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首页> 外文期刊>Practical diabetes international : >Narrative based medicine An action research project to develop group education and support for bilingual health advocates and elderly South Asian patients with diabetes
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Narrative based medicine An action research project to develop group education and support for bilingual health advocates and elderly South Asian patients with diabetes

机译：叙事医学一项行动研究项目，旨在为双语健康倡导者和南亚老年糖尿病患者开展团体教育和支持

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The objective of this study was to develop bilingual health advocate (BHA)-led group education and support groups for South Asian patients with diabetes, based on a storytelling format. The design and setting were action research in a deprived inner London district.The research team worked developmentally with BHAs, service users and other stakeholders to assess need, train staff, and set up and evaluate the storytelling groups. Stories were chosen as the main vehicle for education because of their universal appeal, memorability, holistic perspective, ethical dimensions, and potential for multiple interpretations.Key challenges in the project were: high burden of need; multiple stakeholders; a shifting baseline of policy directives; frequent staff changes; resource constraints; and resistance of top and middle management to new service models. These difficulties made progress slow, and several early initiatives failed to take root. However, we succeeded in developing a nationally accredited training programme (Storytelling for group work in health and care) for BHAs, and in supporting the graduates from this course to set up two groups for South Asian patients with diabetes - one in a hospital and one in a community centre. The patient storytelling groups, once established, were popular and well evaluated. Blood glucose levels in regular attenders fell, but changes did not reach statistical significance.An action research approach allowed us successfully to develop an innovative training programme for BHAs and support them in developing and mainstreaming new service models. BHA-led diabetes storytelling groups, supported by health professionals, are feasible and popular with non-English speaking Asian patients. Their impact on diabetes outcomes should now be formally evaluated in clinical trials.
机译：这项研究的目的是基于讲故事的形式，为南亚糖尿病患者发展以双语健康倡导者（BHA）为主导的团体教育和支持团体。设计和设置是伦敦贫民区的行动研究，研究团队与BHA，服务使用者和其他利益相关者进行了开发合作，以评估需求，培训员工以及建立和评估故事组。故事因其普遍的吸引力，易记性，整体性，道德层面和多种解释的潜力而被选为教育的主要手段。多个利益相关者;政策指令的基线不断变化;员工经常更换;资源限制;高层和中层管理人员对新服务模式的抵制。这些困难使进展缓慢，一些早期的倡议未能扎根。但是，我们成功制定了针对BHA的国家认可的培训计划（讲故事，以进行保健和护理小组工作），并支持该课程的毕业生为南亚糖尿病患者设立了两个小组-一个在医院，另一个在医院在社区中心。病人叙事组一旦建立，便受到欢迎并得到了很好的评价。常规服务员的血糖水平下降了，但变化没有统计学意义。一种行动研究方法使我们成功地为BHA开发了创新的培训计划，并支持他们开发新的服务模型并将其主流化。由BHA领导的糖尿病故事讲述小组在医疗专业人员的支持下是可行的，并且在非英语国家的亚洲患者中很受欢迎。现在应在临床试验中正式评估其对糖尿病结局的影响。

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