A low literacy multimedia approach to disseminate bilingual diabetes CERSGs

描述（由申请人提供）：一种低文化水平的多媒体方法来传播双语糖尿病cergs，提高CER结果的可及性对服务不足的人群尤为重要。拟议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会增加糖尿病特异性CERSGs的影响，增强以患者为中心的护理并改善患者预后。该干预措施将调整现有的两个评估和教育系统，以提供多媒体信息技术资源：糖尿病帮助-说话触摸屏（TT）。这个用户友好的资源将为英语和西班牙语2型糖尿病成人患者提供关于口服糖尿病药物和胰岛素类似物的CERSG信息，使低文化水平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定制的需求和关注列表，与他们的医疗保健提供者分享。一项260例2型糖尿病患者的前瞻性随机试验将在芝加哥一家为弱势群体服务的门诊初级保健诊所进行。这个拟议的项目建立在以前一个学术机构和一个社区卫生保健中心之间成功合作的基础上。患者将随机通过TT或打印小册子接受CERSG信息，并随访3个月。拟开展的研究将：1)检验使用DiabetesHelp-TT是否会增加糖尿病特异性CERSGs的影响，增强以患者为中心的护理，改善患者预后；2)利用弱势群体行为模型评估患者特征、资源、需求、健康行为与健康结果之间的关系；3)确定技术转移的短期成本效益，并制定预算影响模型来评估技术转移的可承受性。糖尿病帮助- tt项目可以在任何医疗机构或社区组织中实施，所需的额外资源最少。它还可以适用于其他健康状况和治疗。这种新颖的多媒体信息技术系统可能特别有助于解决弱势群体糖尿病护理的差异。

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.