Stress Management Among Latinos with Type 2 Diabetes

拉丁裔 2 型糖尿病患者的压力管理

• 批准号: 8685788
• 负责人: Rafael Perez-Escamilla
• 金额: $ 39.46万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2017-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8685788
• 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

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。

项目成果

Changes in negative affect and changes in heart rate variability among low-income latinos with type 2 diabetes in a randomized, controlled stress management trial.

在一项随机对照压力管理试验中，患有 2 型糖尿病的低收入拉丁美洲人的负面影响和心率变异性的变化。

• DOI: 10.1016/j.jpsychores.2019.109774
• 发表时间: 2019
• 期刊: Journal of psychosomatic research
• 影响因子: 4.7
• 作者: Wagner,JulieA;Feinn,Richard;Lampert,Rachel;Bermúdez-Millán,Angela;Pérez-Escamilla,Rafael
• 通讯作者: Pérez-Escamilla,Rafael

Effects of stress management and relaxation training on the relationship between diabetes symptoms and affect among Latinos.

压力管理和放松训练对拉丁裔糖尿病症状和情感之间关系的影响。

• DOI: 10.1080/08870446.2018.1478975
• 发表时间: 2018
• 期刊: Psychology & health
• 影响因子: 3.3
• 作者: Wagner,Julie;Armeli,Stephen;Tennen,Howard;Bermudez-Millan,Angela;Pérez-Escamilla,Rafael
• 通讯作者: Pérez-Escamilla,Rafael

Testing for rewards: a pilot study to improve type 1 diabetes management in adolescents.

• DOI: 10.2337/dc15-0765
• 发表时间: 2015-10
• 期刊: Diabetes care
• 影响因子: 16.2
• 作者: Petry NM;Cengiz E;Wagner JA;Weyman K;Tichy E;Tamborlane WV
• 通讯作者: Tamborlane WV

Diabetes-Specific Food Insecurity Is Associated with Impaired Heart Rate Variability Independent of Glycemic Control: Exploratory Findings among Latinos with Type 2 Diabetes.

• DOI: 10.3945/cdn.117.000521
• 发表时间: 2017-05
• 期刊: Current developments in nutrition
• 影响因子: 4.8
• 作者: Bermúdez-Millán A;Pérez-Escamilla R;Lampert R;Segura-Pérez S;Damio G;Chhabra J;Wagner JA
• 通讯作者: Wagner JA

Night Eating Among Latinos With Diabetes: Exploring Associations With Heart Rate Variability, Eating Patterns, and Sleep.

• DOI: 10.1016/j.jneb.2022.02.006
• 发表时间: 2022-05
• 期刊: JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR
• 影响因子: 2.6
• 作者: Bermudez-Millan, Angela