Diabetes Care for Korean Americans

韩裔美国人的糖尿病护理

• 批准号: 7197628
• 负责人: Miyong T Kim
• 金额: $ 23.67万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-15 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7197628
• 关键词: Asian Americans; behavioral /social science research tag; blood glucose; blood pressure; clinical research; clinical trials; counseling; culture; diabetes education; diabetes mellitus therapy; health services research tag; human subject; human therapy evaluation; noninsulin dependent diabetes mellitus; patient care personnel relations; patient monitoring device; quality of life; self care; telemedicine; therapy compliance; therapy design /development

DESCRIPTION (provided by applicant): The primary objective of this study is to develop an innovative glucose control intervention program for Korean American immigrants (KAI) with type 2 diabetes mellitus (DM) that is culturally sensitive, built on valid behavioral theory and principles, and enhances the control of glucose level and promotes health related quality of life. Specifically, we focus on the self-help aspect of DM control by empowering patients with better knowledge about DM and DM diet, facilitating better communication with their health care providers, and enhancing their general problem-solving skills. We propose to undertake a pilot project to design and evaluate the efficacy of self-help glucose control intervention program specially designed for KAI with type 2 DM. This self-help intervention will have 3 concurrently administered components: (1) a structured psycho-behavioral education intervention that focuses on fostering self-help skills in managing DM; (2) home glucose monitoring with a telephone transmission system (HGMT); and (3) interaction with a bilingual nurse case manager who will facilitate effective communication between KAI with type 2 DM and their care providers. Our specific aims are to: (1) refine an intervention protocol that specifies the process and content of the self-help intervention for KAI with type 2 DM; (2) enroll 80 KAI (>= 30 years of age) with type 2 DM in greater Baltimore-Washington area and randomly assign 40 KAI to the self-help intervention program, which will consist of 3 components: a psycho-behavioral DM education program delivered in community settings, home glucose monitoring with an HGMT device for 30 weeks, and frequent communication with a bilingual nurse case manager; and (3) measure the effect of the self-help intervention program on glucose control and psycho-behavioral outcomes, including self-efficacy, problem-solving skills, and adherence to treatment recommendations, in comparison to usual care. The proximal (self-care behaviors of glucose control, enabling skills, and self-help) and distal (glucose control and health-related quality of life) outcome variables will be measured before the intervention (week 0) and at 18 and 30 weeks after the start of the intervention. Insights gained in this pilot investigation should help us to develop effective, culturally sensitive self-help protocols for wider application to KAI with type 2 DM in metropolitan areas throughout the U.S.

描述（由申请人提供）：本研究的主要目的是针对韩裔美国移民（KAI）开发创新的葡萄糖控制干预计划，该计划具有2型糖尿病（DM），该计划具有文化敏感，建立在有效的行为理论和原理上，并增强了葡萄糖水平并促进与健康相关的生活质量。具体来说，我们通过赋予对DM和DM饮食有更好了解的患者的能力，促进与医疗保健提供者的更好沟通，并提高他们的一般问题解决问题的能力，从而重点关注DM控制的自助方面。我们建议开展一个试点项目，以设计和评估专门为KAI设计的2型DM的自助葡萄糖控制干预计划的功效。这种自助干预将具有3个同时管理的组成部分：（1）结构化的心理行为教育干预措施，重点是培养自助技能在管理DM方面； （2）使用电话传输系统（HGMT）的家用葡萄糖监测； （3）与双语护士案件经理的互动，他们将促进2型DM及其护理人员之间的KAI之间有效的沟通。我们的具体目的是：（1）完善一种干预协议，该协议指定使用2型DM的KAI自助干预的过程和内容； （2）注册80 KAI（> = 30岁），在更大的巴尔的摩 - 华盛顿区域中，将2型DM注册为2型DM，并将40 kai随机分配给自助干预计划，该计划将包括3个组件：一个在社区环境中提供的心理 - 行为DM教育计划，与HGMT设备进行了30周的管理和频繁的态度，并经常进行了brige; （3）衡量自助干预计划对葡萄糖控制和心理行为结局的影响，包括自我效能感，解决问题的技能和遵守治疗建议，与通常的护理相比。将在干预之前（第0周）和干预开始后的第18周和30周内测量近端（葡萄糖控制，促成技能和自助的自我护理行为）和远端（葡萄糖控制和与健康相关的生活质量）。在这项试点调查中获得的见解应有助于我们开发有效的，具有文化敏感的自助协议，以更广泛地应用于美国的大都会地区，该方案具有2型DM