Improving diabetes outcomes: A couples intervention

改善糖尿病结局：夫妻干预

• 批准号: 7031882
• 负责人: PAULA MARY TRIEF
• 金额: $ 22.8万
• 依托单位: UPSTATE MEDICAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7031882
• 关键词: behavioral /social science research tag; blood glucose; chronic disease /disorder; clinical research; clinical trials; communication; counseling; diabetes education; diabetes mellitus therapy; disease /disorder prevention /control; dyadic interaction; education evaluation /planning; health services research tag; human subject; human therapy evaluation; noninsulin dependent diabetes mellitus; outcomes research; patient oriented research; personal log /diary; problem solving; self care; telemedicine; therapy compliance

DESCRIPTION (provided by applicant): Studies have shown that intensive blood glucose control can reduce or forestall the serious complications that often develop due to diabetes. However, innovative interventions need to be developed and tested that will translate these findings into actual clinical practice. While research highlights the importance of family and marital support in improving medical outcomes like glycemic control, little has been done to intervene at the family level with adults who have type 2 diabetes. This is a pilot proposal to develop and test an intervention that aims to both enlist the support of partners of diabetes patients, and to enhance and improve the quality of that support so that the relationship will have a positive impact on medical, behavioral and emotional outcomes. The intervention is innovative in targeting the couple, and also because it will be implemented by telephone, in order to enhance the project's ability to reach a broader sample of patients. The specific aims are (1) to assess the likely efficacy of a telephone-administered behavior change/psycho-social intervention for individuals with type 2 diabetes, and (2) to assess whether an intervention that targets both the individual with type 2 diabetes and his/her partner is likely to result in improved diabetes outcomes when compared to an intervention that targets the individual patient alone. Forty-five couples will be recruited in which one partner has type 2 diabetes. After baseline assessment and basic diabetes education, they will be assigned to an individual intervention group, a couples intervention group, or a usual care control group. Eleven telephone contacts will include education about diabetes, behavior change, psycho-social issues or couples communication, and problem-solving techniques. A manual will include readings, structured homework assignments and self-monitoring logs. Reassessment will occur 2 weeks and 3 months post intervention. As an R34, this is a pilot proposal to develop preliminary data on the feasibility and efficacy of he couples approach so that a future full-scale trial may be submitted as an R18 proposal.

描述（由申请人提供）： 研究表明，强化血糖控制可以减少或预防糖尿病引起的严重并发症。然而，需要开发和测试创新的干预措施，将这些发现转化为实际的临床实践。虽然研究强调了家庭和婚姻支持在改善血糖控制等医疗结果方面的重要性，但在家庭层面对患有2型糖尿病的成年人进行干预的工作很少。这是一项试点提案，旨在开发和测试一种干预措施，旨在争取糖尿病患者伴侣的支持，并提高和改善这种支持的质量，以便这种关系对医疗，行为和情感结果产生积极影响。这一干预措施在针对这对夫妇方面具有创新性，还因为它将通过电话实施，以提高该项目接触更广泛患者样本的能力。具体目的是（1）评估电话管理的行为改变/心理社会干预对2型糖尿病患者的可能疗效，以及（2）评估与单独针对个体患者的干预相比，针对2型糖尿病患者及其伴侣的干预是否可能改善糖尿病结局。将招募45对夫妇，其中一方患有2型糖尿病。在基线评估和基础糖尿病教育后，他们将被分配到个人干预组，夫妇干预组或常规护理对照组。11个电话联系将包括有关糖尿病，行为改变，心理社会问题或夫妇沟通，和解决问题的技术教育。一本手册将包括阅读，结构化的家庭作业和自我监控日志。将在干预后2周和3个月进行重新评估。作为R34，这是一个试点提案，旨在开发关于夫妻方法可行性和有效性的初步数据，以便将来可以作为R18提案提交全面试验。