دورية أكاديمية
أعرض في EDS

Comparing enhanced versus standard Diabetes Prevention Program among indigenous adults in an urban setting: a randomized controlled trial.

التفاصيل البيبلوغرافية
العنوان: Comparing enhanced versus standard Diabetes Prevention Program among indigenous adults in an urban setting: a randomized controlled trial.
المؤلفون: Rosas LG; Department of Epidemiology and Population Health, Stanford University, 1701 Page Mill Road, CA, Palo Alto, CA, 94304, USA. lgrosas@stanford.edu., Vasquez JJ; Office of Community Engagement, Stanford University, Palo Alto, CA, USA., Hedlin HK; Department of Medicine, Stanford University, Palo Alto, CA, USA., Qin FF; Department of Medicine, Stanford University, Palo Alto, CA, USA., Lv N; Institute of Health Research and Policy, University of Illinois at Chicago, Chicago, IL, USA., Xiao L; Department of Medicine, Stanford University, Palo Alto, CA, USA., Kendrick A; American Indian Community Action Board, San Jose, CA, USA., Atencio D; American Indian Community Action Board, San Jose, CA, USA., Stafford RS; Department of Medicine, Stanford University, Palo Alto, CA, USA.
المصدر: BMC public health [BMC Public Health] 2020 Jan 30; Vol. 20 (1), pp. 139. Date of Electronic Publication: 2020 Jan 30.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Population Groups*/psychology , Population Groups*/statistics & numerical data , Urban Population*/statistics & numerical data, Diabetes Mellitus/*prevention & control, Adult ; Aged ; Culturally Competent Care ; Female ; Humans ; Male ; Middle Aged ; Program Evaluation ; Psychology ; United States
مستخلص: Background: Indigenous people in the United States are at high risk for diabetes. Psychosocial stressors like historical trauma may impede success in diabetes prevention programs.
Methods: A comparative effectiveness trial compared a culturally tailored diabetes prevention program (standard group) with an enhanced one that addressed psychosocial stressors (enhanced group) in 2015 to 2017. Participants were 207 Indigenous adults with a body mass index (BMI) of ≥30 and one additional criterion of metabolic syndrome, and were randomized to the standard or enhanced group. Both groups received a culturally tailored behavioral diabetes prevention program. Strategies to address psychosocial stressors were provided to the enhanced group only. Change in BMI over 12 months was the primary outcome. Secondary outcomes included change in quality of life, and clinical, behavioral, and psychosocial measures at 6 and 12 months.
Results: The two groups did not significantly differ in BMI change at 12 months. The two groups also did not differ in any secondary outcomes at 6 or 12 months, with the exception of unhealthy food consumption; the standard group reported a larger mean decrease (95% CI) in consumption of unhealthy food compared with the enhanced group (- 4.6 [- 6.8, - 2.5] vs. -0.7 [- 2.9, 1.4], p = 0.01). At 6 months, significant improvements in weight and the physical component of the quality of life measure were observed for both groups compared with their baseline level. Compared with baseline, at 12 months, the standard group showed significant improvement in BMI (mean [95% CI], - 0.5 [- 1.0, - 0.1]) and the enhanced group showed significant improvement in the physical component of the quality of life (2.9 [0.7, 5.2]).
Conclusions: Adding strategies to address psychosocial barriers to a culturally tailored diabetes prevention program was not successful for improving weight loss among urban Indigenous adults.
Trial Registration: (if applicable): NCT02266576. Registered October 17, 2014 on clinicaltrials.gov. The trial was prospectively registered.
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معلومات مُعتمدة: K24 HL086703 United States NH NIH HHS; UL1 RR025744 United States RR NCRR NIH HHS; P30 DK116074 United States DK NIDDK NIH HHS; AD-1306-02172 United States PCORI Patient-Centered Outcomes Research Institute; UL1 TR003142 United States TR NCATS NIH HHS
فهرسة مساهمة: Keywords: American Indian and Alaskan natives; Body mass index; Diabetes Prevention Program; Historical trauma; Metabolic syndrome; Quality of life; Randomized controlled trial
سلسلة جزيئية: ClinicalTrials.gov NCT02266576
تواريخ الأحداث: Date Created: 20200201 Date Completed: 20200508 Latest Revision: 20220304
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC6993459
DOI: 10.1186/s12889-020-8250-7
PMID: 32000738
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/s12889-020-8250-7