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

基本信息

批准号：
8625197
负责人：
MARGARET Anne HANDLEY
金额：
$ 19.78万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
资助国家：
美国
起止时间：
至
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/8625197
关键词：
Address Adopted Adoption Affect African American Age Area Asia Asians Behavior Behavioral Body Weight decreased Breast Feeding Cardiovascular Diseases Caring Chronic Disease Clinic Clinical Communities Community Health Complement Counseling County Diabetes Mellitus Diabetes prevention Diagnosis Diet Educational Curriculum Ethnic Origin Event Evidence based intervention Evidence based program Exercise Face Fat-Restricted Diet Focus Groups Future General Hospitals Gestational Diabetes Glucose Intolerance Goals Health Health Promotion Healthcare High Risk Woman Home visitation House Call Incidence India Individual Infant Care Instruction Intervention Intervention Trial Knowledge Language Latina Life Literature Low Prevalence Low income Metabolic syndrome Mexican Minority Names Non-Insulin-Dependent Diabetes Mellitus Obesity Outcome Outcome Study Participant Patients Persons Physical activity Population Population Study Postpartum Period Postpartum Women Predisposition Pregnancy Prevention Preventive Preventive screening Problem Solving Public Hospitals Publishing Race Randomized Clinical Trials Relative (related person)Reporting Research Resources Risk Risk Factors Sampling San Francisco Self Management Sentinel Services Support System Target Populations Teenagers Telephone Testing Time Variant Weight Woman Women&apos s Group aged base behavior change caucasian American child bearing comparative effectiveness design diabetes prevention program diabetes risk diet and exercise disorder risk ethnic minority population evidence base follow-up health information technology health literacy high risk improved innovation literacy preference prevent programs reproductive risk perception safety net screening systematic review tool weight loss intervention working group young adult

项目摘要

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（请参阅说明）：我们建议在旧金山湾区的少数民族妇女中开发和测试针对糖尿病预防糖尿病的有针对性的基于电话的健康信息技术（卫生IT）干预措施，而最近的妊娠糖尿病（PGDM）。这群女性包括随后快速开始的2型糖尿病（DM）的最可识别的风险组，但对她们的糖尿病知识或风险感知，行为，健康素养或与量身定制的基于电话的偏好相关的知识知识或风险感知知识或风险感知知识或风险知识知识几乎一无所知咨询干预措施以防止DM。少数民族妇女，尤其是拉丁裔，亚洲人和美国境外的亚洲妇女，GDM和DM的比例比白人或非裔美国妇女高。糖尿病预防研究表明，通过饮食和运动，可以显着降低开发DM的长期风险（最高50％）。该项目的目标是该项目的目标是该项目的目标是，将这些密集的干预措施专门针对最近有了婴儿的低收入和少数民族PGDM妇女，并且可能在获得医疗保健和采用预防行为方面面临障碍。在拟议的研究中，我们将研究对于适应现有有效的循证健康IT工具至关重要的因素，以预防低收入少数民族PGDM妇女的DM。我们已经确定了比较有效性研究，我们的自动电话自我管理支持（ATSM）计划有效地改善了低收入少数民族糖尿病患者的健康状况。在这项魅力中心的研究中，我们将使用参与式设计与主要利益相关者共同开发DM预防DM的ATSM干预措施，以便与低收入的少数民族PGDM妇女妇女相关，并通过电话咨询和资源（Star-Moms）重新名称IT支持IT支持。然后，我们将在怀孕结束时对明星妈妈的英语和西班牙语进行飞行员随机临床试验，并在主要是拉丁裔和亚洲PGDM妇女的样本中持续9个月，该样本在旧金山综合医院接受护理，这是一家大型公立医院，该医院的一家大型公立医院，在SF县安全网中，GDM妇女在该医院接受护理。研究结果包括：减肥（KG），运动和饮食变化，知识和预防服务的使用。