التفاصيل البيبلوغرافية
| العنوان: |
Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes. |
| المؤلفون: |
Baig, Arshiya, Benitez, Amanda, Locklin, Cara, Gao, Yue, Lee, Sang, Quinn, Michael, Solomon, Marla, Sánchez-Johnsen, Lisa, Burnet, Deborah, Chin, Marshall, Baig, Arshiya A, Locklin, Cara A, Lee, Sang Mee, Quinn, Michael T, Solomon, Marla C, Sánchez-Johnsen, Lisa, Burnet, Deborah L, Chin, Marshall H, Little Village Community Advisory Board |
| المصدر: |
JGIM: Journal of General Internal Medicine; Oct2015, Vol. 30 Issue 10, p1481-1490, 10p, 1 Diagram, 3 Charts, 1 Graph |
| مصطلحات موضوعية: |
TYPE 2 diabetes treatment, BLOOD pressure, COMPARATIVE studies, EXERCISE, HEALTH behavior, HISPANIC Americans, LONGITUDINAL method, RESEARCH methodology, MEDICAL cooperation, TYPE 2 diabetes, RESEARCH, RESEARCH funding, HEALTH self-care, PILOT projects, EVALUATION research, RANDOMIZED controlled trials, EARLY medical intervention |
| الشركة/الكيان: |
CATHOLIC Church |
| مستخلص: |
Background: Churches may provide a familiar and accessible setting for chronic disease self-management education and social support for Latinos with diabetes.Objective: We assessed the impact of a multi-faceted church-based diabetes self-management intervention on diabetes outcomes among Latino adults.Design: This was a community-based, randomized controlled, pilot study.Subjects: One-hundred adults with self-reported diabetes from a Midwestern, urban, low-income Mexican-American neighborhood were included in the study.Interventions: Intervention participants were enrolled in a church-based diabetes self-management program that included eight weekly group classes led by trained lay leaders. Enhanced usual care participants attended one 90-minute lecture on diabetes self-management at a local church.Outcome Measures: The primary outcome was change in glycosylated hemoglobin (A1C). Secondary outcomes included changes in low-density lipoproteins (LDL), blood pressure, weight, and diabetes self-care practices.Key Results: Participants' mean age was 54 ± 12 years, 81 % were female, 98 % were Latino, and 51 % were uninsured. At 3 months, study participants in both arms decreased their A1C from baseline (-0.32 %, 95 % confidence interval [CI]: -0.62, -0.02 %). The difference in change in A1C, LDL, blood pressure and weight from baseline to 3-month and 6-month follow-up was not statistically significant between the intervention and enhanced usual care groups. Intervention participants reported fewer days of consuming high fat foods in the previous week (-1.34, 95 % CI: -2.22, -0.46) and more days of participating in exercise (1.58, 95 % CI: 0.24, 2.92) compared to enhanced usual care from baseline to 6 months.Conclusions: A pilot church-based diabetes self-management intervention did not reduce A1C, but resulted in decreased high fat food consumption and increased participation in exercise among low-income Latino adults with diabetes. Future church-based interventions may need to strengthen linkages to the healthcare system and provide continued support to participants to impact clinical outcomes. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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