TY - JOUR AU - Li, Shiyu AU - Yin, Zenong AU - Lesser, Janna AU - Li, Chengdong AU - Choi, Byeong Yeob AU - Parra-Medina, Deborah AU - Flores, Belinda AU - Dennis, Brittany AU - Wang, Jing PY - 2022 DA - 2022/5/30 TI -社区卫生工作者领导的基于健康的糖尿病自我管理教育和支持干预:单臂可行性试验JO - JMIR糖尿病SP - e37534 VL - 7 IS - 2千瓦-健康差距KW -农村卫生KW -农村KW -社区卫生工作者KW -健康教育KW -数字健康KW -糖尿病KW -糖尿病管理KW -移动卫生KW -社区卫生KW -自我管理KW -移动卫生KW -技术可行性KW -服务不足KW -拉丁美洲AB -背景:生活在德克萨斯州南部农村的拉美裔糖尿病患病率较高，但他们获得糖尿病自我管理教育和支持(DSMES)的机会有限。目的:我们旨在测试由社区卫生工作者领导的、基于移动健康(mHealth)的DSMES干预的可行性，以减少德克萨斯州南部服务不足的农村拉丁裔居民在获取DSMES方面的差异。方法:由训练有素的社区卫生工作者对15名成人2型糖尿病患者进行了为期12周的单臂后前试验。干预措施包括数字化糖尿病教育、自我监测、基于云的连接平台和社区卫生工作者支持。可行性评估包括保留率、实际干预使用、项目满意度和实施障碍。我们还探讨了干预对减肥和糖化血红蛋白(HbA1c)的影响。结果:15名参与者均为拉丁裔(平均年龄61.87岁，SD 10.67岁;9/15女性，60%)。 The retention rate at posttest was 14 of 15 (93%). On average, the participants completed 37 of 42 (88%) digital diabetes education lessons with 8 participants completing all lessons. Participants spent 81/91 days (89%) step tracking, 71/91 days (78%) food logging, 43/91 days (47%) blood glucose self-monitoring, and 74/91 days (81%) weight self-monitoring. The level of program satisfaction was high. On average, participants lost 3.5 (SD 3.2) kg of body weight (P=.001), while HbA1c level remained unchanged from baseline (6.91%, SD 1.28%) to posttest (7.04%, SD 1.66%; P=.668). Conclusions: A community health worker-led mHealth-based intervention was feasible and acceptable to improve access to DSMES services for Latino adults living in rural communities. Future randomized controlled trials are needed to test intervention efficacy on weight loss and glycemic control. SN - 2371-4379 UR - https://diabetes.www.mybigtv.com/2022/2/e37534 UR - https://doi.org/10.2196/37534 UR - http://www.ncbi.nlm.nih.gov/pubmed/35635752 DO - 10.2196/37534 ID - info:doi/10.2196/37534 ER -