Purpose The purpose of this study was to conduct a systematic evaluation of community-based participatory research (CBPR) interventions on diabetes outcomes. Understanding of effective CBPR interventions on diabetes outcomes is limited, and findings remain unclear. Methods A reproducible search strategy was used to identify studies testing CBPR interventions to improve diabetes outcomes, including A1C, fasting glucose, blood pressure, lipids, and quality of life. Pubmed, PsychInfo, and CINAHL were searched for articles published between 2010 and 2020. Using a CBPR continuum framework, studies were classified based on outreach, consulting, involving, collaborating, and shared leadership. Results A total of 172 were screened, and a title search was conducted to determine eligibility. A total of 16 articles were included for synthesis. Twelve out of the 16 studies using CBPR approaches for diabetes interventions demonstrated statistically significant differences in 1 or more diabetes outcomes measured at a postintervention time point. Studies across the spectrum of CBPR demonstrated statistically significant improvements in diabetes outcomes. Conclusions Of the 16 studies included for synthesis, 14 demonstrated statistically significant changes in A1C, fasting glucose, blood pressure, lipids, and quality of life. The majority of studies used community health workers (CHWs) to deliver interventions across group and individual settings and demonstrated significant reductions in diabetes outcomes. The evidence summarized in this review shows the pivotal role that CHWs and diabetes care and education specialists play in not only intervention delivery but also in the development of outward-facing diabetes care approaches that are person- and community-centered.

中文翻译：

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以社区为基础的参与性研究干预措施，以改善糖尿病的结果：系统评价


目的 本研究的目的是对基于社区的参与性研究 (CBPR) 对糖尿病结局的干预进行系统评估。对有效 CBPR 干预措施对糖尿病结局的了解有限，研究结果仍不清楚。方法 使用可重复的搜索策略来识别测试 CBPR 干预措施以改善糖尿病结局的研究，包括 A1C、空腹血糖、血压、血脂和生活质量。检索了 Pubmed、PsychInfo 和 CINAHL 2010 年至 2020 年间发表的文章。使用 CBPR 连续体框架，根据外展、咨询、参与、合作和共享领导对研究进行分类。结果 总共筛选了 172 名，并进行了头衔搜索以确定资格。总共纳入 16 篇文章进行综合。使用 CBPR 方法进行糖尿病干预的 16 项研究中有 12 项表明，在干预后时间点测量的 1 种或多种糖尿病结局存在统计学显着差异。 CBPR 的各种研究表明，糖尿病结局具有统计学上的显着改善。结论 在纳入综合的 16 项研究中，14 项显示 A1C、空腹血糖、血压、血脂和生活质量发生了统计学上的显着变化。大多数研究使用社区卫生工作者 (CHW) 在团体和个人环境中提供干预措施，并证明糖尿病结局显着降低。本综述总结的证据表明，社区卫生工作者和糖尿病护理和教育专家不仅在干预措施的实施中发挥着关键作用，而且在开发以个人和社区为中心的外向型糖尿病护理方法方面也发挥着关键作用。