Web-based chronic disease dietary self-management program for African Americans

针对非裔美国人的基于网络的慢性病饮食自我管理计划

基本信息

批准号：
8545894
负责人：
David Farrell
金额：
$ 9.79万
依托单位：
PEOPLE DESIGNS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-14 至 2014-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8545894
关键词：
Address Adult Affect African American American Appalachian Region Area Arthritis Caucasians Caucasoid Race Cessation of life Characteristics Chronic Chronic Disease Clinic Communities Complication Consumption Counseling Data Development Diabetes Mellitus Diet Diet Habits Dietary Fats Dietary Intervention Disease Disease Management Eating Electronic Mail Electronics Exercise Fatty acid glycerol esters Food Food Selections General Population Health Health Personnel Health Services Accessibility Heart Diseases Hypertension Individual Internet Intervention Knowledge Libraries Life Life Expectancy Life Style Low income Maintenance Malignant Neoplasms Medical Medical Technology Newsletter Non-Insulin-Dependent Diabetes Mellitus Nutritional Obesity Online Systems Outcome Participant Patients Phase Physicians Play Population Prevention Preventive Primary Health Care Provider Recipe Recommendation Reporting Research Infrastructure Risk Risk Factors Rural Self Management Series Stroke Technology Testing Time Translating Translations Weight maintenance regimen Woman Work base cooking cost disorder control ethnic minority population food preparation fruits and vegetables health care delivery health disparity high risk innovation literate modifiable risk nutrition prevent programs provider intervention racial and ethnic satisfaction skills tool usability web site

项目摘要

DESCRIPTION (provided by applicant): This application addresses the development and translation of a medical technology to reduce health disparities within the priority area of chroni disease through the development and testing of an innovative web-based technology, Cookin' Up Health, for the self-management of diet related to hypertension and diabetes in African Americans. Delivered via primary care providers, the intervention addresses and responds to key barriers to adequate healthcare delivery-knowledge, culture, and infrastructure. There is a critical need for the development of effective, culturally appropriate, chronic disease focused dietary interventions that can be easily and quickly delivered by health care providers and readily used by African American patients. African Americans have disproportionately higher rates of diabetes and hypertension than the general population and are more likely to suffer the late-term debilitating consequences of these conditions. African Americans are particularly at risk for diet-related chronic diseases and complication because of obesity and unhealthy eating habits. A major barrier to making dietary changes is the high fat and salty foods found in traditional "southern cooking," which many African Americans in the South have eaten for most of their lives. Dietary habits are an important modifiable risk factor for hypertension and diabetes. Hypertension and diabetes are manageable diseases that require a both active medical management and self-management to control the disease. African Americans often have limited access to healthcare information needed for self-management. Nutritional and other lifestyle advice provided by clinicians has been declining over the last decade despite national recommendations for physicians to counsel all patients with diet-related chronic disease.Limited time spent with patients is the major barrier to nutrition counseling particularly given the many preventive recommendations and high volume of patients seen in most primary care practices. The proposed intervention consists of two integrated components-an interactive website and a series of individually tailored electronic newsletters. The website uses a cooking show theme to educate and demonstrate healthier versions of traditional recipes and provides food selection and preparation information in an easy-to-use, interactive, and culturally targeted format. A more limited version of Cookin' Up Health has already been shown to be effective in reducing dietary fat and increasing fruit and vegetable consumption among rural, low-literate, low-income women living in Appalachia. The proposed program will build on the work and outcomes of this earlier program, adapting it for a new population and expanding its reach. For Aim 1, we will translate the Cookin' Up Health intervention to address the cultural and dietary characteristics and disease management needs of low- income African American patients with diabetes or hypertension. For Aim 2, we will conduct a study to assess patient and provider usability and satisfaction with the translated intervention. If feasible with the priority populatin and providers, Phase II offers opportunity for expansion in scope and technology.

描述（由申请人提供）：本申请通过开发和测试基于创新的网络技术，Cookin'UP Health，以自我管理与非裔美国人的高血压和糖尿病相关的自我管理，以降低Chroni疾病优先区域内的健康差异的发展和翻译。干预措施通过初级保健提供者提供，并应对适当的医疗保健知识，文化和基础设施的关键障碍。迫切需要开发有效的，具有文化疾病的，慢性疾病的饮食干预措施，这些干预措施可以由医疗保健提供者轻松而迅速地提供，并且很容易被非裔美国人患者使用。与普通人群相比，非裔美国人的糖尿病和高血压率要高，并且更有可能遭受这些疾病的后期衰弱后果。由于肥胖和不健康的饮食习惯，非洲裔美国人尤其面临与饮食有关的慢性疾病和并发症的风险。进行饮食变化的主要障碍是在传统的“南方烹饪”中发现的高脂肪和咸食物，南方许多非洲裔美国人一生都在食用。饮食习惯是高血压和糖尿病的重要危险因素。高血压和糖尿病是可控制的疾病，需要主动医疗管理和自我管理以控制疾病。非洲裔美国人通常有限地获得自我管理所需的医疗保健信息。在过去的十年中，临床医生提供的营养和其他生活方式建议一直在下降，尽管国家建议医生向所有与饮食有关的慢性疾病的患者提供咨询。在大多数初级保健实践中，限制了营养咨询的限制时间是营养咨询的主要障碍。拟议的干预措施包括两个集成的组件 - 一个互动网站和一系列单独量身定制的电子新闻通讯。该网站使用烹饪节目主题来教育和演示传统食谱的更健康版本，并以易于使用，互动和具有文化定位的格式提供食物选择和准备信息。 Cookin'UP健康的一种更有限制的版本已经被证明可以有效减少饮食脂肪，并在阿巴拉契亚州居住在农村，低素养的低收入妇女中增加水果和蔬菜消费。拟议的计划将基于该早期计划的工作和成果，将其适应新的人群并扩大其影响力。对于AIM 1，我们将翻译Cookin的健康干预措施，以满足低收入的非裔美国糖尿病或高血压患者的文化和饮食特征和疾病管理需求。对于AIM 2，我们将进行一项研究，以评估患者和提供者的可用性以及对翻译干预的满意度。如果与优先人群和提供商相处可行，第二阶段为扩展范围和技术提供了机会。