Episodic Future Thinking to Improve Management of Type 2 Diabetes in Rural and Urban Patients: Remote Delivery and Outcomes Assessment to Increase Reach and Dissemination

改善农村和城市患者 2 型糖尿病管理的情景未来思考:远程交付和结果评估以扩大覆盖范围和传播

基本信息

项目摘要

PROJECT SUMMARY Successful management of type 2 diabetes (T2D) requires adherence to a dietary, physical activity, and medication plan agreed upon between a patient and their healthcare providers. The lifestyle changes involved in these collaborative care plans often provide little to no short-term benefit and may instead be aversive (e.g., caloric restriction and physical activity). However, these changes provide critical health benefits in the future, allowing patients with T2D to halt or reverse disease progression and avoid T2D-related complications (e.g., renal disease or diabetic retinopathy). Thus, successful management of type 2 diabetes requires one's present behavior to be guided by future outcomes. Unfortunately, accumulating evidence indicates that individuals with type 2 diabetes and those at risk for this disorder show elevated rates of delay discounting (i.e., devaluation of delayed consequences), which prior data suggest contribute to development and progression of T2D. Thus, interventions shown to increase valuation of the future are likely to improve T2D management. One such intervention is episodic future thinking (EFT), a form of prospection in which participants vividly imagine events that might occur in their future. Preliminary data from the investigative team suggests that EFT facilitates weight loss and improves glycemic control in patients with T2D. In the proposed work, we will adapt these methods to examine the feasibility of both remote delivery of EFT and remote outcomes assessment (e.g., weight loss, glycemic control, and delay discounting) in geographically distributed urban and rural participants. Because remote delivery and assessment minimize both participant and experimenter burden, these methods may increase the reach, dissemination, and impact of the intervention. Specific Aim 1 will examine the 8- and 24- week efficacy of remotely delivered EFT in patients with T2D on remote measures of weight loss, glycemic control, and delay discounting. Secondary measures will include dietary recalls, physical activity, and medication adherence. Participants will generate vivid, episodic events and be prompted via a guided smartphone app for 24 weeks to engage in EFT or a control condition in their daily lives. All participants (EFT and control control) will receive diet and physical activity support, individualized for patients' collaborative care plans. Sub-aim 1a will compare outcome measures between urban and rural populations to evaluate whether EFT's efficacy is robust against rural-urban disparities. Specific Aim 2 will examine the acceptability of remote EFT. For an intervention to be effective in clinical settings, it should be easy to use and its helpfulness should be apparent to patients. Thus, participants will rate the EFT or control conditions along two dimensions of acceptability: perceived helpfulness and ease of use. Participants will also complete brief, semi-structured interviews during a post-intervention debriefing phase to provide feedback regarding perceived strengths, as well as possible barriers and limitations, of the intervention.
项目总结 2型糖尿病(T2D)的成功治疗需要坚持饮食、体力活动和 患者和他们的医疗保健提供者之间达成一致的用药计划。生活方式的改变涉及到 在这些协作性护理计划中通常提供很少或没有短期益处并且可能相反是令人厌恶的(例如, 卡路里限制和体力活动)。然而,这些变化在未来提供了关键的健康益处, 允许患有T2D的患者停止或逆转疾病进展并避免与T2D相关的并发症(例如, 肾脏疾病或糖尿病视网膜病变)。因此,2型糖尿病的成功治疗需要一个人的在场 行为要以未来的结果为指导。不幸的是,越来越多的证据表明,患有 2型糖尿病和这种疾病的风险人群表现出延迟折扣率升高(即 延迟后果),先前的数据表明,这有助于T2D的发展和进展。因此, 显示出增加对未来估值的干预措施可能会改善T2D管理。这样的一个 干预是断断续续的未来思维(EFT),是参与者生动地想象事件的一种预测形式 这可能会在他们的未来发生。来自调查小组的初步数据表明,EFT有助于减肥 降低和改善T2D患者的血糖控制。在拟议的工作中,我们将调整这些方法以 检查远程交付EFT和远程结果评估的可行性(例如,体重减轻, 在地理分布的城市和农村参与者中的血糖控制和延迟折扣)。因为 远程交付和评估将参与者和实验者的负担降至最低,这些方法可以 增加干预的覆盖范围、传播范围和影响。特定目标1将检查8-和24- 远程EFT在T2D患者体重减轻、血糖远程测量中的周疗效 控制,并延迟折扣。次要措施将包括饮食召回、体力活动和药物治疗 坚持不懈。参与者将生成生动的插曲活动,并通过引导的智能手机应用程序进行提示 24周来进行EFT或在日常生活中控制状况。所有参与者(EFT和控制) 将根据患者的协作护理计划获得个性化的饮食和体力活动支持。次级目标1a 将比较城市和农村人口的结果衡量标准,以评估EFT的疗效 坚决反对城乡差距。具体目标2将检查远程EFT的可接受性。对于一个 干预要在临床环境中有效,它应该易于使用,其帮助应该是显而易见的 病人。因此,参与者将根据可接受性的两个维度对EFT或控制条件进行评级: 感受到的帮助和易用性。参与者还将完成简短的半结构化面试, 干预后汇报阶段,尽可能提供有关感知优势的反馈 干预的障碍和限制。

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Jeffrey Scott Stein其他文献

Jeffrey Scott Stein的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Jeffrey Scott Stein', 18)}}的其他基金

