People living with a diagnosis of HIV (PLWH) and type 2 diabetes (T2DM) can experience a synergistic negative impact on their vascular and immune systems if their conditions are poorly controlled. The purpose of this study was to adapt a community-based diabetes self-management intervention for people living with HIV and test the feasibility of administering the intervention with PLWH+T2DM who are low-income, predominantly minority, vulnerable population. The intervention was 12 weeks long with 6 h of educational instruction followed by 6 weekly support telephone calls to reinforce training and problem solve. The study used a one-group pretest–posttest design. Participants were a convenience sample of 25 adults diagnosed with HIV + T2DM. Diabetes knowledge, HIV knowledge, and self-management skills were measured. Analyses comprised descriptive statistics and correlations. Participants completed an average of 2.7 of 6 h of instruction and an average of 3 of 6 possible telephone calls. There was a 34% increase in diabetes self-management skills from pretest to posttest, but there were no changes in knowledge about HIV or diabetes. Based on this pilot study, next steps will include a multi-modal educational intervention, with in-person, at-home, and teleconference components. Blood sample collection procedure will be coordinated with study visits to decrease participants’ burden, and the updated diabetes knowledge instrument with a higher reported internal consistency will be used.

中文翻译：

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对艾滋病毒感染者改善糖尿病自我管理的教育干预措施的先导测试

如果人们的病情控制不佳，则患有艾滋病毒（PLWH）和2型糖尿病（T2DM）的人可能会对血管和免疫系统产生协同的负面影响。这项研究的目的是使基于社区的糖尿病自我管理干预措施适合艾滋病毒感染者，并测试以PLWH + T2DM（低收入，主要是少数群体，脆弱人群）进行干预的可行性。干预时间为12周，需要6小时的教育指导，其次是每周6次支持电话，以加强培训和解决问题的能力。该研究采用了一组前测-后测设计。参加者为25名被诊断患有HIV + T2DM的成年人的便利样本。测量了糖尿病知识，艾滋病毒知识和自我管理技能。分析包括描述性统计和相关性。参加者平均完成了6小时的2.7次教学，平均完成了6次可能的电话呼叫中的3次。从测试前到测试后，糖尿病自我管理技能提高了34％，但是对艾滋病毒或糖尿病的了解没有改变。基于此初步研究，下一步将包括多模式教育干预，包括面对面，在家和电话会议组件。血液样本采集程序将与研究访问相协调，以减轻参与者的负担，并且将使用具有更高内部一致性报告的更新的糖尿病知识工具。从测试前到测试后，糖尿病自我管理技能提高了34％，但是对艾滋病毒或糖尿病的了解没有改变。基于此初步研究，下一步将包括多模式教育干预，包括面对面，在家和电话会议组件。血液样本采集程序将与研究访问相协调，以减轻参与者的负担，并且将使用具有更高内部一致性报告的更新的糖尿病知识工具。从测试前到测试后，糖尿病自我管理技能提高了34％，但是对艾滋病毒或糖尿病的了解没有改变。基于此初步研究，下一步将包括多模式教育干预，包括面对面，在家和电话会议组件。血液样本采集程序将与研究访问相协调，以减轻参与者的负担，并且将使用具有更高内部一致性报告的更新的糖尿病知识工具。