Effectiveness of A Culturally Adapted Family Model of Diabetes Self-Management Education and Support among Marshallese Pacific Islanders Delivered in a Group Format in Churches.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI:10.1353/hpu.2024.a943988

Pearl A McElfish, Brett Rowland, Spencer Hall, Jennifer A Andersen, Jonell S Hudson, Erin Gloster, Sarah Pollack, Gail O'Connor, Philmar Mendoza Kabua, Eldon Alik, Sheldon Riklon

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引用次数: 0

Abstract

Introduction: Diabetes self-management education and support (DSMES) is effective for reducing health complications among people with type 2 diabetes (PWD). However, standard DSMES interventions have not been effective for Marshallese Pacific Islanders.

Methods: A culturally adapted Family-DSMES intervention for Marshallese PWD was implemented in churches in Hawaii and Washington state and delivered by Marshal-lese community health workers. We assessed changes in hemoglobin A1c (HbA1c), body mass index (BMI), and blood pressure from pre-to post-intervention (12 weeks).

Results: One hundred eighty-five (185) participants-99 PWD and 86 family members-completed classes and had valid pre-and post-intervention HbA1c data. For PWD, there were significant decreases in HbA1c (-0.69%; p=.0000) and BMI (-0.38; p=.008).

Discussion: The clinically and statistically significant reduction in HbA1c among PWD adds evidence for the effectiveness of family models of DSMES. Results will be used to inform future interventions and research studies with Marshallese and other Pacific Islander communities.

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在马绍尔太平洋岛民中开展糖尿病自我管理教育和支持的文化适应性家庭模式在教堂以小组形式开展的效果。

导言：糖尿病自我管理教育和支持（DSMES）可有效减少2型糖尿病患者（PWD）的并发症。然而，标准的糖尿病自我管理教育和支持干预措施对马绍尔太平洋岛民并不有效：方法：在夏威夷和华盛顿州的教堂中实施了针对马绍尔太平洋岛民的文化适应性家庭-DSMES干预措施，并由马绍尔社区卫生工作者负责实施。我们评估了从干预前到干预后（12 周）血红蛋白 A1c（HbA1c）、体重指数（BMI）和血压的变化：185名参与者--99名残疾人和86名家庭成员--完成了课程，并获得了干预前和干预后的有效 HbA1c 数据。残疾人的 HbA1c（-0.69%；p=.0000）和 BMI（-0.38；p=.008）显著下降：讨论：残疾人的 HbA1c 在临床和统计上的显著降低为 DSMES 家庭模式的有效性提供了证据。研究结果将为今后对马绍尔和其他太平洋岛民社区的干预和研究提供参考。

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

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.