Empowerment Program for People With Prediabetes: A Randomized Controlled Trial

Mei-Fang Chen; Shu-Ling Hung; Shu-Lin Chen

doi:10.1097/jnr.0000000000000193

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医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

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Empowerment Program for People With Prediabetes: A Randomized Controlled Trial

糖尿病前期个案之赋权计画－随机对照试验

陈美芳(Mei-Fang Chen) ；洪淑玲(Shu-Ling Hung) ；陈淑玲(Shu-Lin Chen)

The Journal of Nursing Research ； 25 卷 2 期 (2017 / 04 / 01) ， P99 - 111

英文 DOI： 10.1097/jnr.0000000000000193

empowerment ； prediabetes ； health-promoting lifestyle ； blood sugar ； self-efficacy ；充能；糖尿病前期；健康促进生活型态；血糖；自我效能

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摘要 │ 参考文献 (38) │ 被引用文献 (3) │ 国际计量

摘要〈TOP〉

Background: Practicing a health-promoting lifestyle is believed to be effective for delaying or preventing the onset of diabetes. However, although empowerment interventions have proven effective for encouraging the adoption of a health-promoting lifestyle in people with diabetes, these interventions are rarely promoted to people with prediabetes. Purpose: The aims of this study were to develop an empowerment program for people with prediabetes and to examine its efficacy in terms of the adoption of a health-promoting lifestyle and improvements in blood sugar, body mass index, and self-efficacy. Methods: A randomized controlled trial was conducted between May and December 2013. A convenience sample of people with a fasting blood sugar level of 100-125 mg/dl during the previous 3 months was recruited from the health examination center of a hospital in Kaohsiung, Taiwan. Participants were assigned to either the experimental group or the control group using block randomization with a block size of 8. The experimental group (n = 38) participated in a 4-month empowerment program (the ABC empowerment program), which encouraged participants to practice a health-promoting lifestyle in three phases: awareness raising, behavior building, and results checking. The control group (n = 40) received routine clinical care. Statistical analyses included descriptive statistics, independent t test, paired t test, and generalized estimated equations. Results: After controlling for the differences at baseline and considering the interaction between group and time from baseline to 1 week and 3 months after completing the intervention, the generalized estimating equation showed significantly larger improvements in a health-promoting lifestyle, blood sugar, and self-efficacy in the experimental group than in the control group (p ＜ .01). Furthermore, the experimental group achieved a larger reduction in body mass index than the control group at 3months after completing the intervention (p = .001). Conclusions/Implications for Practice: The empowerment program was shown to have short-term, positive effects on behavioral, physical, and psychosocial outcomes in a Taiwan population with prediabetes. The results of this study provide a useful reference not only for healthcare personnel when implementing empowerment interventions in people with prediabetes but also for nursing educators and healthcare policymakers.

并列摘要〈TOP〉

参考文献 ( 38 ) 〈TOP〉

Bhandari, P.,Kim, M.(2016).Predictors of the healthpromoting behaviors of Nepalese migrant workers.The Journal of Nursing Research,24(3),232-239.
连结：
Chen, M. F.,Wang, R. H.,Tang, S. M.(2011).The application and effectiveness of an empowerment intervention among diabetes patients: A systematic review.Taiwan Journal of Public Health,30(2),93-109.
连结：
Tsai, C. L. (2005). Awareness of diabetes and its prevention. Retrieved from http://www.sltung.com.tw/tw/healthy2/00home/a21_detail.php?id=37 (Original work published in Chinese)
World Health Organization. (2013). Diabetes. Retrieved from http://www.who.int/mediacentre/factsheets/fs312/en/
Ministry of Health and Welfare, Health Promotion Administration. (2014). BMI calculation. Retrieved from http://health99.hpa.gov.tw/OnlinkHealth/Onlink_BMI.aspx (Original work published in Chinese)

被引用文献 ( 3 ) 〈TOP〉

Henik Tri RAHAYU,Ching-Min CHEN(2020).Psychometric Testing of an Indonesian-Version Diabetes Self-Management Instrument.The Journal of Nursing Research,28(6),1-13.
游月玲(2020)。运用赋权概念提升一位青少年糖尿病患者自我照顾技能之护理经验。志为护理-慈济护理杂志，19(5)，131-140。
(2024)。运用赋权策略改善一位慢性思觉失调症病人自我照顾能力缺失之护理经验。精神卫生护理杂志，19(1)，33-39。

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