Improving Diabetes Outcomes: The Diabetes Support Project

改善糖尿病治疗结果：糖尿病支持项目

• 批准号: 7924184
• 负责人: PAULA MARY TRIEF
• 金额: $ 73.76万
• 依托单位: UPSTATE MEDICAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7924184
• 关键词: Address; Adherence; Adoption; Behavioral; Behavioral Sciences; Blood Glucose; Caring; Chronic Disease; Collaborations; Communication; Complications of Diabetes Mellitus; Conflict (Psychology); Couples; Data; Diabetes Mellitus; Diet; Disease; Disease Management; Disease Outcome; Distress; Education; Effect Modifiers (Epidemiology); Effectiveness; Emotional; Emotions; Family; Family member; Food; Funding; Future; Goals; Health; Individual; Insulin-Dependent Diabetes Mellitus; Intervention; Knowledge; Lead; Maintenance; Measures; Medical; Modality; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Patients; Pharmaceutical Preparations; Physical activity; Preparation; Primary Health Care; Problem Solving; Public Health; Qualifying; Quality of life; Regimen; Relative (related person); Reporting; Research; Sampling; Schedule; Self Care; Self Management; Social Environment; Spouses; Telephone; Testing; Time; Translations; United Kingdom; Weight; Work; Youth; active method; base; behavior change; collaborative care; cost; cost effectiveness; diabetes control; diabetes education; diabetes educator; diabetes management; experience; glycemic control; group intervention; improved; innovation; intervention effect; programs; prospective; psychosocial; public health relevance; skills; theories; therapy design; treatment as usual

DESCRIPTION (provided by applicant): Studies have shown that intensive blood sugar control can reduce or forestall serious diabetes-related complications. However, innovative interventions need to be developed that can help patients achieve good, and lasting, control. We know that strong family and marital bonds help patients manage diabetes. The purpose of this study is to test whether an intervention that targets the couple and their relationship leads to better, and more lasting, improvements in blood sugar control than one that focuses only on the individual. This study is highly innovative as it is the first to address the couple as the target of the intervention. This study is also significant because we propose to deliver the intervention by telephone to increase reach to more diverse and larger numbers of patients. The specific aims are to measure the relative benefits of a couples intervention compared to an individual intervention and usual care. In one group, subjects will participate in two contacts (with a certified diabetes educator) of diabetes self- management education (DSME) followed by usual care. In one active treatment group, individual subjects will also receive DSME, followed by 10 contacts to individualize goal- setting and address emotions and diabetes. In the other active treatment group, patients and their partners will participate together and also receive DSME, followed by 10 contacts to individualize goal-setting and address relationships and diabetes. The Couples group will work collaboratively via homework and interactive discussions. We believe that better partner collaboration will have a positive impact on medical, adherence, and emotional outcomes, and that the gains achieved will be more lasting, and thus have a greater impact on diabetes outcomes. Partners do have an effect on patients, sometimes good, sometimes bad. It is time to try to enhance the positive benefits of that effect. A demonstration that a couples intervention results in significant and lasting behavior change and medical gains will lead to a tailoring of other interventions to include partners and to promote couples collaboration, as well as future work to identify for whom this intervention is most helpful. PUBLIC HEALTH RELEVANCE: Type 2 diabetes causes serious health problems that can be decreased or delayed if patients maintain good blood sugar control. This study tests whether it is better to educate patients with their partners rather than the patient alone, and does so using the telephone. The study is significant because a couples focused, telephone-administered intervention can help more diabetes patients with their blood sugar control for a longer time. This will lead to improved public health and address the significant concerns about the alarming rise in diabetes-related health problems.

描述（由申请人提供）：研究表明，强化血糖控制可以减少或阻止严重糖尿病相关的并发症。但是，需要开发创新的干预措施，以帮助患者获得良好和持久的控制。我们知道，牢固的家庭和婚姻纽带可以帮助患者治疗糖尿病。这项研究的目的是测试针对这对夫妻及其关系的干预措施是否比仅关注个人的干预措施会改善血糖控制能力，更持久地改善血糖。这项研究具有很高的创新性，因为它是第一个将这对夫妇作为干预措施的目标。这项研究也很重要，因为我们建议通过电话进行干预，以将覆盖范围提高到更多和更多的患者。与个人干预和通常的护理相比，具体目的是衡量夫妻干预的相对好处。在一个小组中，受试者将参加糖尿病自我管理教育（DSME）的两个联系人（与认证的糖尿病教育者），然后进行通常的护理。在一个活跃的治疗组中，个别受试者还将接收DSME，然后进行10个联系，以个性化目标设定并解决情绪和糖尿病。在另一个活跃的治疗组中，患者及其伴侣将共同参加并接受DSME，然后进行10次接触以个性化目标设定并解决关系和糖尿病。夫妻小组将通过作业和互动讨论进行协作。我们认为，更好的合作伙伴合作将对医疗，依从性和情感成果产生积极影响，并且取得的成就将更加持久，从而对糖尿病结果产生更大的影响。伴侣确实会对患者产生影响，有时是好，有时坏。现在是时候尝试增强这种效果的积极好处了。夫妻干预措施会导致重大和持久的行为改变和医疗收益的证明将导致对其他干预措施的裁缝，以包括合作伙伴并促进夫妻的协作，以及未来的工作，以确定对谁的干预措施最有帮助的人。 公共卫生相关性：2型糖尿病会导致严重的健康问题，如果患者保持良好的血糖控制，可能会减少或延迟。这项研究测试是否更好地教育患者的伴侣而不是单独教育患者，并使用电话进行教育。这项研究很重要，因为一对夫妻聚焦，电话管理的干预措施可以帮助更多的糖尿病患者进行血糖控制更长的时间。这将导致公共卫生改善，并解决与糖尿病相关健康问题令人震惊的问题的重大问题。