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：

---

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。对有效的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

可重复使用的搜索策略用于确定测试CBPR干预措施以改善糖尿病预后的研究，包括改善A1C，空腹血糖，血压，血脂和生活质量。搜索Pubmed，PsychInfo和CINAHL，以查找2010年至2020年之间发表的文章。使用CBPR连续性框架，根据外展，咨询，参与，协作和共同领导对研究进行分类。

结果

总共筛选了172个，并进行了标题搜索以确定资格。总共包括16篇文章进行合成。在使用CBPR方法进行糖尿病干预的16项研究中，有12项表明在干预后的某个时间点测量的1种或多种糖尿病结局具有统计学上的显着差异。CBPR的各个领域的研究表明，糖尿病结局具有统计学上的显着改善。

结论

在包括在合成中的16项研究中，有14项在A1C，空腹血糖，血压，脂质和生活质量方面显示出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进行干预，并显示出糖尿病结局的显着降低。这篇综述总结的证据表明，CHW和糖尿病护理及教育专家不仅在干预措施的交付中而且在以人和社区为中心的面向外部的糖尿病护理方法的发展中都发挥着关键作用。