Making the Connection: Understanding the dynamic social connections impacting type 2 diabetes management among Black/African American men

建立联系：了解影响黑人/非裔美国男性 2 型糖尿病管理的动态社会联系

• 批准号: 10782674
• 负责人: Tyler Prochnow
• 金额: --
• 依托单位: TEXAS A&M UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-25 至 2023-09-26
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10782674
• 关键词: Address; Adherence; African American; Behavior; Black race; Chronic Disease; Church; Communities; Data; Development; Disease; Disease Management; Environment; Evolution; Family; Family member; Friends; Goals; Health; Health Care Rationing; Home; Individual; Intervention; Intervention Studies; Interview; Knowledge; Life; Literature; Maintenance; Measures; Methods; Modeling; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Participant; Pathway Analysis; Patient Self-Report; Persons; Play; Population; Practice Management; Psyche structure; Psychological reinforcement; Research; Role; Sampling; Self Efficacy; Self Management; Social Network; Social isolation; Social support; Socialization; Spouses; Time; Work; cohort; coping; design; diabetes management; diabetes self-management; effective intervention; health care service utilization; health disparity; improved; innovation; male; men; mortality; novel; peer; recruit; social; social culture; social influence; social interventions; social relationships; support network

PROJECT SUMMARY This study is designed to address the alarmingly low rate of disease self-management that has resulted in the current disproportionate chronic illness, specifically type 2 diabetes (T2D), burden borne by Black/African American males. Black/African American males have the highest mortality rates from preventable conditions due, in part, to a low rate of health care utilization. Following the social ecological model, it is vital to understand the social influences and social networks that impact T2D self-management. Strengthening relationships and creating behavior reinforcement loops has improved T2D self-management and social measures such as coping and self-efficacy. Broader social networks play a significant role in chronic disease management, yet a gap remains in the literature regarding the identification of these networks, and understanding how these networks evolve over time, specifically among Black/African American males. Therefore, there is a critical need to identify the aspects of social networks that are associated with T2D self-management and support among Black/African American males. Such newfound knowledge about the influence of interpersonal, community, and societal sociocultural environments can result in the development of novel, effective strategies to improve T2D self- management compliance and health outcomes in Black/African American males. Our long-term goal is to develop culturally- and socially-relevant dyadic relationship intervention points to improve T2D self-management among Black/African American men with T2D. Our overall objectives in this application are to establish the aspects of social networks related to healthy self-management practices as well as characterize their formation and evolution. To accomplish these objectives, we will use a convergent mixed methods approach to determine significant aspects of social networks identified by using social network analysis and in-depth qualitative interviews. First, we will recruit a nationally representative sample of 1,200 Black/African American males with T2D using Qualtrics research panels to determine significant associations between T2D management their social relationships. Next, a cohort of 65 Black/African American males from the national sample will be asked to participate in longitudinal qualitative interviewing regarding their social networks with two follow-ups at six months and one year. The rationale for this project is that determining the aspects of one’s network that promotes self-management will provide the groundwork for intervention studies to improve T2D self-management within a population with health disparities. To achieve our long-term goal and objectives, the following specific aims will be pursued: 1) Identify specific aspects of dyadic relationships within select domains (family, friends, neighbors, church, other) among Black/African American male social networks related to T2D self-management adherence; 2) Characterize the formation and evolution of dyadic relationships that result in improved T2D self-maintenance strategy adherence among Black/African American males.

项目概要 这项研究旨在解决导致疾病自我管理率极低的问题 在当前不成比例的慢性病中，特别是 2 型糖尿病 (T2D)，黑人/非洲人承受的负担 美国男性因可预防疾病而死亡率最高。 部分原因是医疗保健利用率较低，因此理解社会生态模型至关重要。 影响 T2D 自我管理的社会影响和社交网络。 创建行为强化循环改善了 T2D 自我管理和应对等社会措施 更广泛的社交网络在慢性病管理中发挥着重要作用，但仍存在差距。 关于这些网络的识别以及理解这些网络如何 随着时间的推移而演变，特别是在黑人/非裔美国男性中，因此，迫切需要确定。 与黑人/非洲人的 T2D 自我管理和支持相关的社交网络方面 美国男性对人际、社区和社会影响的新发现。 社会文化环境可以导致制定新颖、有效的策略来改善 T2D 自我 黑人/非裔美国男性的管理合规性和健康结果。 我们的长期目标是开发与文化和社会相关的二元关系干预点 改善患有 T2D 的黑人/非裔美国男性的 T2D 自我管理，这是我们的总体目标。 应用程序还旨在建立与健康自我管理实践相关的社交网络方面 为了表征它们的形成和演变，我们将使用收敛混合。 方法 确定通过使用社交网络分析识别的社交网络的重要方面的方法 首先，我们将招募 1,200 名具有全国代表性的黑人/非洲人样本。 患有 T2D 的美国男性使用 Qualtrics 研究小组来确定 T2D 之间的显着关联 接下来是来自全国的 65 名黑人/非裔美国男性。 样本将被要求参加关于他们的社交网络的纵向定性访谈，其中有两个人 六个月和一年的后续行动 该项目的基本原理是确定一个人的各个方面。 促进自我管理的网络将为改善 T2D 的干预研究奠定基础 健康差异人群中的自我管理 为了实现我们的长期目标和目标， 将追求以下具体目标： 1）确定选定领域内二元关系的具体方面 与 T2D 相关的黑人/非裔美国男性社交网络（家人、朋友、邻居、教堂等） 自我管理依从性；2）描述二元关系的形成和演变，从而导致 提高了黑人/非裔美国男性 T2D 自我维持策略的依从性。