Diabetes Care in American Samoa

美属萨摩亚的糖尿病护理

• 批准号: 7459948
• 负责人: Stephen T. McGarvey
• 金额: $ 0.7万
• 依托单位: BROWN 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 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7459948
• 关键词: Accounting; Adherence; Adult; American; American Samoa; Appendix; Behavior; Caring; Centers for Disease Control and Prevention (U.S.); Clinical; Clinical Trials; Collaborations; Communities; Community Health; Community Health Centers; Community Practice; Community Workers; Control Groups; Dental; Diabetes Mellitus; Diet; Disease; Documentation; Economics; Education and Outreach; Effectiveness; Environment; Family; Family health status; Glycosylated hemoglobin A; Goals; Government; Guidelines; Hawaii; Health; Health Services; Health Services Accessibility; Health education; Healthcare; Healthcare Systems; Healthy People 2010; Hemoglobin; Individual; Institute of Medicine (U.S.); Intervention; Intervention Studies; Language; Link; Literature; Medical; Medical Care Team; Methods; Modeling; NIH Program Announcements; National Institute of Diabetes and Digestive and Kidney Diseases; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Ophthalmic examination and evaluation; Outcome; Patients; Physical activity; Prevalence; Primary Health Care; Process; Provider; Public Health; Published Comment; Purpose; Randomized; Recommendation; Reporting; Research; Research Infrastructure; Research Personnel; Resources; Risk; Risk Factors; Role; Samoan; Self Management; Social support; Socioeconomic Status; Standards of Weights and Measures; System; Testing; Translating; Translational Research; Translations; United States; Waiting Lists; abstracting; base; cardiovascular disorder risk; cardiovascular risk factor; community based service; diet and exercise; ethnic minority population; experience; falls; follow-up; foot; health care delivery; health disparity; health literacy; improved; member; outreach; programs; racial and ethnic; response

Diabetes Care in American Samoa Abstract As type 2 diabetes prevalence increases in the United States, the burden of diabetes falls more on groups with greater barriers to care, such as language and cultural differences, and lower economic resources. Healthy People 2010 targeted diabetes as one of six diseases for the elimination of racial and ethnic health disparities. These disparities extend to the US Territory of American Samoa, where the proportion of adults >18 years with diabetes was 19.6% in 2002, compared to 6.4% of US adults. There have been no reported diabetes interventions in Samoans in the US. The overall purpose of this application is to translate recent advances in diabetes care into clinical practice for the American Samoan community by improving methods of health care delivery and improve methods of diabetes self management. We will use the community health worker model to test an expanded diabetes care model. Community health workers (CHW) have frequently been used to serve as "bridges" between health care services and patients in poor ethnic minority communities. CHW workers provide culturally appropriate health education and instrumental social support and facilitation, and even organization, of access to care, while also providing patient information to medical providers. We propose a clinical trial to test the effectiveness of a CHW and primary-care coordinated intervention to provide outreach, education and support to 352 type 2 diabetes patients and their families in American Samoa. The outcomes at a one-year follow-up will include glycosolated hemoglobin (HbA1c), cardiovascular disease risk factors, diet and exercise behaviors, and adherence to diabetes care guidelines. The intervention builds upon best clinical practices for diabetes care by translating effective strategies to American Samoans. The translation of good diabetes care there may offer a model that is potentially replicable in other ethnic minority populations suffering the burden of diabetes.

美国萨摩亚的糖尿病护理 抽象的 随着美国2型糖尿病患病率的增加，糖尿病的负担更多地落在 具有更大的护理障碍，例如语言和文化差异以及较低的经济资源。 健康人2010将糖尿病作为消除种族和种族健康的六种疾病之一 差异。这些差异扩展到美国萨摩亚的美国领土，成年人的比例 > 18年的糖尿病在2002年为19.6％，而美国成年人中有6.4％。没有报道 美国萨摩亚人的糖尿病干预措施。该应用程序的总体目的是翻译最新 通过改进方法，糖尿病护理的进步进入美国萨摩亚社区的临床实践 医疗保健提供并改善糖尿病自我管理的方法。我们将使用社区 卫生工作者模型测试扩展的糖尿病护理模型。社区卫生工作者（CHW）有 经常被用作贫困少数民族的医疗保健服务与患者之间的“桥梁” 社区。 CHW工人提供文化适当的健康教育和工具性社会支持 以及促进，甚至组织获得护理的机会，同时还向医疗提供患者信息 提供者。我们提出了一项临床试验，以测试CHW和初级护理协调的有效性 干预为352种2型糖尿病患者及其家人提供外展，教育和支持 美国萨摩亚。为期一年的随访结果将包括糖化血红蛋白（HBA1C）， 心血管疾病的危险因素，饮食和运动行为以及遵守糖尿病护理指南。 干预措施以最佳的糖尿病护理临床实践为基础，通过将有效策略转化为 美国萨摩亚人。良好的糖尿病护理的翻译可能会提供一种可能是可能的模型 在其他少数族裔人口中可复制的糖尿病负担。