Native American Chronic Disease Self-Management

美洲原住民慢性病自我管理

• 批准号: 7256895
• 负责人: Valarie Blue Bird Jernigan
• 金额: $ 1.29万
• 依托单位: UNIVERSITY OF CALIFORNIA BERKELEY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-05-15 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7256895
• 关键词: Advisory Committees; Aerobic Exercise; Alaska Native; American Indians; Behavior; Blood Pressure; Characteristics; Chronic Disease; Class; Communication; Communities; Competence; Diabetes Mellitus; Diet; Distress; Educational Curriculum; Evaluation; Fatigue; Glucose; Glycosylated hemoglobin A; Health; Health Status; Height; Hyperglycemia; Hypoglycemia; Intervention; Measures; Monitor; Native Americans; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Outcome Measure; Outcome Study; Participant; Patient Self-Report; Patients; Pharmaceutical Preparations; Physicians; Population; Process; Quality of Care; Rate; Research; Research Design; Self Efficacy; Self Management; Self-Examination; Symptoms; Waiting Lists; Weight; behavior change; design; foot; health related quality of life; programs; urban Native American

DESCRIPTION (provided by applicant): Patient self-management is a cornerstone of quality care for patients with type 2 diabetes. This study will examine the implementation of the Stanford Chronic Disease Self-Management program within an urban American Indian and Alaska Native (AI/AN) community. A Community Advisory Committee consisting of AI/AN community leaders will be used to review the chronic disease curriculum and make necessary changes so that it is culturally appropriate for the urban AI/AN population. Through a wait-list control design, the following outcomes for evaluating the intervention's impact will be measured: health status (health related quality of life, hemoglobin A1c, weight, height, and blood pressure) self-management behaviors (aerobic exercise, communication with physicians, diet, glucose self-monitoring, and self-examination of the feet), and perceived self-efficacy. A process evaluation of the chronic disease self-management program will be conducted to examine any changes made to the curriculum to make the curriculum culturally competent. It is hypothesized that participants in the chronic disease self-management program, when compared at 6 months and 12 months after baseline, will demonstrate improvements in these outcome measures.

描述（由申请人提供）：患者自我管理是针对2型糖尿病患者的优质护理的基石。这项研究将研究斯坦福大学慢性疾病自我管理计划内的美国印第安人和阿拉斯加人（AI/AN）社区的实施。由AI/A/A/社区领导人组成的社区咨询委员会将用于审查慢性疾病课程并进行必要的更改，以便在文化上适合城市AI/A人群。通过候补名单控制设计，将衡量评估干预影响的以下结果：健康状况（与健康相关的生活质量，血红蛋白A1C，体重，身高和血压）自我管理行为（有氧运动，与医师的沟通，饮食，饮食，葡萄糖自我监测以及脚的自我检查），以及自我自我自我检查），以及自我自我自我效果。将对慢性疾病自我管理计划进行过程评估，以检查对课程的任何变化，以使课程具有文化胜任。假设在基线后6个月零12个月相比，慢性疾病自我管理计划的参与者将证明这些结果指标的改善。

项目成果

Content and Frequency of Writing on Diabetes Bulletin Boards: Does Race Make a Difference?

• DOI: 10.2196/jmir.1153
• 发表时间: 2009-04-01
• 期刊: JOURNAL OF MEDICAL INTERNET RESEARCH
• 影响因子: 7.4
• 作者: Case, Siobhan;Jernigan, Valarie;Lorig, Kate R.
• 通讯作者: Lorig, Kate R.