Episodic Future Thinking to Improve Management of Type 2 Diabetes in Rural and Urban Patients: Remote Delivery and Outcomes Assessment to Increase Reach and Dissemination
改善农村和城市患者 2 型糖尿病管理的情景未来思考:远程交付和结果评估以扩大覆盖范围和传播
  • 批准号:
    10683258
  • 财政年份:
    2021
  • 资助金额:
    $ 34.25万
  • 项目类别:
Episodic Future Thinking to Improve Management of Type 2 Diabetes in Rural and Urban Patients: Remote Delivery and Outcomes Assessment to Increase Reach and Dissemination
改善农村和城市患者 2 型糖尿病管理的情景未来思考:远程交付和结果评估以扩大覆盖范围和传播
  • 批准号:
    10488205
  • 财政年份:
    2021
  • 资助金额:
    $ 34.25万
  • 项目类别:
Episodic Future Thinking to Improve Management of Type 2 Diabetes in Rural and Urban Patients: Remote Delivery and Outcomes Assessment to Increase Reach and Dissemination
改善农村和城市患者 2 型糖尿病管理的情景未来思考:远程交付和结果评估以扩大覆盖范围和传播
  • 批准号:
    10667183
  • 财政年份:
    2021
  • 资助金额:
    $ 34.25万
  • 项目类别:
A Remotely Delivered Episodic Future Thinking Intervention to Improve Management of Type 2 Diabetes
远程提供情景未来思维干预以改善 2 型糖尿病的管理
  • 批准号:
    9751398
  • 财政年份:
    2018
  • 资助金额:
    $ 34.25万
  • 项目类别:

相似国自然基金

greenwashing behavior in China:Basedon an integrated view of reconfiguration of environmental authority and decoupling logic
  • 批准号:
  • 批准年份:
    2024
  • 资助金额:
    万元
  • 项目类别:
    外国学者研究基金项目

相似海外基金

Systematization of Cognitive Behavioral Therapy based on the influence of rule-governed behavior in frequent stealing behavior
基于规则行为对频繁偷盗行为的影响的认知行为治疗的系统化
  • 批准号:
    23K18975
  • 财政年份:
    2023
  • 资助金额:
    $ 34.25万
  • 项目类别:
    Grant-in-Aid for Research Activity Start-up
Organizational Behavior Management in Various Welfare Facilities Starting with Behavioral Records
各类福利机构的组织行为管理从行为记录入手
  • 批准号:
    23K17566
  • 财政年份:
    2023
  • 资助金额:
    $ 34.25万
  • 项目类别:
    Grant-in-Aid for Challenging Research (Exploratory)
An Empirical Study on a Behavioral Model for Invoking the Potential Demand of Micro-Tourism through the Provision of Behavior Change Triggers
通过提供行为改变触发因素激发微旅游潜在需求的行为模型实证研究
  • 批准号:
    23K11632
  • 财政年份:
    2023
  • 资助金额:
    $ 34.25万
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
Development of behavior modification approach using cognitive behavioral therapy for patients with higher brain dysfunction
使用认知行为疗法开发针对重度脑功能障碍患者的行为矫正方法
  • 批准号:
    23K02986
  • 财政年份:
    2023
  • 资助金额:
    $ 34.25万
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
Combined Dialectical Behavior Therapy and Digital Cognitive Behavioral Therapy for Insomnia for Adolescents at High Risk for Suicide: A Pilot RCT
辩证行为疗法和数字认知行为疗法相结合治疗自杀高危青少年的失眠:一项试点随机对照试验
  • 批准号:
    10643478
  • 财政年份:
    2023
  • 资助金额:
    $ 34.25万
  • 项目类别:
The Effects of Scholarship on Student's Learning Behavior Focusing on PreferenceDevelopments and Expansions of Behavioral Economics Approach
奖学金对学生学习行为的影响关注偏好行为经济学方法的发展和扩展
  • 批准号:
    22K13722
  • 财政年份:
    2022
  • 资助金额:
    $ 34.25万
  • 项目类别:
    Grant-in-Aid for Early-Career Scientists
Multisensory integration at the cell, circuit, and behavioral levels: How audiovisual signals drive dynamic courtship behavior in Drosophila melanogaster
细胞、回路和行为层面的多感觉整合:视听信号如何驱动果蝇的动态求偶行为
  • 批准号:
    10389197
  • 财政年份:
    2022
  • 资助金额:
    $ 34.25万
  • 项目类别:
Multisensory integration at the cell, circuit, and behavioral levels: How audiovisual signals drive dynamic courtship behavior in Drosophila melanogaster
细胞、回路和行为层面的多感觉整合:视听信号如何驱动果蝇的动态求偶行为
  • 批准号:
    10828249
  • 财政年份:
    2022
  • 资助金额:
    $ 34.25万
  • 项目类别:
Quantifying Behavioral Factors Related to Sedentary Behavior of Disabled Elderly
量化与残疾老年人久坐行为相关的行为因素
  • 批准号:
    22K21213
  • 财政年份:
    2022
  • 资助金额:
    $ 34.25万
  • 项目类别:
    Grant-in-Aid for Research Activity Start-up
Construction of tsunami evacuation behavior database containing geographic characteristics and behavioral contexts and utilization of it for promoting residents' behavior to prepare for evacuation
构建包含地理特征和行为背景的海啸疏散行为数据库,并利用它来促进居民做好疏散准备的行为
  • 批准号:
    22K04641
  • 财政年份:
    2022
  • 资助金额:
    $ 34.25万
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了