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首页> 外文OA文献 >A Randomized Trial of an Intervention to Improve Self-Care Behaviors of African-American Women With Type 2 Diabetes: Impact on physical activity
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A Randomized Trial of an Intervention to Improve Self-Care Behaviors of African-American Women With Type 2 Diabetes: Impact on physical activity

机译：一项改善2型糖尿病非裔美国人女性自我护理行为的干预措施的随机试验：对体育锻炼的影响

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OBJECTIVE—To determine whether a culturally appropriate clinic- and community-based intervention for African-American women with type 2 diabetes will increase moderate-intensity physical activity (PA). RESEARCH DESIGN AND METHODS—In this randomized controlled trial conducted at seven practices in central North Carolina, 200 African-American women, ≥40 years of age with type 2 diabetes, were randomized to one of three treatment conditions: clinic and community (group A), clinic only (group B), or minimal intervention (group C). The clinic-based intervention (groups A and B) consisted of four monthly visits with a nutritionist who provided counseling to enhance PA and dietary intake that was tailored to baseline practices and attitudes; the community-based intervention (group A) consisted of three group sessions and 12 monthly phone calls from a peer counselor and was designed to provide social support and reinforce behavior change goals; and the minimal intervention (group C) consisted of educational pamphlets mailed to participants. The primary study outcome was the comparison of PA levels between groups assessed at 6 and 12 months by accelerometer, which was worn while awake for 7 days. RESULTS—Totals of 175 (88%) and 167 (84%) participants completed PA assessment at 6 and 12 months, respectively. For comparison of PA, the P value for overall group effect was 0.014. Comparing group A with C, the difference in the average adjusted mean for PA was 44.1 kcal/day (95% CI 13.1–75.1, P = 0.0055). Comparing group B with C, the difference in the average adjusted mean was 33.1 kcal/day (95% CI 3.3–62.8, P = 0.029). The intervention was acceptable to participants: 88% were very satisfied with clinic-based counseling to enhance PA, and 86% indicated that the peer counselor’s role in the program was important. CONCLUSIONS—The intervention was associated with a modest enhancement of PA and was acceptable to participants.
机译：目的-确定针对2型糖尿病非裔美国人的文化上适当的基于临床和社区的干预措施是否会增加中等强度的体育锻炼（PA）。研究设计和方法—在北卡罗来纳州中部的七家诊所进行的这项随机对照试验中，将200名年龄在40岁以上且患有40岁以上2型糖尿病的非洲裔美国妇女随机分配到三种治疗条件之一：临床和社区（A组） ），仅诊所（B组）或最少干预（C组）。基于临床的干预措施（A和B组）由一名营养学家进行的每月四次拜访，营养学家根据基线做法和态度为患者提供咨询，以提高PA和饮食摄入量；基于社区的干预（A组）包括三个小组会议和来自同伴辅导员的12个月的电话通话，旨在提供社会支持并加强行为改变目标；最少的干预（C组）由邮寄给参与者的教育小册子组成。主要研究结果是比较两组在6和12个月时通过加速度计评估的PA水平，该加速度计在清醒7天时佩戴。结果-分别有175名（88％）和167名（84％）参与者分别在6个月和12个月完成了PA评估。为了比较PA，总体组效应的P值为0.014。将A组与C组进行比较，PA的平均调整平均值之差为44.1 kcal /天（95％CI 13.1-75.1，P = 0.0055）。将B组与C组进行比较，平均调整后平均值的差异为33.1 kcal /天（95％CI 3.3-62.8，P = 0.029）。参与者可以接受该干预措施：88％的人对基于临床的咨询来提高PA感到非常满意，而86％的人表示同伴顾问在该计划中的作用很重要。结论—该干预与PA的适度增强有关，并且被参与者接受。

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