The Impact of a Home-Based Diabetes Prevention and Management Program on High-Risk American Indian Youth.
Diabetes Educ
; 42(5): 585-95, 2016 10.
Article
en En
| MEDLINE
| ID: mdl-27422151
ABSTRACT
PURPOSE:
The purpose of this study was to examine the impact of a home-based diabetes prevention and management program on high-risk American Indian youth.METHODS:
Together on Diabetes (TOD) was designed via a participatory approach with 4 tribal communities in the southwestern United States. A multisite pre- and postevaluation design was used to evaluate the efficacy of the TOD intervention on improving youth's psychosocial, knowledge, behavioral, and physiological outcomes at 4 time points from baseline to 12 months postenrollment.RESULTS:
A total of 256 youth and 225 support persons were enrolled in the TOD program. At 12 months postenrollment, improvements were observed in youth's quality of life (P < .001), depressive symptoms (P < .001), knowledge related to TOD content (P < .001), standardized body mass index scores (P = .004), and hypertension (P = .026). Improvements in mean A1C were observed among diabetic youth with baseline A1C >6.5% (P = .036).CONCLUSIONS:
The TOD program was feasible, acceptable, and effective in lowering diabetes risk among reservation-based American Indian youth. It is the first efficacious youth-focused diabetes prevention and management program developed and implemented in partnership with tribal communities.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Evaluación de Programas y Proyectos de Salud
/
Educación del Paciente como Asunto
/
Diabetes Mellitus
/
Automanejo
/
Servicios de Atención de Salud a Domicilio
Tipo de estudio:
Clinical_trials
/
Etiology_studies
/
Evaluation_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Adolescent
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Female
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Humans
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Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Diabetes Educ
Año:
2016
Tipo del documento:
Article