Participants' Perspectives on Diabetes Self-Management Programming at Church: Faith-Placed Versus Faith-Based Approach.

Summer Wilmoth, Bradley Wilhite, Kimberly Highwood, Christine Palacios, Leah Carrillo-McCracken, Deborah Parra-Medina, Erica Sosa, Meizi He
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Abstract

Purpose: The purpose of the study was to explore Hispanic adults' experiences participating in the Building a Healthy Temple diabetes self-management education and support (DSMES) cluster randomized trial and collect their insights on intervention approach, delivery, content, impact, and suggested improvements for future DSMES programs delivered at church.

Methods: Focus groups were conducted with participants from both intervention arms, that is, faith-based (FB) group and faith-placed group. Participating churches were predominantly Hispanic and located in San Antonio, Texas. Focus groups were audiotaped and transcribed verbatim. Inductive content analysis was performed with the assistance of NVivo software to code and categorize emerging themes.

Results: A total of 138 adult participants took part in the current study. Participants in both groups highly valued the church setting for its convenient location and support system and reported positive changes in diabetes-related beliefs, knowledge, skills, behaviors, and health outcomes. FB participants appreciated the incorporation of spiritual teachings and facilitation by lay leaders, which created a sense of empowerment and improved outlook on living with diabetes.

Conclusions: Church holds promise as a setting for DSMES program delivery in Hispanic communities. Church-based DSMES programs using a FB approach may further facilitate program adoption and sustainability.

参与者对教会糖尿病自我管理计划的看法:以信仰为基础的方法与以信仰为基础的方法。
目的:本研究旨在探讨西班牙裔成年人参与 "建立健康圣殿 "糖尿病自我管理教育和支持(DSMES)群组随机试验的经历,并收集他们对干预方法、实施方式、内容、影响的见解,以及对未来在教堂实施的 DSMES 项目的改进建议:对两个干预组(即基于信仰(FB)组和信仰安置组)的参与者进行了焦点小组讨论。参与的教堂主要是西班牙裔教堂,位于德克萨斯州圣安东尼奥市。对焦点小组进行了录音和逐字记录。在 NVivo 软件的帮助下进行归纳内容分析,对新出现的主题进行编码和分类:共有 138 名成人参加了本次研究。两组参与者都高度评价了教堂的便利位置和支持系统,并表示在与糖尿病相关的信念、知识、技能、行为和健康结果方面都发生了积极的变化。FB 参与者对非专业领导者融入精神教诲和提供便利表示赞赏,这使他们产生了一种力量感,并改善了糖尿病患者的生活前景:结论:教堂是在西班牙裔社区开展 DSMES 项目的理想场所。以教堂为基础的 DSMES 项目采用 FB 方法可进一步促进项目的采用和可持续性。
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