背景:中国移民承担着很高的糖尿病负担,在获得糖尿病自我管理教育(DSME)和咨询计划方面面临着巨大的障碍。
目的:本研究的目的是研究基于社交媒体的DSME干预在纽约市低收入的2型糖尿病(T2D)中国移民中的可行性和可接受性,并初步测试其潜在疗效。
方法:这是一项针对30名患有T2D的中国移民的单组前测和后测研究。干预包括24个文化和语言定制的DSME视频,专注于糖尿病教育和行为咨询技术。超过12周,参与者每周通过微信收到2个简短视频,在中国移民中流行的免费社交媒体应用程序。主要结果包括干预的可行性和可接受性。通过招聘流程评估了可行性,保留率,和视频观看率。在3个月时通过满意度调查评估可接受性。次要结果,也就是说,血红蛋白A1c(HbA1c),自我效能感,饮食摄入量,和身体活动,在基线测量,3个月,和6个月。描述性统计和配对双侧t检验用于总结基线特征和干预前后的变化。
结果:样本人群(N=30)主要由已婚女性(21/30,70%)组成(19/30,63%),英语能力有限(30/30,100%),平均年龄为61(SD7)岁。大多数人报告的家庭年收入<25,000美元(24/30,80%)和高中教育或以下(19/30,63%)。在2个月内(2020年1月和2月)招募了30名参与者,97%(29/30)的参与者在6个月时被保留。视频观看率达到92%(28/30)。平均基线HbA1c水平为7.3%(SD1.3%),该水平在6个月时下降了0.5%(95%CI-0.8%至-0.2%;P=.003)。平均满意度得分为9.9分(SD0.6分),满分10分,表明对该计划的满意度很高。所有人都强烈同意或同意,他们更喜欢这种基于视频的DSME,而不是面对面的访问。与基线相比,自我效能感显著改善,饮食,和6个月时的身体活动行为。
结论:这项初步研究表明,基于社交媒体的DSME干预是可行的,可接受,并且在低收入的T2D中国移民人口中可能有效。未来的研究需要在足够有力的临床试验中检查疗效。
BACKGROUND: Chinese immigrants bear a high diabetes burden and face significant barriers to accessing diabetes self-management education (DSME) and counseling programs.
OBJECTIVE: The goal of this study was to examine the feasibility and acceptability and to pilot test the potential efficacy of a social media-based DSME intervention among low-income Chinese immigrants with type 2 diabetes (T2D) in New York City.
METHODS: This was a single group pretest and posttest study in 30 Chinese immigrants with T2D. The intervention included 24 culturally and linguistically tailored DSME videos, focusing on diabetes education and behavioral counseling techniques. Over 12 weeks, participants received 2 brief videos each week via WeChat, a free social media app popular among Chinese immigrants. Primary outcomes included the feasibility and acceptability of the intervention. Feasibility was evaluated by recruitment processes, retention rates, and the video watch rate. Acceptability was assessed via a satisfaction survey at 3 months. Secondary outcomes, that is, hemoglobin A1c (HbA1c), self-efficacy, dietary intake, and physical activity, were measured at baseline, 3 months, and 6 months. Descriptive statistics and paired 2-sided t tests were used to summarize the baseline characteristics and changes before and after the intervention.
RESULTS: The sample population (N=30) consisted of mostly females (21/30, 70%) who were married (19/30, 63%), with limited English proficiency (30/30, 100%), and the mean age was 61 (SD 7) years. Most reported an annual household income of
CONCLUSIONS: This pilot study demonstrated that a social media-based DSME intervention is feasible, acceptable, and potentially efficacious in a low-income Chinese immigrant population with T2D. Future studies need to examine the efficacy in an adequately powered clinical trial.