Improving Diabetes Outcomes: The Diabetes Support Project

改善糖尿病治疗结果：糖尿病支持项目

• 批准号: 7921207
• 负责人: PAULA MARY TRIEF
• 金额: $ 4.11万
• 依托单位: UPSTATE MEDICAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-07 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7921207
• 关键词: Address; Adherence; Adoption; Behavioral; Behavioral Sciences; Blood Glucose; Caring; Chronic Disease; Collaborations; Communication; Complications of Diabetes Mellitus; Conflict (Psychology); Couples; Data; Diabetes Mellitus; Diet; Disease; Disease Management; Disease Outcome; Distress; Education; Effect Modifiers (Epidemiology); Effectiveness; Emotional; Emotions; Family; Family member; Food; Funding; Future; Goals; Health; Individual; Insulin-Dependent Diabetes Mellitus; Intervention; Knowledge; Lead; Maintenance; Measures; Medical; Modality; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Patients; Pharmaceutical Preparations; Physical activity; Preparation; Primary Health Care; Problem Solving; Public Health; Qualifying; Quality of life; Relative (related person); Reporting; Research; Sampling; Schedule; Self Care; Self Management; Social Environment; Spouses; Telephone; Testing; Time; Translations; Treatment Protocols; United Kingdom; Weight; Work; Youth; active method; base; behavior change; collaborative care; cost; cost effectiveness; diabetes control; diabetes education; diabetes educator; diabetes management; experience; glycemic control; group intervention; improved; innovation; intervention effect; programs; prospective; psychosocial; skills; theories; therapy design; treatment as usual; Address; Adherence; Adoption; Behavioral; Behavioral Sciences; Blood Glucose; Caring; Chronic Disease; Collaborations; Communication; Complications of Diabetes Mellitus; Conflict (Psychology); Couples; Data; Diabetes Mellitus; Diet; Disease; Disease Management; Disease Outcome; Distress; Education; Effect Modifiers (Epidemiology); Effectiveness; Emotional; Emotions; Family; Family member; Food; Funding; Future; Goals; Health; Individual; Insulin-Dependent Diabetes Mellitus; Intervention; Knowledge; Lead; Maintenance; Measures; Medical; Modality; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Patients; Pharmaceutical Preparations; Physical activity; Preparation; Primary Health Care; Problem Solving; Public Health; Qualifying; Quality of life; Relative (related person); Reporting; Research; Sampling; Schedule; Self Care; Self Management; Social Environment; Spouses; Telephone; Testing; Time; Translations; Treatment Protocols; United Kingdom; Weight; Work; Youth; active method; base; behavior change; collaborative care; cost; cost effectiveness; diabetes control; diabetes education; diabetes educator; diabetes management; experience; glycemic control; group intervention; improved; innovation; intervention effect; programs; prospective; psychosocial; skills; theories; therapy design; treatment as usual

Project Summary Studies have shown that intensive blood sugar control can reduce or forestall serious diabetes-related complications. However, innovative interventions need to be developed that can help patients achieve good, and lasting, control. We know that strong family and marital bonds help patients manage diabetes. The purpose of this study is to test whether an intervention that targets the couple and their relationship leads to better, and more lasting, improvements in blood sugar control than one that focuses only on the individual. This study is highly innovative as it is the first to address the couple as the target of the intervention. This study is also significant because we propose to deliver the intervention by telephone to increase reach to more diverse and larger numbers of patients. The specific aims are to measure the relative benefits of a couples intervention compared to an individual intervention and usual care. In one group, subjects will participate in two contacts (with a certified diabetes educator) of diabetes self- management education (DSME) followed by usual care. In one active treatment group, individual subjects will also receive DSME, followed by 10 contacts to individualize goal- setting and address emotions and diabetes. In the other active treatment group, patients and their partners will participate together and also receive DSME, followed by 10 contacts to individualize goal-setting and address relationships and diabetes. The Couples group will work collaboratively via homework and interactive discussions. We believe that better partner collaboration will have a positive impact on medical, adherence, and emotional outcomes, and that the gains achieved will be more lasting, and thus have a greater impact on diabetes outcomes. Partners do have an effect on patients, sometimes good, sometimes bad. It is time to try to enhance the positive benefits of that effect. A demonstration that a couples intervention results in significant and lasting behavior change and medical gains will lead to a tailoring of other interventions to include partners and to promote couples collaboration, as well as future work to identify for whom this intervention is most helpful.

项目摘要 研究表明，密集的血糖控制可以减少或阻止严重 与糖尿病有关的并发症。但是，需要开发创新的干预措施 这可以帮助患者实现良好和持久的控制。我们知道那个坚强的家庭和 婚姻纽带帮助患者管理糖尿病。这项研究的目的是测试 针对这对夫妇及其关系的干预措施是否会导致更好，并且 持久的，血糖控制的改善，而不是仅关注 个人。这项研究具有很高的创新性 干预的目标。这项研究也很重要，因为我们建议 通过电话干预以增加覆盖范围，以增加更多的多样性和更多数量 患者。具体目的是衡量夫妻干预的相对好处 与个人干预和通常的护理相比。在一个小组中，受试者将 参加糖尿病的两个联系人（与认证的糖尿病教育者）自我 管理教育（DSME），然后是通常的护理。在一个主动治疗组中 个别受试者还将接收DSME，然后进行10个联系以个性化目标 - 设置和解决情绪和糖尿病。在另一个主动治疗组中，患者 他们的合作伙伴将一起参加并获得DSME，其次是10 接触个性化目标设定并解决关系和糖尿病。这 夫妻小组将通过作业和互动讨论进行协作。我们 相信更好的合作伙伴合作将对医疗产生积极影响， 坚持和情感成果，并取得的成就将更加持久， 因此，对糖尿病结局产生了更大的影响。合作伙伴确实有影响 病人，有时好，有时坏。现在该尝试增强积极的时候了 这种效果的好处。夫妻干预导致重要的演示 持久的行为改变和医疗收益将导致其他 包括合作伙伴并促进夫妇合作的干预措施以及未来 努力确定该干预最有帮助的人。