E-HEALTHY STRIDES

电子健康步伐

• 批准号: 8359888
• 负责人: PRISCILLA E PEMU
• 金额: $ 20.79万
• 依托单位: MOREHOUSE SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-07-01 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8359888
• 关键词: Adherence; Adult; Affect; African American; American; Amputation; Awareness; Behavioral; Blindness; Blood Glucose; Blood Glucose Self-Monitoring; Blood Pressure Monitors; Caring; Chronic Disease; Clinical Research; Complex; Complications of Diabetes Mellitus; Counseling; Data; Diabetes Mellitus; Education; Effectiveness; Exercise; Feedback; Foundations; Funding; Goals; Grant; Health; Healthy People 2010; Internet; Kidney Failure; Knowledge; Learning; Life Style; Limb structure; Link; Minority; Myocardial Infarction; National Center for Research Resources; Nutrition management; Participant; Patients; Pharmaceutical Preparations; Population; Primary Health Care; Principal Investigator; Research; Research Infrastructure; Resources; Risk; Self Management; Social Network; Source; Stroke; System; Techniques; Translational Research; United States National Institutes of Health; Ursidae Family; Variant; adverse outcome; base; blood glucose regulation; burden of illness; cost; efficacy testing; empowered; glycemic control; improved; peer; programs; skills

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. Primary support for the subproject and the subproject's principal investigator may have been provided by other sources, including other NIH sources. The Total Cost listed for the subproject likely represents the estimated amount of Center infrastructure utilized by the subproject, not direct funding provided by the NCRR grant to the subproject or subproject staff. Diabetes is a complex chronic disease that affects 1 in 10 Americans. African Americans and other minorities bear a disproportionate burden of the disease and its adverse outcomes. It is expensive and leads to serious complications like kidney failure, myocardial Infarction, stroke, blindness and limb amputation. There is now unprecedented evidence regarding the benefits of aggressive glycemic control in reducing the risk for and delaying the progression of diabetes complications. However, aggressive glycemic control requires a lifelong adherence to complex lifestyle management involving routine blood glucose monitoring, self-adjustment of medications, nutrition management and a physically active lifestyle. Self-management is the foundation for achieving optimum glucose control necessary to avoid the complications of diabetes through increasing knowledge and awareness and learning effective behavioral techniques to manage diabetes. Data on the reach of self-management education programs reveals broad variation in attendance at DSME programs. Persistence of effects of DSME also varies. Given the general reluctance of patients with diabetes to attend diabetes classes and group sessions, Internet-based and other eHealth approaches to diabetes self-management education (DSME) have great potential to reach a large population at relatively low costs. The reach and effectiveness of DSME in the CPN and similar practices is unknown. We hypothesized that DSME reach would be lower than the recommended goal of 60% for healthy people 2010, so we undertook the ehealthystrides¿ project to test the efficacy of an online interactive program to improve self-management skills. The ehealthystrides¿ application integrates peer to peer social networking as well as feedback and counseling by a health coach located at the participants' primary care practice. We also hypothesized that ehealthystrides¿, an integrated system which empowers and engages patients and their care team by providing diabetes knowledge, linked to patient-driven results of blood glucose, exercise and blood pressure monitoring would aid in improving self management skills attainment, persistence and reach among adult African American patients with diabetes.

该子项目是利用资源的众多研究子项目之一 由 NIH/NCRR 资助的中心拨款提供 该子项目的主要支持。 并且子项目的主要研究者可能是由其他来源提供的， 包括其他 NIH 来源的子项目可能列出的总成本。 代表子项目使用的中心基础设施的估计数量， NCRR 赠款不直接向子项目或子项目工作人员提供资金。 糖尿病是一种复杂的慢性疾病，影响了十分之一的非裔美国人和其他少数族裔，其疾病负担高昂，并导致肾衰竭、心肌梗死、中风、失明和肢体等严重并发症。现在有前所未有的证据表明积极的血糖控制可以降低糖尿病并发症的风险并延缓其进展，但是，积极的血糖控制需要终生坚持复杂的生活方式管理常规，包括血糖监测、自我调整药物、营养管理和积极的生活方式是通过增加知识和意识以及学习有效的行为技术来管理糖尿病而实现最佳血糖控制以避免糖尿病并发症的基础。自我管理教育计划的调查显示，参加 DSME 计划的情况存在很大差异。考虑到糖尿病患者普遍不愿意参加糖尿病课程和小组会议，基于互联网和其他糖尿病自我管理的电子健康方法也存在差异。管理教育（DSME）有以相对较低的成本覆盖大量人群的巨大潜力。DSME 在 CPN 和类似实践中的覆盖范围和有效性尚不清楚。我们认为 DSME 覆盖范围将低于 2010 年健康人群 60% 的建议目标。健康的步伐¿项目旨在测试在线互动程序提高自我管理技能的功效。该应用程序集成了点对点社交网络以及来自参与者初级保健实践的健康教练的反馈和咨询。 我们还捕捉到了健康的进步¿ ，一个综合系统，通过提供糖尿病知识，与患者驱动的血糖、运动和血压监测结果相关联，增强患者及其护理团队的能力和参与度，将有助于提高成年非裔美国患者的自我管理技能的实现、持久性和影响力患有糖尿病。