A low literacy multimedia approach to disseminate bilingual diabetes CERSGs

低识字率多媒体方法传播双语糖尿病 CERSG

• 批准号: 8009355
• 负责人: ELIZABETH A HAHN
• 金额: $ 149.2万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8009355
• 关键词: low; literacy; multimedia; approach; disseminate

DESCRIPTION (provided by applicant): A low literacy multimedia approach to disseminate bilingual diabetes CERSGs Improving the accessibility of CER findings is especially important for underserved populations. The overall objective of the proposed demonstration project is to test whether a bilingual, low literacy, multimedia information and assessment system used in daily clinical practice increases the impact of diabetes-specific CERSGs, enhances patient-centered care and improves patient outcomes. The intervention will adapt two existing assessment and education systems to provide a multimedia information technology resource: DiabetesHelp-Talking Touchscreen (TT). This user-friendly resource will deliver CERSG information on oral diabetes medication and insulin analogues for English- and Spanish-speaking adults with type-2 diabetes enable low literacy patients to self-administer patient-reported outcomes questionnaires, and allow patients to create an individually tailored list of needs and concerns to share with their health care providers. A prospective randomized trial of 260 patients with type 2 diabetes will be conducted at an ambulatory primary care clinic serving vulnerable populations in Chicago. This proposed project builds on previous successful collaborations between an academic institution and a community-based health care center. Patients will be randomized to receive the CERSG information via the TT or by print booklets, and followed for three months. The proposed study will: 1) test whether use of DiabetesHelp-TT increases the impact of diabetes-specific CERSGs, enhances patient-centered care and improves patient outcomes; 2) evaluate the relationships between patient characteristics, resources, needs, health behaviors and health outcomes using the Behavioral Model for Vulnerable Populations; and 3) determine the short-term cost-effectiveness of the TT and develop a budget impact model to assess the affordability of the TT. The DiabetesHelp-TT program can be implemented in any health care setting or community-based organization with minimal additional resources. It can also be adapted for other health conditions and treatments. This novel multimedia IT system may be especially helpful in addressing disparities in diabetes care for vulnerable populations. PUBLIC HEALTH RELEVANCE: This project is relevant to two public health priorities: eliminating health disparities and improving diabetes self-management activities. Use of a bilingual, low literacy, multimedia health information system has the potential to increase English- and Spanish-speaking diabetes patients' access to comparative effectiveness research findings, to improve their understanding of their diagnosis and treatment, and to lead to better adherence to recommended treatment and follow-up care.

描述（由申请人提供）：一种低识字率的多媒体方法来传播双语糖尿病CERSGs提高CER结果的可及性对服务不足的人群尤为重要。拟议的示范项目的总体目标是测试在日常临床实践中使用的双语、低识字率、多媒体信息和评估系统是否增加了糖尿病特异性CERSG的影响，增强了以患者为中心的护理并改善了患者的预后。干预措施将调整两个现有的评估和教育系统，以提供多媒体信息技术资源：糖尿病帮助-说话触摸屏（TT）。这种用户友好的资源将为讲英语和西班牙语的2型糖尿病成年人提供关于口服糖尿病药物和胰岛素类似物的CERSG信息，使低识字率的患者能够自我管理患者报告的结果问卷，并允许患者创建个性化的需求和关注列表，与他们的医疗保健提供者分享。在芝加哥的一家为弱势人群服务的门诊初级保健诊所，将对260例2型糖尿病患者进行一项前瞻性随机试验。这个拟议的项目建立在学术机构和社区卫生保健中心之间以前的成功合作的基础上。患者将被随机分配，通过TT或印刷小册子接收CERSG信息，并随访3个月。拟议的研究将：1）测试使用DiabetesHelp-TT是否增加了糖尿病特异性CERSG的影响，增强了以患者为中心的护理并改善了患者结局; 2）使用弱势人群行为模型评估患者特征，资源，需求，健康行为和健康结局之间的关系;（3）确定技术转让的短期成本效益，并制定一个预算影响模型，以评估技术转让的可负担性。DiabetesHelp-TT计划可以在任何卫生保健环境或社区组织中实施，只需最少的额外资源。它也可以适用于其他健康状况和治疗。这种新型的多媒体IT系统可能特别有助于解决弱势群体糖尿病护理的差异。 公共卫生相关性：该项目与两个公共卫生优先事项有关：消除健康差距和改善糖尿病自我管理活动。使用双语、低识字率、多媒体健康信息系统有可能增加说英语和西班牙语的糖尿病患者获得相对有效性研究结果的机会，提高他们对诊断和治疗的了解，并导致更好地遵守建议的治疗和后续护理。