Stress Management Among Latinos with Type 2 Diabetes

拉丁裔 2 型糖尿病患者的压力管理

基本信息

批准号：
8495793
负责人：
Rafael Perez-Escamilla
金额：
$ 36.53万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-09-30 至 2015-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8495793
关键词：
Acute Address Affect Behavior Behavioral Biological Blood Glucose Blood specimen Caring Centers for Disease Control and Prevention (U.S.)Chronic Clinic Cognitive Communities Community Health Complex Connecticut Control Groups Data Diabetes Mellitus Distress Economic Factors Enrollment Environment Event Exposure to Face Frequencies Glucose Glycosylated hemoglobin A Health Healthcare Hispanics Home environment Hormones Hospitals Hour Individual Intervention Knowledge Latino Lead Life Measurement Measures Mental Health Metabolic Metabolic Control Minority Modeling Non-Insulin-Dependent Diabetes Mellitus Not Hispanic or Latino Outcome Participant Patients Physiological Protocols documentation Psyche structure Psychological Factors Publishing Quality of life Randomized Randomized Controlled Trials Recommendation Recruitment Activity Relaxation Therapy Reporting Research Risk Role Self Care Stress Subgroup Surveys System Tablets Techniques Testing Time Training Underserved Population Voice abstracting base biological adaptation to stress community setting coping design diabetes control diabetes education disorder risk experience follow-up glucose sensor glycemic control group intervention health disparity improved innovation medically underserved member nutrition post intervention prevent primary outcome psychosocial randomized trial response secondary outcome sensor skills training socioeconomics stress management stressor

项目摘要

Abstract The objectives of this study are to assess the impact of a stress reduction intervention among Latinos with Type 2 Diabetes (T2D) served by Hartford Hospital on: a) HbA1c levels, and b) stress reactivity measured through a blood glucose sensor and an automated Interactive Voice Response System (IVR). To obtain 200 study completers, 250 Latinos with T2D will be recruited from the 'Amigos en Salud' clinic. They will be randomly assigned to either: a) the control group that will receive 3 community health worker (CHW)led nutrition educational group sessions, or b) the intervention group that in addition will receive an 8-session stress management intervention delivered by a trained CHW. Intervention will be delivered at the Hispanic Health Council in a group format (12 members per group). The primary outcome of the intervention will be HbA1c measured at baseline, post-intervention (9 weeks post-enrollment) and 6 months. The secondary outcome will be stress reactivity measured through an IVR system that involves inserting a metabolic sensor that participants will carry for 3 days as well as daily reporting, via an automated voice system, of stress related events and coping during the same period of time and 6 month s post-enrollment. A subsample (n=75) will participate in the IVR and metabolic sensor measurements conducted pre/post intervention. All study participants will be applied an e-tablet based survey in their homes to assess mental health, nutrition and basic socio-economic and demographic parameters. Blood samples will be collected by a community phlebotomist in the participants' homes at the same time points. Knowledge gained from this randomized trial could lead to a highly innovative CHW led approach to improving the quality of life among individuals with T2D living in very stressful socio-economic environments.

抽象的本研究的目的是评估减压干预措施的影响哈特福德医院为患有 2 型糖尿病 (T2D) 的拉丁美洲人提供以下服务：a) HbA1c 水平，和 b) 通过血糖传感器和压力反应测量自动交互式语音应答系统（IVR）。为了获得 200 名学习完成者，将从“Amigos en Salud”诊所招募 250 名患有 T2D 的拉丁美洲人。他们将是随机分配给： a) 对照组，将接受 3 个社区健康服务工人 (CHW) 领导的营养教育小组会议，或 b) 干预小组此外，还将接受为期 8 次的压力管理干预，由一名受过训练的CHW。干预措施将在西班牙裔健康委员会以小组形式进行格式（每组 12 名成员）。干预的主要结果是 HbA1c 在基线、干预后（入组后 9 周）和 6 个月进行测量。这次要结果是通过 IVR 系统测量的应激反应性包括插入一个代谢传感器，参与者将携带该传感器 3 天以及通过自动语音系统每日报告压力相关事件和应对措施在同一时间段和注册后 6 个月内。子样本 (n=75) 将参与前/后进行的 IVR 和代谢传感器测量干涉。所有研究参与者都将在家中进行基于电子平板电脑的调查评估心理健康、营养以及基本社会经济和人口参数。血液样本将由社区抽血师采集在同一时间点参与者的家中。从这个随机化中获得的知识试验可能会带来高度创新的社区卫生工作者主导的方法来改善生活质量生活在压力很大的社会经济环境中的 T2D 患者。