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
- 2
- 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.
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)