ACT1VATE: Addressing Emotional Distress to Improve Outcomes among Diverse Adults with Type 1 Diabetes

ACT1VATE:解决情绪困扰,改善不同类型 1 型糖尿病成人的预后

基本信息

  • 批准号:
    10475198
  • 负责人:
  • 金额:
    $ 65.62万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2020
  • 资助国家:
    美国
  • 起止时间:
    2020-09-15 至 2025-08-31
  • 项目状态:
    未结题

项目摘要

7. Project Summary/Abstract In 2016, the American Diabetes Association (ADA) released its inaugural Position Statement on Psychosocial Care for People with Diabetes, which identified diabetes self-management education and ongoing support (DSME/S) as the first-line intervention for DD. However, there is no evidence that DSME/S is the appropriate intervention for DD. The proposed RCT will compare DSME + ACT1VATE versus traditional DSME/S (Usual Care; UC) in improving glycemic control among N=484 diverse (~25% Hispanic, 10% Black, 5% Asian), predominantly working age adults with poorly controlled T1D and significant DD. Participants will be recruited from the Scripps Division of Diabetes and Endocrinology – a large clinical endocrine practice whose 13 physician members serve thousands of T1D adults. Capitalizing on existing and real world processes, electronic health records will be used to identify eligible patients and examine primary outcomes. All participants will receive UC, which consists of standard, 1:1 DSME delivered by a Scripps Registered Nurse/Certified Diabetes Care and Education Specialist (RN/CDCES). Thereafter, participants will receive 5 telemedicine group sessions of either 1) T1D support groups with traditional content delivered by an RN/CDCES (i.e., the ongoing support component, “S,” of DSME/S; UC group), or 2) a psychological intervention, directly designed to address DD, to be delivered by a Behavioral Health Provider who is an integrated member of the diabetes care team (ACT1VATE group). The flexible ACT1VATE protocol facilitates tailoring to the (1) participants’ root cause(s) of DD, (2) developmental needs of this predominantly working age adult group; and (3) diverse cultural composition of the patient population, via the sensitive consideration of values and thought patterns/beliefs that influence diabetes self-management. ACT1VATE is grounded in Acceptance and Commitment Therapy (ACT), which has been delivered effectively in clinics via brief format; implemented via phone and other modalities; and adapted for a wide range of chronic conditions. However, only two small studies have examined this approach in diabetes, and neither focused on individuals with DD or integrated the ACT interventionist as a member of the diabetes care team. We predict that DSME + DSME + ACT1VATE will be superior to traditional DSME/S (UC) in improving DD and glycemic control given its (1) specific focus on DD, without any expectation that difficult diabetes-related thoughts and emotions must (or can) be completely eliminated; and (2) purposeful linkage of diabetes self-care behaviors to an individual’s deeply held values, thus eliciting intrinsic, patient-centric motivation for meaningful and lasting health behavior changes. We posit that DD will decrease in ACT1VATE as a by-product of achieving success in managing one’s health and increasing acceptance of difficult diabetes related-thoughts and feelings.
7. 项目总结/文摘

项目成果

期刊论文数量(0)
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Adelaide L Fortmann其他文献

Adelaide L Fortmann的其他文献

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{{ truncateString('Adelaide L Fortmann', 18)}}的其他基金

Continuous Glucose Monitoring for High-Risk Type 2 Diabetes in the Hospital: Cloud-Based Real-Time Glucose Evaluation and Management System (Cyber GEMS)
医院高风险 2 型糖尿病的连续血糖监测:基于云的实时血糖评估和管理系统 (Cyber​​ GEMS)
  • 批准号:
    10457241
  • 财政年份:
    2021
  • 资助金额:
    $ 65.62万
  • 项目类别:
Identification of Sex Differences in Glycemic Control and Development of a Continuous Glucose Monitoring (CGM) Benefit Index for Optimization of Glycemic Management in the Hospital
识别血糖控制中的性别差异并开发连续血糖监测 (CGM) 效益指数以优化医院血糖管理
  • 批准号:
    10771887
  • 财政年份:
    2021
  • 资助金额:
    $ 65.62万
  • 项目类别:
Continuous Glucose Monitoring for High-Risk Type 2 Diabetes in the Hospital: Cloud-Based Real-Time Glucose Evaluation and Management System (Cyber GEMS)
医院高风险 2 型糖尿病的连续血糖监测:基于云的实时血糖评估和管理系统 (Cyber​​ GEMS)
  • 批准号:
    10641776
  • 财政年份:
    2021
  • 资助金额:
    $ 65.62万
  • 项目类别:
ACT1VATE: Addressing Emotional Distress to Improve Outcomes among Diverse Adults with Type 1 Diabetes
ACT1VATE:解决情绪困扰,改善不同类型 1 型糖尿病成人的预后
  • 批准号:
    10264163
  • 财政年份:
    2020
  • 资助金额:
    $ 65.62万
  • 项目类别:
ACT1VATE: Addressing Emotional Distress to Improve Outcomes among Diverse Adults with Type 1 Diabetes
ACT1VATE:解决情绪困扰,改善不同类型 1 型糖尿病成人的预后
  • 批准号:
    10670954
  • 财政年份:
    2020
  • 资助金额:
    $ 65.62万
  • 项目类别:
Dulce Digital-COVID Aware (DD-CA) discharge texting platform for US/Mexico border Hispanics with diabetes + COVID-19
Dulce Digital-COVID Aware (DD-CA) 出院短信平台,适用于美国/墨西哥边境患有糖尿病的西班牙裔 COVID-19
  • 批准号:
    10215100
  • 财政年份:
    2016
  • 资助金额:
    $ 65.62万
  • 项目类别:

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