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- Title
Pilot Implementation of Adapted-Family Diabetes Self-Management Education Into a Clinical Setting.
- Authors
McElfish, Pearl A.; Long, Christopher R.; Scott, Aaron J.; Hudson, Jonell S.; Haggard-Duff, Lauren; Holland, Angel; Schulz, Thomas K.; Wilmoth, Ralph O.; Selig, James P.
- Abstract
Objectives: Marshallese are a Pacific Islander community that experience a disproportionate rate of type 2 diabetes. The purpose of this study is to evaluate the preliminary effectiveness and feasibility of an Adapted-Family Diabetes Self-Management Education (DSME) intervention among Marshallese adults diagnosed with type 2 diabetes and their family members when delivered in a clinical setting. Methods: Marshallese patients (primary participants) with type 2 diabetes (n = 10) and their family members (n = 10) enrolled in a pilot study deigned to evaluate an Adapted-Family DSME curriculum conducted by community health workers and a certified diabetes educator in a clinical setting. Primary and family participants' health information and biometric data (HbA1c, blood pressure, cholesterol, and body mass index) were collected at preintervention and 12 weeks postintervention. Results: All 10 primary participants and 8 of the family members received all 10 hours of the education intervention. Nine of the 10 primary participants and 8 of the 10 family members completed the pre- and postintervention data collection events. Primary participants demonstrated a mean decrease in HbA1c of 0.7%, from pre- to postintervention, as well as improved blood pressure and cholesterol. Family members demonstrated minor improvements in HbA1c and blood pressure. Conclusions: Results suggest preliminary effectiveness and feasibility of the Adapted-Family DSME in a clinic setting and will inform implementation of a fully powered study.
- Subjects
ACADEMIC medical centers; BIOMETRY; BLOOD pressure; CHOLESTEROL; DIABETES; CURRICULUM; FAMILIES; GLYCOSYLATED hemoglobin; HEALTH; MATHEMATICAL models; MEDICAL care; TYPE 2 diabetes; NONPARAMETRIC statistics; PATIENT education; RESEARCH funding; HEALTH self-care; INFORMATION resources; DISEASE management; PILOT projects; THEORY; HUMAN services programs; EDUCATIONAL outcomes; DESCRIPTIVE statistics
- Publication
Journal of Primary Care & Community Health, 2020, p1
- ISSN
2150-1319
- Publication type
Article
- DOI
10.1177/2150132720931289