A generalized Diabetes Networking Tool (DNT) to enhance social support for patient self management

通用糖尿病网络工具 (DNT)，用于增强患者自我管理的社会支持

• 批准号: 9622396
• 负责人: PAMELA J SURKAN
• 金额: $ 25.34万
• 依托单位: STARSHIP HEALTH TECHNOLOGIES
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-20 至 2019-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9622396
• 关键词: Address; Adherence; Android; Attention; Behavior; Behavioral Sciences; Blood Tests; Chronic; Communities; Community Networks; Consumption; Dangerousness; Data; Data Analyses; Development; Devices; Diabetes Mellitus; Disease; Exercise; Experimental Diabetes Mellitus; Face; Family; Family member; Food; Frequencies; Friends; Funding; Geography; Glucose; Health Fairs; Health Personnel; Household; Household and Family; Incidence; Individual; Life; Location; Low income; Measurement; Measures; Medicare; Methods; Mobile Health Application; Non-Insulin-Dependent Diabetes Mellitus; Participant; Patients; Pharmaceutical Preparations; Phase; Physical activity; Policies; Population; Positive Reinforcements; Prediabetes syndrome; Preparation; Private Sector; Privatization; Process; Provider; Public Health; Public Sector; Qualitative Methods; Randomized; Research; Resources; Sales; Sampling; Schedule; Self Care; Self Management; Social Environment; Social Network; Social Reinforcement; Social support; Support System; System; Technology; Testing; Translating; Translations; United States National Institutes of Health; base; behavior change; clinical translation; commercial application; compliance behavior; control trial; cost; design; diabetes management; empowered; formative assessment; human centered computing; improved; individual patient; mHealth; member; minority communities; new technology; population health; prototype; racial and ethnic; research and development; scale up; smartphone Application; social; social computing; social media; socioeconomics; study population; success; technological innovation; tool; treatment planning; usability

Abstract We propose to develop a social computing technology called the Diabetes Networking Tool (DNT), that enhances Type II Diabetes and pre-diabetes patients’ ability to self-manage and avoid disease complications by bolstering family, household, and community-based support mechanisms. Type II Diabetes Mellitus is a life-long condition that is a serious and growing public health problem, and that requires constant self-management by the patient to avoid dangerous complications. Prior research by the research team and others indicates that a Type II diabetes patient’s social network can help a patient improve self-management and developed a demonstration smart-phone app around this concept. Family and community relationships influence an individual’s ability to make successful diabetes-related behavior change, and thus the success of self-management. These relationships can provide positive reinforcement and personal encouragement for key activities such as adherence to medication and blood-testing schedules and getting exercise. This proposal seeks to expand the prior research and translate it into a commercial-grade DNT product that will leverage these family and community resources through a fully-developed smartphone app. DNT allows a patient to create a private local social network of household/family/friends that can support the patient with her/his diabetes self-management behaviors, such as adhering to medication and glucose-testing schedules, finding people to exercise with, and sharing of information such as food shopping tips and positive social reinforcement. DNT also gives the patient access to local community resources, uses geo-fencing technology, and allows location specific information (e.g., healthy grocery sales, health fairs) to be posted and shared. Gaming features to be developed, such as earning badges and participating in social challenges, can increase engagement and frequency of use. Our team brings a unique combination of leaders and experts in user-centered and social computing and behavioral science research. Phase I Aims are to: 1. Define needs and opportunities for DNT social support using participatory design methods within a sample of diverse middle and low-income communities. 2. Design the DNT user interface and develop a complete DNT app prototype. 3. Conduct initial formative assessment of the prototype DNT for usability and perceived usefulness. The full DNT product can improve diabetes-related self-management, as well as increase scientific understanding of how an augmented social support system can benefit diabetes management and potentially reduce disease complications.

抽象的 我们建议开发一种称为糖尿病网络工具（DNT）的社交计算技术，该技术 通过以下方式增强 II 型糖尿病和糖尿病前期患者的自我管理和避免疾病并发症的能力 支持家庭、家庭和社区支持机制。 II 型糖尿病是一种终生疾病，是一个严重且日益严重的公共卫生问题，并且 需要患者不断的自我管理，以避免危险的并发症。 研究小组和其他人表明，II 型糖尿病患者的社交网络可以帮助患者改善 自我管理并围绕这一概念开发了一个演示智能手机应用程序。 社区影响关系个人成功改变糖尿病相关行为的能力， 因此，自我管理的成功可以提供积极的强化和个人影响。 鼓励关键活动，例如遵守药物治疗和血液检测计划以及接受 锻炼。 该提案旨在扩展先前的研究并将其转化为商业级 DNT 产品， 将通过完全开发的智能手机应用程序利用这些家庭和社区资源。 患者创建一个由家庭/家人/朋友组成的私人本地社交网络，可以为患者提供支持 她/他的糖尿病自我管理行为，例如遵守药物治疗和血糖测试计划， 寻找一起锻炼的人，并分享信息，例如食品购物技巧和积极的社交 DNT 还使患者能够接触当地社区资源，使用地理围栏技术， 并允许发布和共享特定位置的信息（例如健康杂货销售、健康博览会）。 待开发的游戏功能，例如赚取徽章和参与社交挑战，可以增加 参与度和使用频率。 我们的团队带来了以用户为中心的社交计算领域的领导者和专家的独特组合， 第一阶段的行为科学研究的目标是： 1. 在一定范围内使用参与式设计方法来定义 DNT 社会支持的需求和机会 不同中低收入社区的样本。 2. 设计DNT用户界面并开发完整的DNT应用程序原型。 3. 对原型 DNT 的可用性和感知有用性进行初步形成性评估。 完整的 DNT 产品可以改善糖尿病相关的自我管理，并提高科学性 了解增强的社会支持系统如何有利于糖尿病管理和潜在的 减少疾病并发症。