Community-Based Participatory Research Interventions to Improve Diabetes Outcomes: A Systematic Review.

IF 3.9 Q1 Health Professions

Diabetes Educator Pub Date : 2020-12-01 Epub Date: 2020-10-14 DOI:10.1177/0145721720962969

Jennifer A Campbell, Alice Yan, Leonard E Egede

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引用次数: 0

Abstract

Purpose: The purpose of this study was to conduct a systematic evaluation of community-based participatory research (CBPR) interventions on diabetes outcomes. Understanding of effective CBPR interventions on diabetes outcomes is limited, and findings remain unclear.

Methods: A reproducible search strategy was used to identify studies testing CBPR interventions to improve diabetes outcomes, including A1C, fasting glucose, blood pressure, lipids, and quality of life. Pubmed, PsychInfo, and CINAHL were searched for articles published between 2010 and 2020. Using a CBPR continuum framework, studies were classified based on outreach, consulting, involving, collaborating, and shared leadership.

Results: A total of 172 were screened, and a title search was conducted to determine eligibility. A total of 16 articles were included for synthesis. Twelve out of the 16 studies using CBPR approaches for diabetes interventions demonstrated statistically significant differences in 1 or more diabetes outcomes measured at a postintervention time point. Studies across the spectrum of CBPR demonstrated statistically significant improvements in diabetes outcomes.

Conclusions: Of the 16 studies included for synthesis, 14 demonstrated statistically significant changes in A1C, fasting glucose, blood pressure, lipids, and quality of life. The majority of studies used community health workers (CHWs) to deliver interventions across group and individual settings and demonstrated significant reductions in diabetes outcomes. The evidence summarized in this review shows the pivotal role that CHWs and diabetes care and education specialists play in not only intervention delivery but also in the development of outward-facing diabetes care approaches that are person- and community-centered.

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以社区为基础的参与式研究干预，改善糖尿病治疗效果：系统回顾。

目的：本研究的目的是对基于社区的参与式研究（CBPR）干预对糖尿病结果的影响进行系统评估。人们对有效的社区参与式研究干预对糖尿病结果的影响了解有限，研究结果仍不明确：方法：采用可重复的搜索策略来确定测试 CBPR 干预措施以改善糖尿病疗效的研究，包括 A1C、空腹血糖、血压、血脂和生活质量。在 Pubmed、PsychInfo 和 CINAHL 上检索了 2010 年至 2020 年间发表的文章。利用 CBPR 连续体框架，根据外联、咨询、参与、合作和共同领导对研究进行了分类：共筛选出 172 篇文章，并进行了标题检索以确定是否符合条件。共有 16 篇文章被纳入综合研究。在 16 项采用 CBPR 方法进行糖尿病干预的研究中，有 12 项研究表明，在干预后时间点测量的一项或多项糖尿病结果中，存在统计学意义上的显著差异。各种CBPR研究都表明，糖尿病结果在统计学上有显著改善：结论：在纳入综述的 16 项研究中，14 项研究表明，A1C、空腹血糖、血压、血脂和生活质量的变化具有统计学意义。大多数研究使用社区保健员（CHWs）在集体和个人环境中实施干预，并证明糖尿病结果明显减轻。本综述总结的证据表明，社区保健员和糖尿病护理与教育专家不仅在提供干预措施方面，而且在开发以个人和社区为中心的外向型糖尿病护理方法方面都发挥着关键作用。

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

Diabetes Educator 医学-内分泌学与代谢

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Diabetes Educator (TDE) is the official journal of the American Association of Diabetes Educators (AADE). It is a peer-reviewed journal intended to serve as a reference source for the science and art of diabetes management. TDE publishes original articles that relate to aspects of patient care and education, clinical practice and/or research, and the multidisciplinary profession of diabetes education as represented by nurses, dietitians, physicians, pharmacists, mental health professionals, podiatrists, and exercise physiologists.