Adapting an Automated Telephone Support Program to Prevent Type 2 Diabetes

采用自动电话支持计划来预防 2 型糖尿病

• 批准号: 8352799
• 负责人: MARGARET Anne HANDLEY
• 金额: $ 18.9万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-27 至 2017-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8352799
• 关键词: Address; Adopted; Affect; African American; Age; Area; Asia; Asians; Behavior; Body Weight decreased; Cardiovascular Diseases; Caring; Chronic Disease; Clinic; Counseling; County; Diabetes Mellitus; Diabetes prevention; Diagnosis; Diet; Educational Curriculum; Ethnic Origin; Event; Evidence based program; Exercise; Face; Future; General Hospitals; Gestational Diabetes; Glucose Intolerance; Goals; Health; Healthcare; High Risk Woman; Home visitation; House Call; Incidence; India; Infant Care; Instruction; Intervention; Intervention Trial; Knowledge; Latina; Literature; Low Prevalence; Low income; Metabolic syndrome; Mexican; Names; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Outcome Study; Patients; Persons; Population; Population Study; Postpartum Period; Postpartum Women; Predisposition; Pregnancy; Prevention; Preventive; Preventive screening; Public Hospitals; Publishing; Race; Randomized Clinical Trials; Relative (related person); Reporting; Research; Resources; Risk; Sampling; San Francisco; Self Management; Sentinel; Services; Teenagers; Telephone; Testing; Time; Variant; Weight; Woman; Women' s Group; aged; base; behavior change; caucasian American; child bearing; comparative effectiveness; design; diabetes prevention program; diet and exercise; ethnic minority population; evidence base; health information technology; health literacy; high risk; improved; preference; prevent; programs; reproductive; risk perception; safety net; systematic review; tool; weight loss intervention; young adult

PROJECT SUMMARY (See instructions): We propose to develop and test a targeted telephone-based health information technology (health IT) intervention for diabetes prevention among ethnic minority women in the San Francisco Bay area with recent prior gestational diabetes (pGDM). This group of women comprises the single most identifiable risk group for subsequent rapid onset of type-2 diabetes (DM), yet little is know about them, their diabetes knowledge or risk perceptions, behaviors, health literacy, or about their preferences related to tailored telephone-based counseling interventions to prevent DM. Ethnic minority women, particularly Latinas and Asians and women born outside the US, have disproportionately higher rates of GDM and DM, than white or African American women. Diabetes prevention studies indicate that the long-term risk for developing DM can be reduced significantly (up to 50%) through diet and exercise. Adapting these intensive interventions specifically to low income and ethnic minority pGDM women who have recently had a baby and may face barriers in accessing health care and adopting preventive behaviors is the goal of this project. In the proposed research we will study factors crucial to the adaptation of an existing effective evidence-based health IT tool to the prevention of DM in low-income ethnic minority pGDM women. We have determined in comparative effectiveness studies, that our Automated Telephone Self-Management Support (ATSM) program is efficacious in improving health outcomes for low-income ethnic minority patients with diabetes. In this CHARM Center study, we will use a participatory design to co-develop the ATSM intervention for DM prevention with key stakeholders, so that it is relevant to low income ethnic minority pGDM women and re-name it Support via Telephone Advice and Resources (STAR-Moms). We will then conduct a pilot randomized clinical trial in English and Spanish of STAR Moms beginning in the end of pregnancy and lasting 9 months post-partum among a sample of primarily Latina and Asian pGDM women receiving care at San Francisco General Hospital, a large public hospital where GDM women in the SF county safety net clinics receive care. Study outcomes include: weight loss (kg), exercise and diet changes, knowledge, and use of preventive services.

项目摘要（参见说明）： 我们建议开发和测试一种有针对性的基于电话的健康信息技术 (health IT) 干预措施，用于预防旧金山湾地区近期患有妊娠糖尿病 (pGDM) 的少数族裔妇女的糖尿病。这组女性是随后快速发作 2 型糖尿病 (DM) 的最明显的单一风险群体，但人们对她们、她们的糖尿病知识或风险认知、行为、健康素养或她们与定制糖尿病相关的偏好知之甚少。基于电话的 预防 DM 的咨询干预措施。少数族裔女性，尤其是拉丁裔、亚洲裔以及在美国以外出生的女性，其 GDM 和 DM 的比率比白人或非裔美国女性高得多。糖尿病预防研究表明，通过饮食和运动可以显着降低患糖尿病的长期风险（高达 50%）。该项目的目标是专门针对最近生过孩子、在获得医疗保健和采取预防行为方面可能面临障碍的低收入和少数族裔 pGDM 妇女采取这些强化干预措施。在拟议的研究中，我们将研究对现有有效的循证健康 IT 工具进行调整以预防低收入少数族裔妊娠期糖尿病妇女患糖尿病的关键因素。我们在比较有效性研究中确定，我们的自动电话自我管理支持 (ATSM) 计划可有效改善低收入少数民族糖尿病患者的健康结果。在这项 CHARM 中心研究中，我们将采用参与式设计，与主要利益相关者共同开发用于预防 DM 的 ATSM 干预措施，使其与低收入少数族裔 pGDM 女性相关，并将其重新命名为通过电话咨询和资源支持（Support via Telephone Advice and Resources）（明星妈妈）。然后，我们将以英语和西班牙语对 STAR Moms 进行一项试点随机临床试验，从怀孕末期开始一直持续到产后 9 个月，样本主要是在旧金山总医院（一家大型公立医院）接受护理的拉丁裔和亚裔 pGDM 女性。旧金山县安全网诊所的 GDM 妇女接受护理的医院。研究结果包括：体重减轻（公斤）、锻炼和饮食改变、知识以及预防服务的使用。