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A Community Health Worker Intervention for Diabetes Self-Management Among the Tz'utujil Maya of Guatemala.
Micikas, Mary; Foster, Jennifer; Weis, Allison; Lopez-Salm, Alyse; Lungelow, Danielle; Mendez, Pedro; Micikas, Ashley.
Afiliação
  • Micikas M; Emory University, Atlanta, GA, USA Mary.Micikas@gmail.com.
  • Foster J; Emory University, Atlanta, GA, USA.
  • Weis A; Emory University, Atlanta, GA, USA.
  • Lopez-Salm A; Duke University Medical Center, Durham, NC, USA.
  • Lungelow D; Medical Anthropologist, Atlanta, GA, USA.
  • Mendez P; Organization for the Development of the Indigenous Maya, San Juan La Laguna, Guatemala.
  • Micikas A; Organization for the Development of the Indigenous Maya, San Juan La Laguna, Guatemala.
Health Promot Pract ; 16(4): 601-8, 2015 Jul.
Article em En | MEDLINE | ID: mdl-26113496
Despite the high prevalence of diabetes in rural Guatemala, there is little education in diabetes self-management, particularly among the indigenous population. To address this need, a culturally relevant education intervention for diabetic patients was developed and implemented in two rural communities in Guatemala. An evaluative research project was designed to investigate if the structured, community-led diabetes self-management intervention improved selected health outcomes for participants. A one-group, pretest-posttest design was used to evaluate the effectiveness of the educational intervention by comparing measures of health, knowledge, and behavior in patients pre- and postintervention. A survey instrument assessed health beliefs and practices and hemoglobin A1c (HgA1c) measured blood glucose levels at baseline and 4 months post initiation of intervention (n = 52). There was a significant decrease (1.2%) in the main outcome measure, mean HgA1c from baseline (10.1%) and follow-up (8.9%; p = .001). Other survey findings were not statistically significant. This study illustrates that a culturally specific, diabetes self-management program led by community health workers may reduce HgA1c levels in rural populations of Guatemala. However, as a random sample was not feasible for this study, this finding should be interpreted with caution. Limitations unique to the setting and patient population are discussed in this article.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Indígenas Centro-Americanos / Conhecimentos, Atitudes e Prática em Saúde / Serviços de Saúde Comunitária / Diabetes Mellitus Tipo 2 / Promoção da Saúde Tipo de estudo: Diagnostic_studies / Evaluation_studies / Qualitative_research / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: America central / America do norte / Guatemala Idioma: En Revista: Health Promot Pract Assunto da revista: SAUDE PUBLICA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Indígenas Centro-Americanos / Conhecimentos, Atitudes e Prática em Saúde / Serviços de Saúde Comunitária / Diabetes Mellitus Tipo 2 / Promoção da Saúde Tipo de estudo: Diagnostic_studies / Evaluation_studies / Qualitative_research / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: America central / America do norte / Guatemala Idioma: En Revista: Health Promot Pract Assunto da revista: SAUDE PUBLICA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos