Technologically Enhanced Coaching(TEC):A Program for Improving Diabetes Outcomes

技术强化辅导(TEC):改善糖尿病结果的计划

基本信息

项目摘要

DESCRIPTION (provided by applicant): Objectives: Providers and patients face barriers to accomplishing the complete communication needed to make complex decisions together about diabetes treatments and self-management tasks. Providers often have limited time and patients often have limited resources. Peer mentoring models have been found in two recent VA research trials to be more effective than usual care, financial incentives, and nurse care management in improving glycemic control in high-risk Veteran patients with diabetes. While peers can be trained in effective approaches to support other Veterans' self-management behaviors, such coaches necessarily lack diabetes and diabetes medications content expertise to help Veterans better share in treatment decisions and goal-setting with their health care providers. Accordingly, in a recent research study we developed and tested a tailored, interactive diabetes and diabetes medication information tool that outreach workers can use to facilitate discussions with patients. Such tools can enhance the sustainability and effectiveness of coaching programs to better prepare patients to set self- management goals, action plans, and to discuss treatment options with their providers. Because this intervention addresses barriers to disease management for chronically-ill patients, physicians, and case managers, the study may have broader impact on management practices for other chronic illnesses. Project Methods: 348 diabetes patients with poor glycemic control (A1c>8.0% or A1c>8.5% if older than 70) will be recruited from the Detroit VA and randomized to either Peer Support with TEC or Peer Support alone. All participants will be assigned to one of 87 peer coaches, who also are Detroit VA diabetes patients who previously had poor glycemic control but are currently in good control. Each peer coach will be assigned about 4 participants on the basis of race and approximate age. Peer coaches will undergo training in motivational interviewing-based counseling approaches and instruction in use of the iPad-platform decision aid tool. After their baseline assessment, participants in both arms will receive information on their lab and blood pressure values and will be randomized to one of the two study arms. Participants randomized to the control group will be scheduled for an initial visit wit their coach. The coach will then help them list questions and concerns they wish to discuss with their health care provider, practice raising their questions and concerns and develop an action plan to address barriers to self-management they have identified. Participants in the TEC arm will be scheduled for an initial visit with their coach to review the decision aid, which has incorporated their personal baseline data. The coach will then provide the same intervention that the Control group receives. During the next six months the coach will call their assigned peers once a week to provide support for their action steps. These calls will be placed using a confidential IVR system that connects the callers without sharing phone numbers. The research will measure changes in HbA1c, BP, patient-centered outcomes, mediators and moderators of intervention effects and cost-effectiveness.
描述(由申请人提供): 目的:提供者和患者在完成关于糖尿病治疗和自我管理任务的复杂决策所需的完整沟通方面面临障碍。提供者的时间往往有限,患者的资源也往往有限。在最近的两项退伍军人研究试验中发现,同伴指导模式在改善糖尿病高危退伍军人患者的血糖控制方面比常规护理、经济激励和护士护理管理更有效。虽然同行可以接受有效方法的培训,以支持其他退伍军人的自我管理行为,但此类教练必然缺乏糖尿病和糖尿病药物内容方面的专业知识,无法帮助退伍军人更好地与医疗保健提供者分享治疗决策和目标设定。因此,在最近的一项研究中,我们开发并测试了一种定制的、交互式的糖尿病和糖尿病药物信息工具,外展工作人员可以使用该工具来促进与患者的讨论。这些工具可以增强指导计划的可持续性和有效性,以更好地为患者设定自我管理目标、行动计划以及与提供者讨论治疗方案做好准备。由于这项干预措施解决了慢性病患者、医生和病例管理人员的疾病管理障碍,这项研究可能会对其他慢性病的管理实践产生更广泛的影响。项目方法:来自底特律退伍军人管理局的348名血糖控制较差的糖尿病患者(A1c和Gt;8.0%或A1c和Gt;如果年龄超过70岁,为8.5%)将从底特律退伍军人管理局招募,并随机接受有TEC或仅有Peer Support的Peer Support。所有参与者将被分配到87名同行教练中的一名,这些教练也是底特律退伍军人糖尿病患者,他们以前血糖控制不佳,但目前控制良好。每名同行教练将根据比赛和大约年龄被分配约4名参与者。同行教练将接受基于激励访谈的咨询方法的培训,以及如何使用iPad平台决策辅助工具的指导。在他们的基线评估之后,双方的参与者都将获得 关于他们的实验室和血压值的信息,将被随机分配到两个研究小组中的一个。被随机分配到对照组的参与者将被安排与他们的教练一起进行初步访问。然后,教练将帮助他们列出他们希望与医疗保健提供者讨论的问题和关切,练习提出他们的问题和关切,并制定行动计划,以解决他们确定的自我管理障碍。TEC ARM的参与者将被安排与他们的教练一起进行初步访问,以审查决策辅助工具,其中包含了他们的个人基线数据。然后,教练将提供与对照组相同的干预措施。在接下来的六个月里,教练将每周给他们指定的同伴打一次电话,为他们的行动步骤提供支持。这些呼叫将使用保密的IVR系统进行,该系统在不共享电话号码的情况下连接呼叫者。这项研究将衡量HbA1c、BP、以患者为中心的结果、干预效果的中介和调节器以及成本效益的变化。

