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为患有 2 型糖尿病 (DM) 的韩裔美国移民 (KAI) 开发一种创新的血糖控制干预计划，该计划具有文化敏感性，建立在有效的行为理论和原则的基础上，增强血糖水平的控制并提高与健康相关的生活质量。具体来说，我们重点关注糖尿病控制的自助方面，让患者更好地了解糖尿病和糖尿病饮食，促进与医疗保健提供者更好的沟通，并提高他们解决问题的一般技能。我们建议开展一个试点项目，设计专门针对 2 型糖尿病 KAI 的自助血糖控制干预方案并评估其效果。这种自助干预将有 3 个同时实施的组成部分：(1) 结构化的心理行为教育干预，重点是培养管理糖尿病的自助技能； (2) 使用电话传输系统（HGMT）进行家庭血糖监测； (3) 与双语护士病例经理互动，他将促进 KAI 与 2 型糖尿病患者及其护理人员之间的有效沟通。我们的具体目标是：（1）完善干预方案，明确2型糖尿病KAI自助干预的流程和内容； (2) 在大巴尔的摩-华盛顿地区招募 80 名患有 2 型糖尿病的 KAI（>= 30 岁），并随机分配 40 名 KAI 参加自助干预计划，该计划将由 3 个部分组成：心理行为 DM 教育在社区环境中实施的计划，使用 HGMT 设备进行为期 30 周的家庭血糖监测，以及与双语护士病例经理的频繁沟通； (3) 与常规护理相比，衡量自助干预计划对血糖控制和心理行为结果的影响，包括自我效能、解决问题的能力以及对治疗建议的依从性。将在干预前（第 0 周）以及第 18 周和第 30 周测量近端（血糖控制的自我护理行为、辅助技能和自助）和远端（血糖控制和健康相关的生活质量）结果变量干预开始后。在这次试点调查中获得的见解应该有助于我们制定有效的、文化敏感的自助协议，以便更广泛地应用于美国大都市区的 2 型 DM 的 KAI。