Not Scared of Sugar™: Outcomes of a structured type 2 diabetes group education program for Chinese Australians.
Type 2 diabetes disproportionately affects the Chinese population yet there are no structured diabetes education programs specifically designed for this community in Australia. This project aimed to develop and evaluate a pilot type 2 diabetes group education program designed specifically for Chines...
| Publicado en: | Health & Social Care in the Community Vol. 28; no. 6; pp. 2273 - 2282 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146218084&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146218084 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660410 EVX jtl: Health & Social Care in the Community issn: 09660410 maglogo: Y pubinfo: dt: Nov2020 vid: 28 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 146218084 146218084 146218084 10.1111/hsc.13046 146218084 ppf: 2273 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Not Scared of Sugar™: Outcomes of a structured type 2 diabetes group education program for Chinese Australians. aug: au: Kellow, Nicole J. Palermo, Claire Choi, Tammie ST affil: Department of Nutrition, Dietetics & Food, Monash University, Notting Hill VIC,, Australia sug: subj: Diabetes Education Diabetes Mellitus, Type 2 Immigrants Australia Program Evaluation Diabetic Patients Psychosocial Factors Australia Human Chinese Persons Culture Health Behavior Male Female Middle Age Aged Descriptive Statistics Nonrandomized Trials Waist Circumference Self Care Questionnaires Stress, Psychological Glycated Hemoglobin Scales Mann-Whitney U Test Data Analysis Software T-Tests Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Type 2 diabetes disproportionately affects the Chinese population yet there are no structured diabetes education programs specifically designed for this community in Australia. This project aimed to develop and evaluate a pilot type 2 diabetes group education program designed specifically for Chinese migrants living in Australia. A non‐randomised pre‐ versus post‐intervention trial was conducted between March 2017 and November 2018. A culturally tailored group education program (Not Scared of Sugar™) was developed and piloted with Melbourne‐based Cantonese‐speaking people with type 2 diabetes. Program teaching styles were aligned with the Confucian cultural process of learning and incorporated culturally specific strategies to promote healthy behaviour change. Thirty‐four individuals (35% male) attended five education sessions over ten weeks, delivered by a Cantonese‐speaking facilitator and multidisciplinary clinicians. Data were collected from participants at baseline, on program completion and at 6 months follow‐up. Mean (SD) participant age was 69 (9) years, with a mean time of 25.7 (10.8) years in Australia and a median duration of diabetes of 10 (IQR = 2.8–20.5) years. At program completion, mean participant waist circumference (90.5 versus 89.2 cm, p <.001) and waist‐to‐height ratio (0.574 vs. 0.566, p <.001) was significantly reduced and both were further reduced at 6‐month follow‐up (p <.05). There was a significant increase in the median frequency of diabetes self‐care behaviours undertaken, with American Association of Diabetes Educators Questionnaire Score: 30 (22–32.3) versus 33 (29.8–35.0), p <.001 at 6‐month follow‐up. Diabetes‐related distress assessed by PAID‐C was also significantly reduced at 6‐month follow‐up (p <.05). Mean HbA1c was unchanged after 6 months; 51 (7.9) versus 50 (7.8) mmol/mol, p =.316. Program attrition was 6%. Not Scared of Sugar™ successfully reduced waist circumference, increased diabetes self‐management behaviours and reduced diabetes distress in Cantonese‐speaking Australians, which may positively impact long‐term risk of vascular complications. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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