Feasibility of a Partnered Approach to Prevent Diabetes

预防糖尿病的合作方法的可行性

• 批准号: 7097404
• 负责人: Ronald T. Ackermann
• 金额: $ 20.58万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7097404
• 关键词: behavioral /social science research tag; blood lipid; body composition; body physical activity; cardiovascular disorder risk; clinical research; clinical trials; community health services; diabetes education; diabetes risk; dietary control; disease /disorder prevention /control; educational resource design /development; glycation; group counseling; health care service evaluation; health services research tag; hemoglobin As; human subject; human therapy evaluation; interdisciplinary collaboration; lifestyle; medical outreach /case finding; noninsulin dependent diabetes mellitus; obesity; prediabetic state; quality of life

DESCRIPTION (provided by applicant): The Diabetes Prevention Program (DPP) demonstrated that an intensive lifestyle intervention resulting in modest weight loss and increased physical activity can delay or prevent the development of type 2 diabetes in those at increase risk for the disease. The lifestyle program used, however, was not designed for delivery on a public health scale. Successful DPP translation will require a sustainable partnership between a health care system and an established community organization committed to community health and experienced in implementing sustainable health and wellness programs. We have been collaborating with local health system and YMCA administrators for over a year to design a 'real-world' clinic-based screening model to identify and refer high-risk patients for a group-based adaptation of the DPP lifestyle intervention in YMCA facilities. We have designed this study to develop preliminary data about the feasibility and yield of clinic-based screening and referral, as well as the effectiveness of the adapted lifestyle intervention. This pilot study seeks to: 1) evaluate the feasibility of a strategy to implement ADA recommendations for clinic-based diabetes-risk testing and to refer high-risk patients for a community-based lifestyle intervention; 2) compare two strategies to enhance community-based program participation by referred patients; 3) demonstrate the capability of YMCA facilities to schedule and enroll referred clinic patients at high-risk for diabetes and to deliver a modified, group-based DPP lifestyle intervention consistently; and 4) compare levels of weight loss and physical activity achieved by referred clinic patients with pre-diabetes who participate in a free-of-charge, group-based DPP lifestyle intervention at YMCA facilities compared to a free-of-charge, traditional, one-on-one DPP lifestyle intervention at a DPP research site. Addressing these issues now will enable us to evaluate this partnered DPP translation model with a larger, more robust future study that will involve referral by multiple primary care clinics, program delivery at more YMCA sites, and a 3-year follow-up period.

描述（由申请人提供）： 糖尿病预防计划（DPP）表明，严格的生活方式干预导致体重减轻和体育锻炼的增加可能会延迟或阻止患有疾病风险增加的2型糖尿病的发展。但是，使用的生活方式计划并不是为公共卫生规模提供的。成功的DPP翻译将需要医疗保健系统与致力于社区健康的既定社区组织之间的可持续伙伴关系，并在实施可持续的健康和保健计划方面经验丰富。我们已经与本地卫生系统和基督教青年会管理员合作了一年，以设计基于“现实世界”的诊所筛查模型，以识别和推荐高风险患者，以基于小组的基于基督教青年会设施的DPP生活方式干预。我们已经设计了这项研究，以开发有关基于诊所的筛查和推荐的可行性和产量的初步数据，以及适应性生活方式干预的有效性。该试点研究试图：1）评估一项为基于临床的糖尿病风险测试实施ADA建议的策略的可行性，并转诊高危患者以进行基于社区的生活方式干预； 2）比较两种策略，以增强被推荐患者的基于社区的计划参与； 3）证明基督教青年会设施在高危糖尿病中安排和注册引用的诊所患者的能力，并始终如一地提供基于小组的DPP生活方式干预； 4）比较参考糖尿病前期糖尿病患者的体重减轻水平和体育活动水平，这些患者与在DPP研究网站上免费的，基于集团的DPP生活方式干预在基督教青年会设施的基于集团的DPP生活方式干预措施相比。现在解决这些问题将使我们能够通过更大，更强大的未来研究来评估这种合作的DPP翻译模型，该研究将涉及多个初级保健诊所的转诊，在更多基督教青年会站点的计划交付以及3年的随访期。