Community-based diabetes education for Latinos: the diabetes empowerment education program.

Auteur(s) :
Castillo OA., Giachello A.
Date :
Juil, 2010
Source(s) :
Diabetes Educ.. #36:4 p586-594
Adresse :
Amparo Castillo, Midwest Latino Health Research Training and Policy Center, University of Illinois at Chicago, 1640 West Roosevelt Road, Suite 636, Chicago, IL 60608. amparo@uic.edu.

Sommaire de l'article

PURPOSE:
The purpose of this study was to conduct a diabetes education program delivered by community health workers (CHWs) in community settings and to evaluate its effectiveness in improving glycemic control and self-management skills in Hispanics/Latinos with type 2 diabetes.

METHODS:
Trained CHWs recruited Hispanic/Latino community residents with self-reported type 2 diabetes, implemented intervention in nonclinical locations, and collected data on diabetes knowledge, self-care behaviors, self-efficacy, depression, A1C, weight, and blood pressure. Classes applied participatory techniques and were delivered in 2-hour group sessions over 10 weeks. Two focus groups collected qualitative postintervention data.

RESULTS:
Seventy participants enrolled, and 47 completed pretest and posttest data. Improvements were significant for A1C (P = .001) and systolic blood pressure (P = .006). Other positive outcomes were diabetes knowledge, physical activity, spacing carbohydrates, following a healthy eating plan, and eating fruits and vegetables. Improved behaviors also included foot care, glucose self-monitoring, and medication adherence. Depressive symptoms showed a positive trend in intent-to-treat analysis (P = .07), but self-efficacy did not change significantly (P = .142). Qualitative information reported an increase in participants' perceived competence in self-care and a positive influence of CHWs in participants' compliance with the program.

CONCLUSIONS:
A diabetes self-management education program for Hispanics/Latinos led by CHWs can be implemented in community settings and may effectively improve behavioral skills and glycemic control.

Source : Pubmed
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