一张照片胜过千言万语:索马里1型糖尿病儿童家庭糖尿病教育的文化定制视频方法

IF 4.2 Q1 ENDOCRINOLOGY & METABOLISM
Muna Sunni , Jennifer Kyllo , Carol Brunzell , Janyce Majcozak , Munira Osman , Abdirahman M. Dhunkal , Antoinette Moran
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引用次数: 1

摘要

目的1型糖尿病(T1D)在索马里移民儿童中非常普遍,与非西班牙裔白人相比,该人群的血红蛋白A1c水平升高。目前的糖尿病自我管理教育并没有针对这一人群。我们旨在通过开发和测试基于文化的视频课程,改善向索马里移民提供T1D教育的情况。方法这项横断面研究涉及明尼苏达州两个儿科三级中心随访的T1D≤19岁的索马里青年。10个索马里语T1D教育视频是根据ADA核心课程开发的(整个课程约60分钟),旨在解决文化问题和误解。对所有参与者的父母和≥12岁的儿童进行糖尿病知识问卷调查。使用配对t检验比较教育前和教育后问卷的平均得分,以评估视频教育后立即的知识进步(主要终点)和3个月时的保留率(次要终点)。结果22名索马里儿童的父母(平均年龄12.3±4岁;36%为女性),其中12名儿童年龄≥12岁。与基线相比,视频教育后糖尿病知识得分立即显著改善(p=0.012)。这种改善在3个月后持续(p=0.0008)。教育后6个月,平均HbA1c与基线相比没有显著变化(9.0±1.5%vs 9.3±1.9;p=0.06)与简单翻译标准糖尿病教育材料相比,移民和提供视觉音频可以提高糖尿病教育的有效性,增加知识和保留率。对HbA1c的影响需要更大样本量的进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A picture is worth a thousand words: A culturally-tailored video-based approach to diabetes education in Somali families of children with type 1 diabetes

A picture is worth a thousand words: A culturally-tailored video-based approach to diabetes education in Somali families of children with type 1 diabetes

A picture is worth a thousand words: A culturally-tailored video-based approach to diabetes education in Somali families of children with type 1 diabetes

Objectives

Type 1 diabetes (T1D) is highly prevalent in Somali immigrant children and hemoglobin A1c (HbA1c) levels are elevated in this population compared to non-Hispanic Whites. Current self-management diabetes education has not been tailored to this population. We aimed to improve delivery of T1D education to Somali immigrants by developing and testing a culturally-appropriate video-based curriculum.

Methods

This cross-sectional study involved Somali youth ≤ 19 years with T1D followed at two pediatric tertiary centers in Minnesota. Ten Somali-language T1D education videos were developed (∼60 min for total program) based on core ADA curriculum and tailored to address cultural concerns and misconceptions. A diabetes knowledge questionnaire was administered to parents of all participants and to children aged ≥12 years. Pre- and post-educational session questionnaire mean scores were compared using a paired t-test to assess knowledge improvement immediately post-video education (primary endpoint) and retention at 3 months (secondary endpoint). HbA1c was measured pre- and 6 months post education (exploratory endpoint).

Results

Twenty-two Somali parents of 22 children participated (mean age 12.3 ± 4 years; 36 % female), 12 children ≥12 years. Diabetes knowledge scores significantly improved immediately post-video education compared to baseline (p = 0.012). This improvement persisted 3 months later (p = 0.0008). There was no significant change in mean HbA1c from baseline at 6 months post education (9.0 ± 1.5 % vs 9.3 ± 1.9; p = 0.6).

Conclusion

Culturally and linguistically tailoring diabetes education materials to African immigrants and delivering it audio-visually could improve effectiveness of diabetes education and increase knowledge and retention compared to simply translating standard diabetes education materials. The effect on HbA1c needs further study with a larger sample size.

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来源期刊
CiteScore
6.10
自引率
0.00%
发文量
24
审稿时长
16 weeks
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