Neurocognition Risk Factor, Health Ed. for Low-Income Adults with Type 2 Diabetes

神经认知风险因素，健康版。

基本信息

批准号：
8125113
负责人：
David L. Mount
金额：
$ 18.32万
依托单位：
WAKE FOREST UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-08-15 至 2013-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8125113
关键词：
Address Adult African American Alzheimer&apos s Disease Award Awareness Behavioral Belief Caring Caucasians Caucasoid Race Clinical Clinical Research Communication Dementia Development Diabetes Mellitus Diagnosis Educational Intervention Educational Materials Emotional Feasibility Studies Functional disorder Future Goals Grant Health Health Care Costs Health Psychology Health Services Research Health behavior Health behavior change Health education Hyperlipidemia Hypertension Impaired cognition Impairment Incidence Institutes Intervention Knowledge Learning Low income Measures Medical Records Memory Methods Modeling National Institute of Diabetes and Digestive and Kidney Diseases Neurocognition Neurocognitive Neuropsychology Non-Insulin-Dependent Diabetes Mellitus North Carolina Obesity Participant Patients Perception Personal Satisfaction Personality Persons Population Predisposition Preventive Intervention Primary Health Care Problem Solving Prospective Studies Provider Psychologist Public Health Questionnaires Research Research Personnel Respondent Risk Risk Assessment Risk Factors Sampling Scientist Self Perception Social Problems Specific qualifier value Staging Surveys Testing Time Training base behavior test brain behavior care delivery design early onset evidence base health belief health care delivery healthy aging improved information processing intervention program medical specialties mild neurocognitive impairment modifiable risk patient population post intervention prevent primary care setting public health relevance quality assurance racial and ethnic research and development research study response risk perception secondary outcome skills therapy development

项目摘要

DESCRIPTION (provided by applicant): Low-income adults diagnosed with type 2 diabetes have a differentially higher burden of diabetes health related complications, including elevated risk for adverse neurocognition health functioning. The development of neurocognition risk communication strategies may significantly benefit diabetes health behavior change initiatives and strengthen primary care health services delivery, particularly as it relates to low-income patients. But, the feasibility of developing and patients' acceptability of a neurocognition health risk factors intervention program must be clarified. Thus, Dr. David Mount, the research study PI, proposes a 3-year research plan is in response to NIDDK Small Grants (R03) for Clinical Scientists to Promote Diversity in Health-Related Research Award. Dr. Mount is an African American, primary care clinical psychologist with specialties training in clinical neuropsychology and health psychology. His long-term goal is to attain the necessary skills to become a well-trained, independent clinician-scientist with core expertise in planning, developing and implementing interventions targeting low-income persons with type 2 diabetes receiving care within the primary care setting. Specifically, he will use this R03 award to: a) enhance his understanding of the potential threat to neurocognition health among diabetes patients; b) describe and document patients' perception, belief, and knowledge about the types of neurocognitive complications, the range of neurocognition risk factors, and their perceived neurocognition health risk susceptibility; and c) develop and enhance expertise in the design, adaptation, and pilot testing of the neurocognition health risk factors intervention. From these research efforts, Dr. Mount will be able to determine the feasibility of a prospective study in a larger patient population to validate whether the health education intervention does improve knowledge and ability to recognize modifiable risk factors for preventing neurocognitive problems and/or neurocognitive impairment. PUBLIC HEALTH RELEVANCE: Identifying and preventing the development of neurocognition health impairments represents an opportunity for helping low-income patients, and improving primary care health services research and care delivery.

描述（由申请人提供）：被诊断为2型糖尿病的低收入成年人的糖尿病与健康相关并发症的负担较高，包括不良神经认知健康功能的风险升高。神经认知风险沟通策略的发展可能会显着使糖尿病健康行为改变计划并加强初级保健服务的交付，尤其是与低收入患者有关。但是，必须阐明发展和患者对神经认知健康风险因素干预计划的可行性。因此，PI研究研究的David Mount博士提出了一项为期3年的研究计划，以回应NIDDK小补助金（R03），以促进临床科学家，以促进与健康相关的研究奖中的多样性。芒特博士是一位非裔美国人，初级保健临床心理学家，接受了临床神经心理学和健康心理学专业培训。他的长期目标是获得必要的技能，成为一名训练有素的独立临床医生，具有核心专业知识，以计划，制定和实施针对低收入人士的干预措施，以2型糖尿病在初级保健环境中接受护理。具体来说，他将使用此R03奖项来：a）增强他对糖尿病患者神经认知健康的潜在威胁的理解； b）描述并记录了患者对神经认知并发症类型，神经认知危险因素范围及其感知的神经认知健康风险敏感性的看法，信念和知识； c）在神经认知健康危险因素干预措施的设计，适应和试点测试方面发展和增强专业知识。通过这些研究工作，芒特博士将能够确定较大患者人群中前瞻性研究的可行性，以验证健康教育干预是否确实改善了知识和能力，以识别可修改的危险因素，以防止神经认知问题和/或神经认知障碍。公共卫生相关性：确定和防止神经认知健康障碍的发展是帮助低收入患者并改善初级保健健康服务研究和护理提供的机会。