Mobile Health App to Reduce Diabetes in Latina Women with Prior Gestational Diabetes

移动健康应用程序可减少患有妊娠期糖尿病的拉丁女性的糖尿病

• 批准号: 10193260
• 负责人: Dharma E CORTES
• 金额: $ 18.48万
• 依托单位: ENVIRONMENT AND HEALTH GROUP, INC.
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-22 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10193260
• 关键词: Affect; Android; Area; Behavior; Behavioral; COVID-19; COVID-19 pandemic; Communities; Crowding; Diabetes Mellitus; Eating; Effectiveness; Family; Food; Food Access; Funding; Future; Gestational Diabetes; Goals; Health; Health Food; Healthy Eating; Housing; Hurricane; Individual; Intervention; Island; Latina; Latino; Low income; Mobile Health Application; Natural Disasters; Neighborhood Health Center; Non-Insulin-Dependent Diabetes Mellitus; Online Systems; Phase; Physical Exercise; Physical activity; Poverty; Public Health; Puerto Rican; Puerto Rico; Recommendation; Recording of previous events; Recreation; Risk; Series; Site; Small Business Innovation Research Grant; Social Distance; Source; Special Supplemental Nutrition Program for Women, Infants, and Children; Subgroup; Technology; Testing; Text Messaging; Woman; design; diabetes risk; digital; experience; farmers markets; food insecurity; food preparation; health care availability; health care disparity; improved; mHealth; mobile application; pandemic disease; parent grant; prevent; primary outcome; social media; tool

Abstract Latino communities have been disproportionately impacted by the COVID-19 pandemic, being both at increased risk and experiencing more severe illness when infected. Latinos living in Puerto Rico have also been affected via access to healthy food. Even before the pandemic, access to healthy food had been threatened due to the unprecedented series of natural disasters, including Hurricane Maria in 2017. The onset of COVID-19 has further threatened access to healthy food. Relatedly, social distancing rules, which limit access to beaches, parks and public recreation areas to prevent unhealthy crowding in these spaces, may have a greater negative impact on low-income Puerto Ricans who rely on these spaces for physical activity. While public health recommendations for healthy shopping, healthy eating, and physical exercise during COVID-19 have emerged, these recommendations have not targeted to Latinos nor are they available in Spanish. Puerto Ricans would benefit from targeted healthy shopping and eating guidance due to the widespread food insecurity and poverty that already existed prior to COVID-19, and physical activity guidance due to the COVID-19 related constraints to outdoor physical activity. Digital technology, which is widely used by Puerto Rico residents, is a way to help families engage in healthy behaviors in the face of COVID-19, as it overcomes barriers by providing behavioral tools on healthy food shopping and food preparation, and providing ways to increase physical activity. Tailoring this information to Latinas, who typically manage shopping and food preparation in Latino families, would increase its impact. To our knowledge, no digital health intervention has been specifically targeted to, and co-designed with Latinas to promote healthy food shopping, healthy eating, and physical activity during COVID-19. While such an intervention has potential value for many Latino subgroups, Puerto Ricans represent a high-priority target because of pre-existing vulnerabilities brought about by several natural disasters that preceded COVID-19. The overall goal of this competitive supplement is to develop a culturally- and individually-tailored Spanish/ English digital health intervention to promote healthy food shopping and healthy eating, as well as physical activity, among Puerto Rican Latinas during the COVID-19 pandemic and its aftermath. This competitive revision expands the scope of our current SBIR Phase II parent grant (Hola Bebé), which is building and testing a digital health intervention with tools for healthy eating and physical activity for Latinas with a prior history of Gestational Diabetes Mellitus (GDM), as well as builds on our SBIR Phase I project (LISTA), which developed tools for healthy shopping and eating for Latinas. We are committed to the rapid dissemination of the mobile app during the pandemic and its aftermath, to Latina users of community health centers throughout Puerto Rico, as well as other sites where Latinas access food.

摘要 拉丁裔社区受到COVID-19大流行的不成比例的影响， 增加风险，感染时经历更严重的疾病。生活在波多黎各的拉丁裔也有 通过获得健康食品而受到影响。即使在大流行病之前，获得健康食品的机会也是有限的。 由于一系列前所未有的自然灾害，包括2017年的飓风玛丽亚，发作 COVID-19疫情进一步威胁到健康食品的获取。与此相关的是，社交距离规则， 进入海滩、公园和公共娱乐区，以防止这些空间出现不健康的拥挤， 对依赖这些空间进行体育活动的低收入波多黎各人产生更大的负面影响。 虽然公共卫生建议健康购物，健康饮食和体育锻炼， COVID-19已经出现，这些建议并没有针对拉丁美洲人，也没有在 西班牙语.波多黎各人将受益于有针对性的健康购物和饮食指导， 在COVID-19之前已经存在的广泛的粮食不安全和贫困，以及身体活动指导 由于COVID-19相关的户外体力活动限制。 波多黎各居民广泛使用的数字技术是帮助家庭参与 面对COVID-19，我们通过提供健康的行为工具来克服障碍， 食品采购和食品准备，并提供增加体力活动的方法。量身定做 向拉丁美洲人提供信息，他们通常在拉丁美洲家庭中管理购物和食物准备， 增加其影响。据我们所知，没有专门针对数字健康干预措施， 与拉丁美洲人共同设计，以促进健康食品购物，健康饮食和体育活动， 2019冠状病毒病。虽然这种干预对许多拉丁裔亚群体具有潜在价值，但波多黎各人 由于几种自然灾害造成的预先存在的脆弱性， COVID-19之前的灾难。 这一竞争性补充的总体目标是发展一个文化和个性化定制的西班牙语/ 英语数字健康干预，以促进健康食品购物和健康饮食，以及身体 在COVID-19大流行及其后果期间，波多黎各拉丁裔人的活动。这个竞争激烈 修订扩大了我们当前的SBIR第二阶段母基金（Hola Bebé）的范围，该基金正在建设和 测试数字健康干预与健康饮食和身体活动的工具，为拉丁美洲人与事先 GDM的历史，以及建立在我们的SBIR I期项目（LISTA）的基础上， 为拉丁裔人开发了健康购物和饮食的工具。我们致力于快速传播 在大流行期间及其之后，向整个社区卫生中心的拉丁裔用户提供移动的应用程序 波多黎各，以及其他拉美人获得食物的地方。