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Community-based Diabetes and Hypertension Preventive Program

An Evidence-Based Practice

Description

This program was developed to provide diabetic and hypertension programs in Chinatown. Seventy-five Chinese individuals with either Type 2 diabetes, hypertension, or both participated in the program. All of the members volunteered to have their blood pressure and/or blood glucose levels measured at baseline and biweekly visits for one year. All of the members consulted with a diabetes nurse educator for an individualized meal plan, exercise plan, preventive plan for hyperglycemia and hypoglycemia, and foot care. The meal plans and exercise plans were developed based on the individual’s cultural food preference with mutual short term goal setting at the beginning of the project .

Goal / Mission

The purpose of this project was to develop rapport with a Chinese Community Association and then establish preventive diabetic and hypertension programs with the Chinese in Chinatown, Hawaii.

Results / Accomplishments

There was a significant decrease in mean blood glucose levels among participants in the preventive program (p=<0.001). There was also a significant reduction observed in the mean systolic and diastolic blood pressure before and after the program(p=<0.05).

About this Promising Practice

Organization(s)
University of Hawaii School of Nursing
Primary Contact
Chen-Yen Wang
School of Nursing and Dental Hygiene
University of Hawaii at Manoa
2528 McCarthy Mall, Webster Hall 215
Honolulu, HI 96822
808-956-5473
chenwang@hawaii.edu
http://www.nursing.hawaii.edu/
Topics
Health / Diabetes
Health / Heart Disease & Stroke
Organization(s)
University of Hawaii School of Nursing
Source
Public Health Nursing
Date of publication
1998
Geographic Type
Urban
Location
Honolulu
For more details
http://www.ncbi.nlm.nih.gov/pubmed/9874922
Target Audience
Adults, Racial/Ethnic Minorities
Additional Audience
Chinese Individuals

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.