DM-BOOST para Latinx: a Diabetes Mellitus program using Behavioral economics to Optimize Outreach and Self-management support with Technology for Latinx patients

DM-BOOST para Latinx：利用行为经济学优化拉丁裔患者的外展和自我管理支持的糖尿病计划

• 批准号: 10652644
• 负责人: Daniel John Amante
• 金额: $ 16.36万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10652644
• 关键词: Address; Adherence; Adult; Affect; Appointments and Schedules; Architecture; Award; Behavior; Behavior Therapy; Binding; Body Weight decreased; Caring; Certification; Chronic Disease; Clinical; Clinical Research; Collaborations; Communities; Community Health; Competence; Decision Making; Development; Diabetes Mellitus; Disparity; Distress; Doctor of Philosophy; Education; Educational Intervention; Effectiveness; Evaluation; Extended Family; Face; Foundations; Fright; Funding; Future; Glycosylated hemoglobin A; Goals; Guidelines; Health; Healthcare Systems; High Prevalence; Human; Intention; Intervention; Interview; K-Series Research Career Programs; Knowledge; Language; Latinx; Latinx population; Limited English Proficiency; Marketing; Medical; Medicare; Mentored Research Scientist Development Award; Mentors; Mentorship; Modeling; Morbidity - disease rate; Non-Insulin-Dependent Diabetes Mellitus; Not Hispanic or Latino; Outcome; Patient Outcomes Assessments; Patients; Pattern Recognition; Physicians; Population; Positioning Attribute; Process; Provider; Questionnaires; Randomized; Recommendation; Research; Research Training; Risk; Schedule; Science; Scientist; Self Care; Self Efficacy; Self Management; Self-control as a personality trait; Specialist; Technology; Testing; Training; Translating; Transportation; Underserved Population; Uninsured; United States National Institutes of Health; Work; Writing; acceptability and feasibility; barrier to care; behavior change; behavioral economics; behavioral health; beneficiary; care systems; career; clinical encounter; community engagement; consumer behavior; design; diabetes management; diabetes self-management; evidence base; evidence based guidelines; experience; financial incentive; health care delivery; health information technology; health training; implementation barriers; implementation evaluation; improved; innovation; iterative design; outreach; patient engagement; patient population; peer; personalized intervention; preference; process evaluation; programs; satisfaction; skills; social; social health determinants; telehealth; theories; therapy design; treatment as usual; uptake; usability; virtual

1 ABSTRACT 2 This application for the NIH Mentored Research Scientist Development K01 Award proposes a specialized 3 experience to launch the independent research career of Dr. Daniel J. Amante, PhD, MPH. He will focus on 4 implementing technology-based behavioral interventions to improve the effectiveness of healthcare delivery and 5 management of type 2 diabetes (T2D). The three-year proposed experience 1.) builds upon an exciting 6 foundation of work, 2.) addresses a clinical need (improving engagement and delivery of diabetes self- 7 management training), and 3.) is informed by input from clinical, community and patient stakeholders. 8 Management of chronic diseases is challenging, especially for patients with T2D who have many competing 9 health demands. Much of T2D management occurs outside of clinical encounters, requiring proficient patient 10 self-care skills. Current evidence-based guidelines recommend diabetes self-management training (DSMT) for 11 all T2D patients. DSMT provides patients with increased access and personalization of support by certified 12 diabetes care and education specialists. DSMT faces significant implementation challenges, however, with very 13 few patients completing training. Latinx patients, a population disproportionately affected by T2D, complete 14 DSMT at especially low rates. Culturally-tailored interventions designed to increase engagement with DSMT in 15 such underserved populations are needed so that negative diabetes-related outcomes are averted. 16 To enhance implementation of DMST, Dr. Amante developed DM-BOOST (Diabetes Mellitus program using 17 Behavioral economics to Optimize Outreach and Self-management support with Technology). The goals of DM- 18 BOOST are to increase patient engagement and experience with DMST using Behavioral Economics-inspired, 19 technology-assisted approaches. DM-BOOST has been developed for English-speaking patients but needs to 20 be culturally-adapted for Spanish-speaking Latinx patients to increase the reach and impact of the program. 21 The specific aims of this project are to culturally adapt DM-BOOST for Latinx patients, usability test ‘DM- 22 BOOST para Latinx’ to optimize cultural appropriateness and patient engagement and conduct a feasibility 23 evaluation of DM-BOOST para Latinx. These aims will be accomplished via a community-based participatory 24 research approach in collaboration with clinical, community and patient partners. This project will inform 25 subsequent proposals to evaluate implementation of DM-BOOST in the UMass Memorial Health Care system. 26 To accomplish these aims, Dr. Amante will be guided by expert mentors and receive specialized training in: 27 1.) cultural adaption of diabetes self-management training interventions for Latinx patients, 2.) innovation with 28 user experience to optimize use of patient-facing health information technologies, and 3.) implementation 29 science to enhance uptake of evidence-based diabetes care services. This career development award will be 30 guided by expert mentors and in collaboration with Dr. Amante’s clinical, community and patient partners.

1摘要 2 NIH指导研究科学家发展K01奖的申请提案 3经验启动Daniel J. Amante博士博士，MPH的独立研究职业。他将专注于 4实施基于技术的行为干预措施，以提高医疗保健提供的有效性和 5 2型糖尿病的管理（T2D）。提议的三年经验1.）建立在一个令人兴奋的 6工作基础，2。）满足临床需求（改善糖尿病的参与和递送自我 7管理培训）和3.）通过临床，社区和患者利益相关者的意见来告知。 8慢性疾病管理受到挑战，特别是对于具有许多竞争的T2D患者 9个健康需求。 T2D的大部分管理发生在临床相遇之外，需要精通患者 10个自我护理技能。当前的基于证据的指南建议糖尿病仅是管理培训（DSMT） 11个所有T2D患者。 DSMT为患者提供了通过认证的增加和个性化支持的访问和个性化 12个糖尿病护理和教育专家。但是，DSMT面临着重大的实施挑战 13例完成培训的患者。拉丁人患者，受T2D影响不成比例的人群，完整 14 DSMT，尤其低。旨在增加与DSMT参与的文化规定干预措施 15需要这种服务不足的人群，以避免与糖尿病相关的负面结果。 16为了增强DMST的实施，Amante博士开发了DM-Boost（使用糖尿病计划 17行为经济学以优化技术的外展和自我管理支持）。 DM的目标 18助推器是通过以行为经济学为灵感来提高患者参与度和DMST的经验， 19条技术辅助方法。 DM-Boost已为讲英语的患者开发 20对讲西班牙语的拉丁裔患者进行文化适应，以增加该计划的影响力和影响。 21该项目的具体目的是在文化上适应Latinx患者的DM-Boost，可用性测试'dm- 22 BOOST PARA LATINX’以优化文化适当性和患者参与并进行可行性 23 DM-Boost Para Latinx评估。这些目标将通过基于社区的参与来实现 24与临床，社区和患者合作伙伴合作的研究方法。这个项目将告知 25随后的提案，以评估UMass纪念保健系统中DM-Boost的实施。 26为了实现这些目标，Amante博士将受到专家导师的指导，并接受专门的培训： 27 1.）拉丁人的糖尿病自我管理培训干预措施的文化适应 28用户体验优化面向患者的健康信息技术的使用，以及3.）实施 29科学以增强循证糖尿病护理服务的吸收。这个职业发展奖将是 30在专家导师的指导下，并与Amante博士的临床，社区和患者合作伙伴合作。