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A Collaborative Approach to Control Hypertension in Diabetes (COACH-D)

控制糖尿病高血压的协作方法 (COACH-D)

基本信息

批准号：
7491534
负责人：
MELISSA DIANE MCKEE
金额：
$ 20.13万
依托单位：
ALBERT EINSTEIN COLLEGE OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-01 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7491534
关键词：
Address Adoption Blood Glucose Blood Pressure Caring Cholesterol Chronic Disease Clinical Clinical Services Collaborations Communication Communities Complications of Diabetes Mellitus Data Data Collection Diabetes Mellitus Disease Management Dyslipidemias Effectiveness of Interventions Elements Evaluation Failure Feedback Glycosylated Hemoglobin Glycosylated hemoglobin A Goals Guidelines Health Home Care Services Home Health Agency Home environment Hyperglycemia Hypertension Intervention Laboratories Low income Measures Medical Surveillance Methods Minority Modeling Nurses Outcome Outcome Measure Patient Care Patients Pharmaceutical Preparations Population Practice Guidelines Practice based research Preparation Primary Health Care Procedures Process Provider Randomized Research Personnel Research Project Grants Research Training Resources Role Secondary Prevention Site Team Nursing Telemetry Testing Therapeutic Training Translational Research Visiting Nurse base care systems chronic care model compare effectiveness design diabetes management evidence based guidelines experience glycemic control health disparity health organization improved inner city macrovascular disease novel nursing intervention patient home care patient oriented prevent psychosocial

项目摘要

DESCRIPTION (provided by applicant): Many primary care patients, especially in inner-city settings, do not achieve targets for blood pressure and glycemic control. There is an urgent need to enhance treatment for those who do not reach goals within the usual clinical care system. We propose to develop a multi-component intervention grounded in the Chronic Care Model, and sustainable in resource-challenged settings. Through collaboration with home health nursing and with the use of home telemetry for feedback and intensification of therapy, we will augment usual clinical services to improve health outcomes for diabetes patients who have not been able to reach therapeutic goals. There are three specific aims. First, we will establish a feasible, practical and sustainable collaborative model between the primary care sites of our practice-based research network (NYC RING), clinical researchers at the Diabetes Research and Training Center, and The Montefiore Home Health Organization, integrating the unique expertise of each of the partners and defining the roles and responsibilities of each. Second, we will develop and refine the components of the intervention, to include training primary care providers and home health nurses to integrate the technical, psychosocial and communication processes for implementation of the intervention. Third, we will assess the feasibility of the collaborative intervention by implementing the intervention for 25 primary care patients and obtain preliminary estimates of effectiveness by comparing outcomes to 25 patients receiving usual care. Our proposal includes plans to develop feasible procedures for data collection, with qualitative and quantitative methods of assessing process and outcome measures. We will use these preliminary data to revise the intervention and prepare an R18 application to further develop and test the intervention in multiple inner- city primary care sites serving low-income diabetes patients. This proposal is for secondary prevention of diabetes complications, targeting a population known for health disparities and a high burden from this chronic disease. Many primary care patients, especially in inner-city settings, do not achieve targets for blood pressure and glycemic control. We propose to develop a multi-component intervention grounded in the Chronic Care Model, and sustainable in resource- challenged settings. Through collaboration with home health nursing and with the use of home telemetry for feedback and intensification of therapy, we will augment usual clinical services to improve health outcomes for diabetes patients who have not been able to reach therapeutic goals. This proposal is for secondary prevention of diabetes complications, targeting a population known for health disparities and a high burden from this chronic disease.

描述(由申请人提供)：许多初级保健患者，特别是市中心的患者，没有达到血压和血糖控制的目标。迫切需要加强对那些在通常的临床护理系统中达不到目标的人的治疗。我们建议开发一种以慢性护理模式为基础的多成分干预，并在资源困难的情况下可持续。通过与家庭健康护理合作，并使用家庭遥测进行反馈和强化治疗，我们将加强常规临床服务，以改善未能达到治疗目标的糖尿病患者的健康结局。有三个具体目标。首先，我们将在我们以实践为基础的研究网络(NYC RING)的初级保健站点、糖尿病研究和培训中心的临床研究人员以及蒙蒂菲奥尔家庭健康组织之间建立一个可行、实用和可持续的合作模式，整合每个合作伙伴的独特专业知识，并确定每个合作伙伴的角色和责任。第二，我们将制定和完善干预措施的组成部分，包括培训初级保健提供者和家庭保健护士，以整合实施干预措施的技术、心理社会和沟通程序。第三，我们将通过对25名初级保健患者实施干预来评估协同干预的可行性，并通过将结果与25名接受常规护理的患者进行比较，得出初步的效果估计。我们的建议包括制定可行的数据收集程序的计划，以及评估过程和结果措施的定性和定量方法。我们将使用这些初步数据来修订干预措施，并准备一份R18应用程序，以在为低收入糖尿病患者提供服务的多个市中心初级保健地点进一步开发和测试干预措施。这项建议是为了二级预防糖尿病并发症，目标人群是以健康差距和这种慢性疾病的高负担而闻名的人群。许多初级保健患者，特别是市中心的患者，没有达到血压和血糖控制的目标。我们建议开发一种以慢性护理模式为基础的多成分干预，并在资源困难的情况下可持续。通过与家庭健康护理合作，并使用家庭遥测进行反馈和强化治疗，我们将加强常规临床服务，以改善未能达到治疗目标的糖尿病患者的健康结局。这项建议是为了二级预防糖尿病并发症，目标人群是以健康差距和这种慢性疾病的高负担而闻名的人群。

项目成果

期刊论文数量（1）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A collaborative approach to control hypertension in diabetes: outcomes of a pilot intervention.

控制糖尿病高血压的协作方法：试点干预的结果。

DOI：
10.1177/2150131911401028
发表时间：
2011
期刊：
Journal of primary care & community health
影响因子：
3.6
作者：
McKee,MDiane;Fletcher,Jason;Sigal,Irina;Giftos,Jonathon;Schechter,Clyde;Walker,ElizabethA
通讯作者：
Walker,ElizabethA