Implementation and Evaluation of A Culturally Tailored Diabetes Self-Management Program for Chinese Americans
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 14
- 试验地点
- 1
- 主要终点
- Change of Concentration of HbA1c
研究概览
简要总结
The project aimed to evaluate the implementation process and efficacy of a culturally tailored Diabetes Self-Management and Education (DSME) program with mobile health (mHealth) technology integration, entitled Culturally Appropriate Strategies for Chinese Americans with Diabetes (CASCADe), among Chinese American adults with Type 2 diabetes.
详细描述
The CASCADe program includes 1) a home visit for training of monitoring devices use, WeChat app and acquiring family support, 2) 8 weekly education sessions with a combined format of group class, games, food demonstration, group exercise, video and discussion, 3) WeChat follow-up on education tips, monitoring data summary, and group discussion. The monitoring system used a smartphone to coordinate cloud data transmission from a set of wireless devices to capture daily monitoring data on physical activity, body weight, blood pressure and blood glucose levels. WeChat app was used to facilitate behavioral self-monitoring by providing daily messages related to diabetes education curriculum, weekly summary reports on monitoring data as well as reinforcement messages and group discussion on readings and monitoring results implication. A single group pre-post-test design was adopted to evaluate changes of primary (HbA1c) and secondary (Self-efficacy, quality of life and stress coping) outcomes assessed at pre and post of intervention. Engagement and adherence in education sessions and self-monitoring system, and satisfaction with the content and delivery of intervention were also evaluated at the end of the study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •have been diagnosed with Type 2 diabetes
- •having been managing diabetes with diet, oral hypoglycemic agents or insulin, or both
- •confirmed HbA1c level >=6.5% and <10%
- •21-75 years old
- •residents of San Gabriel Valley
- •speak and understand of Mandarin
- •willing to use the smartphone-based monitoring devices provided by the project.
排除标准
- •unable or unwilling to give informed consent
- •plan to move out of the area within the 1-year participation study period
- •are or plan to be pregnant or breastfeeding in the next 12 months
- •have a condition that inhibits movement (e.g., unable to walk unaided, or cannot walk 1/4 mile without stopping)
- •have major physical disability or condition that prevents them from participating in person.
研究组 & 干预措施
CASCADe Intervention
Intervention consisted of eight weekly sessions of health education and diabetes management. Topics covered include recognition of diabetes and its complications, risk factors, nutrition knowledge, dietary practices, exercise, behavioral self-monitoring, medication adherence, and stress management. Intervention also included a home visit for training of monitoring devices use, WeChat app and acquiring family support, and weekly WeChat follow-up on education tips, monitoring data summary, and group discussion. The monitoring system used a smartphone to coordinate cloud data transmission from a set of wireless devices to capture daily monitoring data on physical activity, body weight, blood pressure and blood glucose levels.
干预措施: CASCADe (Behavioral)
结局指标
主要结局
Change of Concentration of HbA1c
时间窗: Change from baseline HbA1c at 3 months
HbA1c was assessed using the testing kit of A1C Now+ with a finger prick of blood by trained data collector.
次要结局
- Change of Score of Self-efficacy(Change from baseline Self-efficacy score at 3 months)
- Change of Score of Quality of life(Change from baseline Quality of life score at 3 months)