Mobile Tool for Adolescent Diabetes Management

青少年糖尿病管理的移动工具

• 批准号: 7094200
• 负责人: AARON E. CARROLL
• 金额: $ 12.12万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-10 至 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7094200
• 关键词: adolescence (12-20); behavioral /social science research tag; biomedical equipment development; blood glucose; clinical research; computer assisted patient care; computer system design /evaluation; diabetes mellitus therapy; health behavior; human subject; insulin dependent diabetes mellitus; interview; longitudinal human study; patient care management; patient oriented research; personal computers; portable biomedical equipment; self medication

DESCRIPTION (provided by applicant): This objective of this research is to explore how mobile technology, perhaps in the form of personal digital assistants (PDA), can assist adolescent patients in managing their diabetes. Although the overall goal of diabetes management has not changed in some time, the methods to achieve those goals have. In spite of new clinical advances, the quality of self-management has not improved dramatically. In fact, many believe that a significant number of children, especially adolescents, have suboptimal control of their blood glucose levels. This is likely due to this group's special needs, which are not the same as either children's or adults'. Any intervention that hopes to improve these patients' competence in the management of their diabetes will have to investigate and understand this group's needs. The research aims of the proposal are: (1)To use a well documented, large longitudinal database to examine the current care of adolescents with diabetes in Indiana treated at the James Whitcomb Riley (JWR) Hospital for Children; (2) To determine, using qualitative research methods, what adolescent patients, parents, and providers need in a mobile information system to assist in the management of diabetes.; (3) To develop and test the user acceptability of a mobile information tool, based on both patient and physician needs; and (4) To conduct a pilot study of the mobile information tool as a component of a management program for adolescents with diabetes, to establish feasibility and gather preliminary data for a later grant submission. Aim 1 will be accomplished through a longitudinal cohort study using existing databases. Aim 2 and 3 will be achieved through the use of focus groups, semi-structured interviews, and videotaping. Aim 4 will be a before/after pilot study designed in conjunction with pediatric endocrinologists, health services researchers, social ecologists, biostatisticians, and informaticians. This research request will form the foundation of an R01 proposal to rigorously study the tool's impact on adolescent diabetes management

描述（由申请人提供）： 这项研究的这一目的是探讨如何以个人数字助理（PDA）的形式移动技术可以帮助青少年患者管理糖尿病。尽管糖尿病管理的总体目标在一段时间内没有改变，但实现这些目标的方法。尽管有新的临床进展，但自我管理的质量并未显着提高。实际上，许多人认为，大量儿童，尤其是青少年，对他们的血糖水平具有次优控制。这可能是由于该小组的特殊需求，这些需求与儿童或成人不同。希望提高这些患者在糖尿病管理方面的能力的任何干预措施都必须调查和了解该组的需求。该提案的研究目的是：（1）使用有据可查的大型纵向数据库来检查印第安纳州的糖尿病青少年的当前护理，在詹姆斯·惠特科姆·莱利（JAMES WHITCOMB RIEY）治疗儿童医院； （2）使用定性研究方法确定移动信息系统中的青春期患者，父母和提供者需要哪些东西来帮助管理糖尿病。 （3）根据患者和医师的需求开发和测试移动信息工具的用户可接受性； （4）将移动信息工具的试点研究作为糖尿病青少年管理计划的组成部分，以确定可行性并收集初步数据以进行后来的赠款提交。 AIM 1将通过使用现有数据库的纵向队列研究来实现。 AIM 2和3将通过使用焦点小组，半结构化访谈和录像来实现。 AIM 4将是一项与儿科内分泌学家，卫生服务研究人员，社会生态学家，生物统计学家和知情者一起设计的试点研究之前/之后。该研究请求将构成R01提案的基础，以严格研究该工具对青少年糖尿病管理的影响