Introduction: There are very few programmes to delay or prevent diabetes in Africa. This study aims to evaluate the communication plan implementation to reduce risk factors for Type 2 diabetes in people at risk. Metho...Introduction: There are very few programmes to delay or prevent diabetes in Africa. This study aims to evaluate the communication plan implementation to reduce risk factors for Type 2 diabetes in people at risk. Methods: The cross-sectional evaluative study focuses on the resources used for the implementation of the programme, the activities carried out and the beneficiaries of the programme. The non-probabilistic method was used to select. All target populations under study with appropriate sampling techniques. The performance of the communication plan implementation for behaviour change was assessed through the three sub-variables of evaluation of Donabedian health programmes: structure, process and results. The components assessment was based on the Varkevisser scale. The performance of the communication plan implementation for behaviour change was obtained by the sum of the scores of the three sub-variables. Results: The performance of the communication plan implementation for behaviour change was satisfactory in all programme villages at 89%. The establishment of the research team, the management team and the technical team, the availability of financial resources on a timely basis, the follow-up of nutritionists, sports teachers and peer educators, the implementation of the programme package and the home coaching of the targets were effective in all the programme villages of the study. The scores for structure performance, process performance, and results performance were 100%, 95%, and 83.8%, respectively. The involvement of the entire research team, the commitment of local authorities and the motivation of the targets were also important in the obtained result. Conclusion: This study shows that effective T2D preventive communication is possible at community level in Benin and probably in Sub-Saharan Africa.展开更多
Background: The nutritional support after hematopoietic stem cell transplantation (HSCT) has not been well established due to the scarcity of clinical trials. To conduct international clinical trials in Asia, we perfo...Background: The nutritional support after hematopoietic stem cell transplantation (HSCT) has not been well established due to the scarcity of clinical trials. To conduct international clinical trials in Asia, we performed the questionnaire survey to investigate the current standard of nutritional support after HSCT. Method: We sent the questionnaire to the physicians nominated by the Asia Pacific Blood and Marrow Transplantation (APBMT) members of each country/ region. Result: We received 15 responses from 7 different countries/regions. The target calorie amount is 1.0 - 1.3 × basal energy expenditure (BEE) in 11 institutes when partial parenteral nutrition is used. When total parenteral nutrition (TPN) is used, the target calorie amount is 1.0 - 1.3 × BEE in 9 institutes and 1.3 - 1.5 × BEE in 4 institutes. Lipid emulsion is routinely used in 12 institutes. Multivitamins and trace elements are routinely added to TPN used in most institutes. It is still uncommon to use the immunonutrition. Blood glucose levels are routinely monitored in all institutes, but the target range varies (<110 in 2 institutes, <150 in 4 institutes, and <200 in 8 institutes). Conclusions: Basic nutritional support is similar in participating institutes. However, the target glucose level varies and the use of immunonutrition is rather rare. These points can be the theme of future clinical trials.展开更多
文摘Introduction: There are very few programmes to delay or prevent diabetes in Africa. This study aims to evaluate the communication plan implementation to reduce risk factors for Type 2 diabetes in people at risk. Methods: The cross-sectional evaluative study focuses on the resources used for the implementation of the programme, the activities carried out and the beneficiaries of the programme. The non-probabilistic method was used to select. All target populations under study with appropriate sampling techniques. The performance of the communication plan implementation for behaviour change was assessed through the three sub-variables of evaluation of Donabedian health programmes: structure, process and results. The components assessment was based on the Varkevisser scale. The performance of the communication plan implementation for behaviour change was obtained by the sum of the scores of the three sub-variables. Results: The performance of the communication plan implementation for behaviour change was satisfactory in all programme villages at 89%. The establishment of the research team, the management team and the technical team, the availability of financial resources on a timely basis, the follow-up of nutritionists, sports teachers and peer educators, the implementation of the programme package and the home coaching of the targets were effective in all the programme villages of the study. The scores for structure performance, process performance, and results performance were 100%, 95%, and 83.8%, respectively. The involvement of the entire research team, the commitment of local authorities and the motivation of the targets were also important in the obtained result. Conclusion: This study shows that effective T2D preventive communication is possible at community level in Benin and probably in Sub-Saharan Africa.
文摘Background: The nutritional support after hematopoietic stem cell transplantation (HSCT) has not been well established due to the scarcity of clinical trials. To conduct international clinical trials in Asia, we performed the questionnaire survey to investigate the current standard of nutritional support after HSCT. Method: We sent the questionnaire to the physicians nominated by the Asia Pacific Blood and Marrow Transplantation (APBMT) members of each country/ region. Result: We received 15 responses from 7 different countries/regions. The target calorie amount is 1.0 - 1.3 × basal energy expenditure (BEE) in 11 institutes when partial parenteral nutrition is used. When total parenteral nutrition (TPN) is used, the target calorie amount is 1.0 - 1.3 × BEE in 9 institutes and 1.3 - 1.5 × BEE in 4 institutes. Lipid emulsion is routinely used in 12 institutes. Multivitamins and trace elements are routinely added to TPN used in most institutes. It is still uncommon to use the immunonutrition. Blood glucose levels are routinely monitored in all institutes, but the target range varies (<110 in 2 institutes, <150 in 4 institutes, and <200 in 8 institutes). Conclusions: Basic nutritional support is similar in participating institutes. However, the target glucose level varies and the use of immunonutrition is rather rare. These points can be the theme of future clinical trials.
