A Home-Visiting Diabetes Prevention and Management Program for American Indian Youth: The Together on Diabetes Trial.

Autor:	Chambers RA; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Ms Chambers, Dr Rosenstock, Ms Kenney, Dr Barlow), Rosenstock S; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Ms Chambers, Dr Rosenstock, Ms Kenney, Dr Barlow), Neault N; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Albuquerque, New Mexico (Ms Neault), Kenney A; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Ms Chambers, Dr Rosenstock, Ms Kenney, Dr Barlow), Richards J; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Tuba City, Arizona (Ms Richards), Begay K; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Chinle, Arizona (Ms Begay), Blackwater T; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Shiprock, New Mexico (Ms Blackwater, Dr Reid), Laluk O; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Whiteriver, Arizona (Mr Laluk), Duggan C; Boston Children's Hospital, Division of Gastroenterology, Hepatology and Nutrition, Center for Nutrition, Boston, Massachusetts (Dr Duggan), Reid R; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Shiprock, New Mexico (Ms Blackwater, Dr Reid), Barlow A; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Ms Chambers, Dr Rosenstock, Ms Kenney, Dr Barlow)
Jazyk:	angličtina
Zdroj:	The Diabetes educator [Diabetes Educ] 2015 Dec; Vol. 41 (6), pp. 729-47. Date of Electronic Publication: 2015 Oct 08.
DOI:	10.1177/0145721715608953
Abstrakt:	Purpose: The purpose of this study was to test the feasibility of a family-based, home-visiting diabetes prevention/management intervention for American Indian (AI) youth with or at risk for type 2 diabetes. Methods: The Together on Diabetes program, developed through community-based participatory research, enrolled 255 AI youth (aged 10-19 years) with or at risk for type 2 diabetes and 223 support persons. Delivered by local AI paraprofessionals in 4 rural AI communities, the program included home-based lifestyle education and psychosocial support, facilitated referrals, and community-based healthy living activities. Changes in AI youth participants' knowledge, behavior, psychosocial status, and physiological measurements were assessed over 12 months. Results: Over one-half (56.1%) of youth were boys. The median age was 13.2 years. At baseline, 68.0% of youth reported no physical activity in the past 3 days; median percentages of kilocalories from fat (36.18%) and sweets (13.67%) were higher than US Department of Agriculture recommendations. Nearly 40% of participants reported food insecurity in the past month; 17.1% screened positive for depression. Support persons were predominantly family members, few reported having home Internet access (38.6%), and the majority reported being long distances (>30 minutes) from food stores. Whereas support persons were primarily responsible (≥69%) for obtaining medical care for the youth, the youth had a greater role in behavioral outcomes, indicating joint diabetes prevention/management responsibility. Conclusions: Baseline results confirmed the need for family-based youth diabetes prevention interventions in rural AI communities and indicated that enrolling at-risk youth and family members is feasible and acceptable. (© 2015 The Author(s).)
Databáze:	MEDLINE
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