An Empowerment-Based Diabetes Self-management Education Program for Hispanic/Latinos A Quasi-experimental Pilot Study

被引:38
作者
Pena-Purcell, Ninfa C. [1 ]
Boggess, May M. [2 ]
Jimenez, Natalia [3 ]
机构
[1] Texas A&M Syst, Texas AgriLife Extens Serv, Family & Consumer Sci, College Stn, TX 77843 USA
[2] Texas A&M Univ, Dept Math, College Stn, TX 77843 USA
[3] Texas A&M Univ, Dept Educ Psychol, College Stn, TX 77843 USA
关键词
MEXICAN-AMERICANS; HEALTH;
D O I
10.1177/0145721711423319
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose The purpose of this pilot study was to evaluate the effects of a culturally sensitive, empowerment-based diabetes self-management education program for Spanish-speaking Hispanic/Latinos. Methods A prospective quasi-experimental repeated measures design tested the effectiveness of the Si-i, Yo Puedo Controlar Mi Diabetes! diabetes self-management education program. In sum, 144 persons residing in 2 Texas counties at the Texas-Mexico border (Starr and Hidalgo) served as participants. Two groups were formed, an intervention and a control (wait list). Clinical (A1C), cognitive, attitudinal, behavioral, and cultural assessments were collected at baseline and 3 months. Results Demographic characteristics for the intervention and control groups were similar. Both groups were predominately female, low income, older than 40 years, and minimally acculturated. Baseline and posttest findings showed that the intervention group had a significant reduction in A1C values; median difference was 0.3 (n = 45), especially for those with higher baseline values. Participants in the intervention group also improved in their self-efficacy and self-care scores. Conclusions Findings from the study suggest that additional dissemination of a diabetes self-management education program for Spanish-speaking Hispanic/Latinos is warranted to improve clinical outcomes and associated diabetes self-efficacy and self-care behaviors.
引用
收藏
页码:770 / 779
页数:10
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