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首页> 外文期刊>The American heart journal >The Cholesterol, Hypertension, and Glucose Education (CHANGE) study for African Americans with diabetes: study design and methodology.
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The Cholesterol, Hypertension, and Glucose Education (CHANGE) study for African Americans with diabetes: study design and methodology.

机译:针对非裔美国人患有糖尿病的胆固醇,高血压和葡萄糖教育(CHANGE)研究:研究设计和方法。

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BACKGROUND: Cardiovascular disease (CVD) and diabetes account for over one third of the mortality difference between African Americans and white patients. The increased CVD risk in African Americans is due in large part to the clustering of multiple CVD risk factors. OBJECTIVES: The current study is aimed at improving CVD outcomes in African-American adults with diabetes by addressing the modifiable risk factors of systolic blood pressure , glycosylated hemoglobin, and low-density lipoprotein cholesterol. METHODS: A sample of African American patients with diabetes (N = 400) will receive written education material at baseline and be randomized to one of 2 arms: (1) usual primary care or (2) nurse-administered disease-management intervention combining patient self-management support and provider medication management. The nurse administered intervention is delivered monthly over the telephone. The nurses also interacts with the primary care providers at 3, 6, and 9 months to provide concise patient updates and facilitate changes in medical management. All patients are followed for 12 months after enrollment. The primary outcomes are change in glycosylated hemoglobin, systolic blood pressure, and low-density lipoprotein cholesterol over 12-months. Secondary outcomes include change in overall cardiovascular risk, aspirin use, and health behaviors. CONCLUSION: Given the continued racial disparities in CVD, the proposed study could result in significant contributions to cardiovascular risk reduction in African-American patients.
机译:背景:心血管疾病(CVD)和糖尿病占非洲裔美国人与白人患者死亡率差异的三分之一以上。非裔美国人中CVD风险增加的主要原因是多个CVD风险因素的聚集。目的:本研究旨在通过解决可改变的收缩压,糖基化血红蛋白和低密度脂蛋白胆固醇的危险因素,改善患有糖尿病的非洲裔美国人成年人的CVD结局。方法:样本非裔美国糖尿病患者(N = 400)将在基线时接受书面教育材料,并随机分配至以下两个部门之一:(1)常规初级保健或(2)由护士管理的疾病管理干预措施,结合患者自我管理支持和提供者药物管理。护士每月都会通过电话进行干预。护士还将在3、6和9个月与初级保健提供者进行互动,以提供简明的患者更新信息并促进医疗管理的变化。所有患者入组后均随访12个月。主要结局是12个月内糖化血红蛋白,收缩压和低密度脂蛋白胆固醇的变化。次要结果包括总体心血管风险,阿司匹林使用和健康行为的变化。结论:鉴于CVD中种族差异的持续存在,拟议的研究可能会为降低非洲裔美国人心血管风险做出重大贡献。

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