Computer Assisted Support For Underserved Diabetics

描述（由申请人提供）：1600万美国人患有糖尿病。西班牙裔成年人的糖尿病患病率尤其高。帮助患者控制糖尿病可以减少并发症，提高生活质量，降低护理成本。营养和运动达到健康的体重是糖尿病管理的关键行为干预。然而，以诊所为基础的体重管理项目是昂贵的，难以在人口基础上交付，并且通常不能满足医疗服务不足的西班牙裔人口的独特需求。本提案的目的是测试一种实用且易于交付的体重管理干预措施，以帮助服务不足的西班牙裔糖尿病患者。干预将利用基于计算机的软件程序来定制干预，以满足每个患者的独特需求。以证据为基础的行为模型有望帮助个人做出改变，更好地管理体重，这些模型将得到应用。该系统被设计为在基于临床的个人电脑上运行，并将为患者提供个性化评估和定制的实时反馈报告，以及医生/医疗保健提供者报告，概述患者改善的关键领域，并为从业者提供咨询建议。在第二阶段，我们将使用随机设计来测试这种治疗方法，将306名身体质量指数（BMI）大于25的医疗服务不足的西班牙裔糖尿病患者作为样本，比较test和CONTROL条件。该干预系统有望以高于对照组的速度改善TEST人群的血糖控制和体重管理。

DESCRIPTION (provided by applicant): Sixteen million Americans suffer from diabetes. Prevalence of diabetes is especially high among Hispanic adults. Helping patients control their diabetes can decrease complications, improve quality of life, and decrease costs of care. Nutrition and exercise to achieve a healthy weight are key behavioral interventions in diabetes management. However, clinic-based weight management programs are expensive, difficult to deliver on a population-basis and are not typically structured to meet the unique needs of medically underserved Hispanic populations. The goal of this proposal is to test a practical and easily delivered intervention for weight management to assist underserved Hispanic diabetics. The intervention will utilize a computer-based software program to tailor the intervention to the unique needs of each patient. Evidence-based behavioral models that hold promise for helping individuals make changes to better manage body weight will be applied. This system is designed to operate on clinic-based personal computers and will provide individual assessment and tailored, real-time and feedback reports to patients and physician/healthcare provider reports outlining key areas for patient improvement and counseling suggestions for practitioners. In Phase II, we will test this treatment approach using a randomized design comparing TEST and CONTROL conditions with a sample of 306 medically under-served Hispanic diabetics with a body-mass-index (BMI) greater than 25. The intervention system is expected to improve glucose control and weight management in the TEST population at a rate greater than the CONTROL population.