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مدیریت دانش - knowledge management
عنوان انگلیسی مقاله:
Feasibility and efficacy of a pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands
ترجمه فارسی عنوان مقاله:
امکان سنجی و کارایی یک مدل خانواده آزمایشی مداخله خودمدیریتی دیابت در جمهوری جزایر مارشال
ScienceDirect- Elsevier- Contemporary Clinical Trials Communications, 23 (2021) 100824: doi:10:1016/j:conctc:2021:100824
Jennifer A. Andersen
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 selfmanagement 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 selfmanagement 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.
keywords: Type 2 diabetes mellitus | Diabetes self-management education | HbA1c | Pre- and post-intervention | Marshallese