101. Pilot Implementation of Adapted-Family Diabetes Self-Management Education Into a Clinical Setting
- Author
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Ralph Wilmoth, Christopher R. Long, Jonell Hudson, Aaron Scott, Lauren Haggard-Duff, Pearl A. McElfish, Angel Holland, Thomas K. Schulz, and James P. Selig
- Subjects
Adult ,medicine.medical_specialty ,Native Hawaiian or Other Pacific Islander ,diabetes self-management education ,Health Behavior ,Marshallese ,Pilot Projects ,030209 endocrinology & metabolism ,Diabetes self management ,Type 2 diabetes ,lcsh:Computer applications to medicine. Medical informatics ,family model ,03 medical and health sciences ,Case Studies ,0302 clinical medicine ,Family model ,medicine ,Humans ,030212 general & internal medicine ,Community and Home Care ,Pilot implementation ,business.industry ,Self-Management ,lcsh:Public aspects of medicine ,Public Health, Environmental and Occupational Health ,lcsh:RA1-1270 ,Pacific Islanders ,medicine.disease ,language.human_language ,Self Care ,Diabetes Mellitus, Type 2 ,Family medicine ,language ,lcsh:R858-859.7 ,Pacific islanders ,type 2 diabetes ,business - Abstract
Objectives: Marshallese are a Pacific Islander community that experience a disproportionate rate of type 2 diabetes. The purpose of this study is to evaluate the preliminary effectiveness and feasibility of an Adapted-Family Diabetes Self-Management Education (DSME) intervention among Marshallese adults diagnosed with type 2 diabetes and their family members when delivered in a clinical setting. Methods: Marshallese patients (primary participants) with type 2 diabetes (n = 10) and their family members (n = 10) enrolled in a pilot study deigned to evaluate an Adapted-Family DSME curriculum conducted by community health workers and a certified diabetes educator in a clinical setting. Primary and family participants’ health information and biometric data (HbA1c, blood pressure, cholesterol, and body mass index) were collected at preintervention and 12 weeks postintervention. Results: All 10 primary participants and 8 of the family members received all 10 hours of the education intervention. Nine of the 10 primary participants and 8 of the 10 family members completed the pre- and postintervention data collection events. Primary participants demonstrated a mean decrease in HbA1c of 0.7%, from pre- to postintervention, as well as improved blood pressure and cholesterol. Family members demonstrated minor improvements in HbA1c and blood pressure. Conclusions: Results suggest preliminary effectiveness and feasibility of the Adapted-Family DSME in a clinic setting and will inform implementation of a fully powered study.
- Published
- 2020
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