Contemporary Clinical Trials Communications | 卷:23 |
Feasibility and efficacy of a pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands | |
Edlen Azures1  Henry Otuafi1  Ainrik George2  Jennifer A. Andersen2  Jonell Hudson3  Holly Felix4  James Selig4  Wana Bing5  Brett Rowland5  Pearl A. McElfish6  Jack Niedenthal6  Sheldon Riklon6  | |
[1] Human Services, Majuro, 96960, MH, USA; | |
[2] College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, 72703, USA; | |
[3] College of Pharmacy, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, 72703, USA; | |
[4] Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA; | |
[5] Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, 72703, USA; | |
[6] Republic of the Marshall Islands Ministry of Health & | |
关键词: Type 2 diabetes mellitus; Diabetes self-management education; HbA1c; Pre- and post-intervention; Marshallese; | |
DOI : | |
来源: DOAJ |
【 摘 要 】
Background: The Republic of the Marshall Islands (RMI) faces numerous health disparities, including one of the highest prevalence of type 2 diabetes mellitus (T2DM) in the world. Diabetes self-management education and support (DSMES) has shown efficacy in improving glycemic control and through increases in knowledge and self-management activities; however, there is limited research on DSMES in the RMI. This study evaluated the feasibility and efficacy of a culturally adapted family model of DSMES (F-DSMES) in the RMI. The F-DSME included 8 h of group educational classes delivered in churches by a community health worker. Methods: This pilot study assessed retention and dosage rates (e.g., class attendance) among the participants with T2DM (n = 41). Efficacy was evaluated by examining pre- and post-intervention differences in HbA1c, knowledge, family support, and self-management activities among those who completed the post-intervention data collection (n = 23). Results: The results indicate completion of post-intervention data collection and attendance were associated; 70% of participants who completed the post-intervention data collection received at least 6 h of intervention compared to 3 h for those who did not. Although the reduction in HbA1c was not statistically significant, participants demonstrated statically significant increases in knowledge, family support, and an increase in self-management including in checking of blood glucose and feet. Conclusions: This study provides important information to help address T2DM disparities in the RMI, including the feasibility and efficacy of F-DSMES. Additional research will help in understanding how to translate improvements in knowledge, family support, and self-management activities into improvements in HbA1c. This may include addressing social ecological factors that affect glycemic control.
【 授权许可】
Unknown