马绍尔群岛共和国信仰组织中的家庭模式糖尿病自我管理教育：研究方案。

IF 2 3区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Contemporary clinical trials Pub Date : 2024-09-30 DOI:10.1016/j.cct.2024.107705

Pearl A. McElfish , Sheldon Riklon , Jennifer A. Andersen , James P. Selig , Jonell Hudson , Williamina Ioanna Bing , Francyne Wase-Jacklick , Jack Niedenthal , Kyle Lemari , Henry Otuafi , Philmar Mendoza-Kabua , Joseph A. Henske , Dinesh Edem , Brett Rowland , Janine Boyers Schuh , Gail O'Connor , Mohammed Ason , Andy Bauleni , Britni L. Ayers

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引用次数: 0

摘要

导言：马绍尔群岛共和国（马绍尔群岛）是一个独立国家，也是通过《自由联系条约》加入美国附属太平洋岛屿的成员。马绍尔群岛共和国在健康方面的差距非常明显，2型糖尿病（T2DM）的发病率很高。根据国际糖尿病联合会的记录，经年龄调整后的 T2DM 患病率为 23.0%，而美国为 13.2%，全球为 9.8%。T2DM 对患者及其家庭具有毁灭性影响：本文旨在介绍采用等待对照的双臂分组随机对照试验的研究方案，以评估家庭糖尿病自我管理教育和支持项目（Family Diabetes Self-Management Education and Support，FSMES）由马绍尔群岛的信仰组织（FBOs）中的社区卫生工作者（CHWs）在小组环境中实施的效果。这项研究采用了社区参与的方法，研究方案包括根据我们的单臂试点研究结果所做的调整。摘要：这项研究将提供新的创新信息，说明由马绍尔群岛宗教组织中的社区保健员在小组环境中开展家庭糖尿病管理教育和支持计划的有效性。从这项研究中获得的知识将为在马绍尔和其他太平洋岛民社区开展的DSMES干预措施以及在其他低资源国家开展的DSMES干预措施提供参考。

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Family model diabetes self-management education and support in faith-based organizations in the Republic of the Marshall Islands: A study protocol

Introduction

The Republic of the Marshall Islands (RMI) is an independent nation and a member of the United States (US) Affiliated Pacific Islands through a Compact of Free Association. Health disparities in the RMI are striking, with high rates of type 2 diabetes mellitus (T2DM). The International Diabetes Federation has documented age-adjusted prevalence of T2DM at 23.0 %, compared to the US (13.2 %) and globally (9.8 %). T2DM has a devastating impact on patients and their families.

Methods

The purpose of this article is to present the study protocol for the fully powered two-arm cluster randomized controlled trial using a wait-list control to evaluate the effectiveness of a Family Diabetes Self-Management Education and Support (Family DSMES) program when delivered in a group setting by community health workers (CHWs) in faith-based organizations (FBOs) in the RMI. The study used a community engaged approach, and the study protocol includes adaptations based on the results of our one-arm pilot study.

Summary

This study will provide new and innovative information on the effectiveness of Family DSMES delivered in a group setting by CHWs in FBOs in the RMI. The knowledge gained from this research will inform DSMES interventions conducted with Marshallese and other Pacific Islander communities, as well as DSMES interventions conducted in other low-resource countries.

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来源期刊

Contemporary clinical trials 医学-药学

CiteScore

3.70

自引率

4.50%

发文量

281

审稿时长

44 days

期刊介绍： Contemporary Clinical Trials is an international peer reviewed journal that publishes manuscripts pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from disciplines including medicine, biostatistics, epidemiology, computer science, management science, behavioural science, pharmaceutical science, and bioethics. Full-length papers and short communications not exceeding 1,500 words, as well as systemic reviews of clinical trials and methodologies will be published. Perspectives/commentaries on current issues and the impact of clinical trials on the practice of medicine and health policy are also welcome.