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

MARY ELLEN MICHELE HEISLER其他文献

MARY ELLEN MICHELE HEISLER的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('MARY ELLEN MICHELE HEISLER', 18)}}的其他基金

Using Peer Support To Aid in PRevention and Treatment in Prediabetes (UPSTART)
利用同伴支持来帮助预防和治疗前驱糖尿病 (UPSTART)
  • 批准号:
    9980886
  • 财政年份:
    2017
  • 资助金额:
    --
  • 项目类别:
Using Peer Support To Aid in PRevention and Treatment in Prediabetes (UPSTART)
利用同伴支持来帮助预防和治疗前驱糖尿病 (UPSTART)
  • 批准号:
    10206121
  • 财政年份:
    2017
  • 资助金额:
    --
  • 项目类别:
Peer Support to Enhance Diabetes Shared Medical Appointments: Examining Comparative Effectiveness in VA Health Systems
加强糖尿病共享医疗预约的同伴支持:检查 VA 卫生系统的比较有效性
  • 批准号:
    9759679
  • 财政年份:
    2016
  • 资助金额:
    --
  • 项目类别:
Technologically Enhanced Coaching(TEC):A Program for Improving Diabetes Outcomes
技术强化辅导(TEC):改善糖尿病结果的计划
  • 批准号:
    9170942
  • 财政年份:
    2014
  • 资助金额:
    --
  • 项目类别:
Technologically Enhanced Coaching(TEC):A Program for Improving Diabetes Outcomes
技术增强辅导(TEC):改善糖尿病结果的计划
  • 批准号:
    9888302
  • 财政年份:
    2014
  • 资助金额:
    --
  • 项目类别:
Enrichment Program
强化计划
  • 批准号:
    10476578
  • 财政年份:
    2011
  • 资助金额:
    --
  • 项目类别:
Enrichment Program
强化计划
  • 批准号:
    10285670
  • 财政年份:
    2011
  • 资助金额:
    --
  • 项目类别:
Administration Core
行政核心
  • 批准号:
    10285665
  • 财政年份:
    2011
  • 资助金额:
    --
  • 项目类别:
Michigan Center for Diabetes Translational Research
密歇根糖尿病转化研究中心
  • 批准号:
    10285664
  • 财政年份:
    2011
  • 资助金额:
    --
  • 项目类别:
Michigan Center for Diabetes Translational Research
密歇根糖尿病转化研究中心
  • 批准号:
    10598677
  • 财政年份:
    2011
  • 资助金额:
    --
  • 项目类别:

相似海外基金

Broadening Participation Research: Understanding faculty attitudes, competency, and perceptions of providing career advising to African American STEM students at HBCUs
扩大参与研究:了解教师对 HBCU 的非裔美国 STEM 学生提供职业建议的态度、能力和看法
  • 批准号:
    2306671
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Continuing Grant
Cognitive Behavioral Faith-based Depression Intervention For African American Adults (CB-FAITH): An Effectiveness And Implementation Trial
非裔美国成年人基于认知行为信仰的抑郁干预 (CB-FAITH):有效性和实施试验
  • 批准号:
    10714464
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
DELINEATING THE ROLE OF THE HOMOCYSTEINE-FOLATE-THYMIDYLATE SYNTHASE AXIS AND URACIL ACCUMULATION IN AFRICAN AMERICAN PROSTATE TUMORS
描述同型半胱氨酸-叶酸-胸苷酸合成酶轴和尿嘧啶积累在非裔美国人前列腺肿瘤中的作用
  • 批准号:
    10723833
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
Preventing Firearm Suicide Deaths Among Black/African American Adults
防止黑人/非裔美国成年人因枪支自杀死亡
  • 批准号:
    10811498
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
Exploring PTSD Symptoms, Barriers and Facilitators to Mindfulness-based Stress Reduction for Justice-Involved Black/African American Female Adolescents and Parents/Caregivers
探索创伤后应激障碍 (PTSD) 症状、障碍和促进因素,为涉及正义的黑人/非裔美国女性青少年和父母/照顾者进行基于正念的减压
  • 批准号:
    10593806
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
BCSER - PVEST: A Dynamic Framework for Investigating STEM Interest, Attitude and Identity Among African American Middle School Students
BCSER - PVEST:调查非裔美国中学生 STEM 兴趣、态度和身份的动态框架
  • 批准号:
    2327055
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Standard Grant
Making the Connection: Understanding the dynamic social connections impacting type 2 diabetes management among Black/African American men
建立联系:了解影响黑人/非裔美国男性 2 型糖尿病管理的动态社会联系
  • 批准号:
    10782674
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
Building a Community-Based Mental Health Literacy Intervention for African American Young Adults
为非裔美国年轻人建立基于社区的心理健康素养干预措施
  • 批准号:
    10738855
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
African American Literature in "post" Post-Racial America
“后”后种族美国中的非裔美国文学
  • 批准号:
    23K00376
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
The Impact of a Race-Based Stress Reduction Intervention on Well-Being, Inflammation, and DNA methylation in Older African American Women at Risk for Cardiometabolic Disease
基于种族的减压干预措施对有心血管代谢疾病风险的老年非洲裔美国女性的健康、炎症和 DNA 甲基化的影响
  • 批准号:
    10633624
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了