Healthy Living Partnerships to Prevent Diabetes in Veterans

健康生活伙伴关系预防退伍军人糖尿病

• 批准号: 9302399
• 负责人: MARA Z VITOLINS
• 金额: $ 21.92万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-07-01 至 2019-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9302399
• 关键词: Affect; Ambulatory Care Facilities; Behavioral; Biomarker of Dietary Intake; Blood; Body Weight Changes; Body Weight decreased; Clinic; Clinical; Collaborations; Communities; Community Health Aides; Cost Analysis; Data; Diabetes Mellitus; Diabetes prevention; Diet; Educational Curriculum; Effectiveness; Energy Intake; Enrollment; Environment; Evaluation; Evidence based program; Feasibility Studies; Future; General Population; Goals; Grant; Health; Health Personnel; Healthcare; Healthcare Systems; Home environment; Intervention; Laboratories; Life Style; Measures; Medical Records; Medical center; Mentors; Modeling; Monitor; Non-Insulin-Dependent Diabetes Mellitus; North Carolina; Obesity; Overweight; Participant; Patients; Physical activity; Pilot Projects; Population; Prediabetes syndrome; Prevalence; Prevention; Preventive care; Primary Health Care; Primary Prevention; Provider; Public Health; Randomized; Recruitment Activity; Research Infrastructure; Research Personnel; Risk; Services; Source; Structure; System; Testing; Third-Party Payer; Training; Translating; United States Department of Veterans Affairs; Veterans; base; behavioral construct; cost; cost-effectiveness evaluation; design; diabetes control; diabetes education; diabetes prevention program; fasting glucose; forest; health care delivery; high risk; improved; insight; intervention program; lifestyle intervention; medical schools; patient population; peer support; pragmatic trial; prevent; primary care setting; programs; relative cost; routine care; trial design; weight loss intervention

Project Summary Type 2 diabetes and its complications disproportionately affect the patient population served by the Department of Veteran's Affairs (VA). Recent lifestyle interventions, including the multi-center Diabetes Prevention Program (DPP), have demonstrated that weight-loss achieved through reductions in caloric intake and increases in physical activity can prevent or delay the onset of diabetes. The Healthy-Living Partnerships to Prevent Diabetes (HELP PD) successfully translated the DPP lifestyle intervention into a group format led by trained community health workers (CHWs) and achieved more than a 7% weight loss at 6 months. In the Healthy Living Partnerships to Prevent Diabetes in Veterans (HELP PD Vets), we propose to test the feasibility of further translating the HELP PD lifestyle intervention, tailored for use in the Veteran population, in the Winston-Salem Community-Based Outpatient Clinic operated by the VA. We will recruit 50 overweight or obese Veterans at high risk for developing diabetes from the existing patient population to participate in a 6- month weight loss intervention led by CHWs. These CHWs will be recruited, trained, and monitored by local clinic staff, who will in turn be trained and monitored by investigators at Wake Forest School of Medicine. We will evaluate our ability to recruit participants and CHWs, train staff and CHWs to deliver the lifestyle intevention, assess participants' ability to adhere to the intervention, evaluate changes in laboratory and anthropometric measures using existing data in the medical record, and pilot a cost analysis to estimate the relative cost of intervention implementation in the clinical setting. As VA outpatient clinics have the requisite infrastructure to identify, screen, and enroll participants and access to CHWs from within their patient populations, we believe that they are ideal potential homes for diabetes prevention programming. We will use the data gathered during this planning grant to develop a large-scale R18 proposal to test implementing the HELP PD Vets intervention in a larger segment of the Veteran poulation.

项目摘要 2型糖尿病及其并发症不成比例地影响 退伍军人事务部（VA）。最近的生活方式干预措施，包括多中心糖尿病 预防计划（DPP）已经证明，通过减少热量摄入量来实现减肥 体育锻炼的增加可以预防或延迟糖尿病的发作。健康生活的伙伴关系 为了防止糖尿病（帮助PD）成功地将DPP生活方式干预转化为由 受过培训的社区卫生工作者（CHW），在6个月时实现了7％以上的体重减轻。在 健康的生活伙伴关系以防止退伍军人的糖尿病（帮助PD兽医），我们建议测试可行性 进一步翻译帮助PD生活方式干预措施，该干预量是为退伍军人人口量身定制的 弗吉尼亚州经营的基于温斯顿 - 塞勒姆社区的门诊诊所。我们将招募50个超重或 肥胖的退伍军人有高风险从现有患者群体中培养糖尿病的人参加6-- CHW领导的月份减肥干预措施。这些CHW将由当地人招募，培训和监视 诊所工作人员将在Wake Forest医学院的调查人员接受调查人员的培训和监测。我们 将评估我们招募参与者和CHW，培训员工和CHW的能力，以提供生活方式 无情，评估参与者遵守干预的能力，评估实验室的变化和 使用病历中现有数据进行人体测量，并进行成本分析以估算 在临床环境中实施干预的相对成本。由于VA门诊诊所具有必要 识别，筛选和招募参与者的基础架构，并从患者内部访问CHW 人群，我们认为它们是预防糖尿病预防计划的理想潜在住所。我们将使用 在计划赠款中收集的数据，以开发大规模R18提案，以测试实施 帮助PD VETS干预较大的退伍军人poulation。