募的。参与者需满足以下条件:(1)年龄≥18 岁;(2)体重指数大于 25;(3)之前未诊断出糖尿病;(4)未怀孕:可持续的文化适应性营养计划烹饪课程旨在教授烹饪新鲜农产品的技能,并利用动机访谈(MI)技术鼓励参与者将这些技能应用于对他们具有重要文化意义的食物上:(分析:结果:22 名干预参与者和 15 名对照参与者完成了为期 6 个月的计划。与对照组相比,干预组参加 DPP 的次数有所增加(7.14 次对 6.87 次)。干预参与者每多参加一次 SCAN 课程,体重平均减轻 1.5%(P = .144):结论:SCAN 适应方案在有效提高 NDPP 出席率和体重减轻方面显示出良好的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Health Promotion
American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
3.70%
发文量
184
期刊介绍: The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.
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