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Development of a Community Health Worker-Delivered Cognitive Behavioral Training Intervention for Individuals With Diabetes and Chronic Pain

机译:开发社区卫生工作者 - 为糖尿病和慢性疼痛的个体提供认知行为培训干预

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摘要

Cognitive behavioral therapy (CBT) programs have the potential to improve quality of life in individuals with chronic pain and diabetes. Rural communities often lack the infrastructure necessary to implement such programs. CBT traditionally requires trained therapists, who are rarely available in these areas. An alternative may be programs delivered by community health workers (CHWs). We present an iterative developmental approach that combined program adaptation, pretesting, and CHW training processes for a CBT-based diabetes self-care program for individuals living with diabetes and chronic pain. Collaborative intervention refinement, combined with CHW training, is a promising methodology for community-engaged research in remote, underresourced communities.
机译:认知行为治疗(CBT)计划有可能提高患有慢性疼痛和糖尿病的个体的生活质量。 农村社区往往缺乏实施此类计划所需的基础设施。 CBT传统上需要培训的治疗师,在这些领域很少可用。 替代方案可以是社区卫生工作者(CHW)提供的课程。 我们展示了一种迭代的发展方法,即组合计划适应,预用和CHW培训流程,为患有糖尿病和慢性疼痛的个体的个人患者的个人糖尿病自我护理计划。 合作干预细化与CHW培训相结合,是偏远,欠币社区的社区从事研究的有希望的方法。

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