Project EDUCATE: A Telehealth Education Intervention for Diabetes & Hypertension

教育项目：糖尿病远程健康教育干预

• 批准号: 8552016
• 负责人: Kirbie Bryant Smalley
• 金额: $ 7.67万
• 依托单位: GEORGIA SOUTHERN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-03-01 至 2017-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8552016
• 关键词: Address; Back; Clinic; Clinical; Crossover Design; Diabetes Mellitus; Disease Management; Education; Educational Intervention; Effectiveness; Effectiveness of Interventions; Face; Federally Qualified Health Center; Health; Health Educators; Health education; Hypertension; Intervention; Link; Mental Depression; Outcome; Patients; Phase; Population; Primary Health Care; Provider; Randomized; Research; Research Design; Resources; Rural; Rural Population; Sampling; Techniques; Testing; Training; base; behavior change; design; evidence base; experience; health disparity; improved; innovation; novel; point of care; psychologic; telehealth; theories; therapy design

Research Subproject 1: Project EDUCATE: A Telehealth Education Intervention for Diabetes & Hypertension (PI: Warren, Co-I Smalley, Consultant Fernindez) In this project, we propose a two-phase study designed to manualize and test the effecfiveness of a novel theory and evidence-based telehealth health education intervention, Project EDUCATE (Eliminating Disparities in the Underserved by Centralizing Availability of Telehealth Education), designed to improve outcomes related to hypertension and diabetes among rural populations. Such an Intervention could be easily disseminated across primary care providers that are linked back to a centralized health educator (either within or outside of the provider network), thus minimizing the impact of the lack of trained health educators available in rural settings. The intervention is innovative in its use of multiple telehealth techniques to counteract the barriers rural residents face in receiving health information and behavior-change interventions, and in the close partnership it establishes between the patient's health education experience and their point of care. Phase 1 of the project will collect new information from 500 patients at a regional network of Federally Qualified Health Centers (FQHCs) regarding barriers to disease management that will help refine and manualize the intervention. Phase 11 of the project will examine the intervention's effectiveness in a sample of 500 FQHC clinic patients using a 12-month randomized controlled crossover design.

研究子项目1：项目教育：糖尿病与高血压的远程医疗教育干预（PI：Warren，Co-I Smalley，Fernindez顾问） 在该项目中，我们提出了一项两阶段研究，旨在手动化和测试新型理论和基于证据的远程医疗健康教育干预措施的效率，即项目教育（消除通过集中远程医疗教育的可用性差异），旨在改善与农村人群中与高血压和糖尿病有关的结果。这种干预措施可以很容易地在与集中式健康教育者（提供者网络内部或外部）相关的初级保健提供者之间传播，从而最大程度地减少了在农村环境中缺乏训练有素的健康教育者的影响。干预措施在使用多种远程医疗技术方面具有创新性，以抵消农村居民在接受健康信息和改变行为改变干预措施时所面临的障碍，并且在患者的健康教育经验与其护理点之间建立了密切的合作伙伴关系。该项目的第1阶段将从联邦合格卫生中心（FQHC）的区域网络中收集有关疾病管理障碍的区域网络的新信息，这将有助于完善和手动化干预。该项目的第11阶段将使用12个月的随机控制跨界设计在500名FQHC诊所患者样本中检查干预措施的有效性。