权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Group acupuncture for painful diabetic neuropathy among underserved patients

团体针灸治疗服务不足的患者中的疼痛性糖尿病神经病变

基本信息

批准号：
8244417
负责人：
MARIA T CHAO
金额：
$ 14.93万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-07-01 至 2016-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8244417
关键词：
Acupuncture procedure Address Adoption Adverse effects Algorithms Blood flow California China Chinese Traditional Medicine Chronic Chronic Disease Clinical Clinical Research Clinical Trials Clinical effectiveness Complementary and alternative medicine Complex Complications of Diabetes Mellitus Convulsants Data Development Diabetes Mellitus Diabetic Neuralgia Diagnosis Disease Disease Management Effectiveness Ensure Environment Evaluation General Hospitals Goals Health Services Accessibility Hospitals Incidence Integrative Medicine International Intervention Life Low income Maintenance Manuals Measures Medical Mentored Research Scientist Development Award Mentors Mentorship Meta-Analysis Methods Metric Minority Groups Modeling Neural Conduction Outcome Pain Pain management Patients Peripheral Nervous System Diseases Pharmacologic Substance Pharmacological Treatment Phase Physical activity Population Population Heterogeneity Protocols documentation Psychotherapy Public Health Quality of life Randomized Research Research Design Research Methodology Research Personnel Research Support Resources Review Literature Risk Sampling San Francisco Self Management Severities Training Treatment Efficacy Treatment Protocols Underserved Population Universities Ursidae Family Visit Vulnerable Populations arm base burden of illness career career development chronic pain community setting comparison group daily functioning design diabetes management flexibility functional improvement health care quality improved innovation medically underserved population novel strategies pilot trial public health relevance research and development responsible research conduct safety net success treatment as usual

项目摘要

DESCRIPTION (provided by applicant): The purpose of this K01 Mentored Research Scientist Development Award is to promote the candidate's development as an independent researcher in complementary and alternative medicine (CAM) with a focus on chronic disease management among underserved populations. Dr. Chao's long-term career goal is to bridge public health and CAM to improve quality of life among underserved populations living with chronic conditions, such as diabetes. Towards this end, the proposed mentored research for this K01 award is to design, implement, and evaluate an acupuncture group-based intervention to improve quality of life among underserved patients with painful diabetic neuropathy. To support this research and Dr. Chao's goal of independent CAM research, this K01 application includes formal, mentored training through coursework and tailored tutorials in clinical research methodologies, practice-based acupuncture research, diabetes management and quality of life among underserved populations, and responsible conduct of research. This training will be applied to research with two Specific Aims: (1) to develop a standardized acupuncture protocol for painful diabetic neuropathy through formal treatment manualization; and (2) to evaluate acceptability, feasibility, and preliminary efficacy of group acupuncture for painful diabetic neuropathy among underserved patients. The University of California, San Francisco is an ideal environment for the proposed training because it provides access to experts in both CAM and diabetes management among underserved populations and close affiliation with San Francisco General Hospital, an urban safety net hospital serving a low-income, ethnically diverse population. Completion of the proposed research and career development activities will inform the development of an R01 application and ensure Dr. Chao's ability to conduct independent research on CAM therapies to improve quality of life among underserved populations. PUBLIC HEALTH RELEVANCE: Chronic pain is highly prevalent among people with diabetes and negatively impacts on quality of life, daily functioning, and ability to engage in self-management of disease. Given the limitations of standard pharmaceutical treatments for pain, alternative approaches to effective pain management are critically needed to improve quality of life, especially among vulnerable populations who are most at risk of suffering from diabetes and undertreated for pain. If the proposed aims are achieved, group acupuncture may provide a viable model for improving quality of life among underserved diabetes populations that can be implemented in safety net hospitals and other settings.

该K 01指导研究科学家发展奖的目的是促进候选人作为补充和替代医学（CAM）的独立研究人员的发展，重点是服务不足人群中的慢性病管理。赵博士的长期职业目标是在公共卫生和CAM之间架起桥梁，以改善患有慢性病（如糖尿病）的服务不足人群的生活质量。为此，K 01奖的建议指导研究是设计，实施和评估基于针灸组的干预措施，以改善患有疼痛性糖尿病神经病变的患者的生活质量。为了支持这项研究和Chao博士独立CAM研究的目标，K 01应用程序包括通过课程和定制的临床研究方法，基于实践的针灸研究，糖尿病管理和服务不足人群的生活质量以及负责任的研究行为的指导培训。本培训将应用于具有两个特定目的的研究：（1）通过正式的治疗手册制定疼痛性糖尿病神经病变的标准化针灸方案;（2）评估团体针灸治疗服务不足患者的疼痛性糖尿病神经病变的可接受性，可行性和初步疗效。加州大学旧金山分校弗朗西斯科是拟议培训的理想环境，因为它为服务不足的人群提供了CAM和糖尿病管理专家的机会，并与旧金山弗朗西斯科总医院有密切联系，旧金山总医院是一家为低收入、种族多样化人群提供服务的城市安全网医院。完成拟议的研究和职业发展活动将为R 01申请的开发提供信息，并确保赵博士有能力对CAM疗法进行独立研究，以改善服务不足人群的生活质量。公共卫生相关性：慢性疼痛在糖尿病患者中非常普遍，对生活质量、日常功能和自我管理疾病的能力产生负面影响。鉴于标准药物治疗疼痛的局限性，迫切需要有效疼痛管理的替代方法来改善生活质量，特别是在最有可能患糖尿病和疼痛治疗不足的弱势人群中。如果实现了所提出的目标，团体针灸可能为改善服务不足的糖尿病人群的生活质量提供一个可行的模式，可以在安全网医院和其他环境中实施。