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Reducing Diabetes Risk for Rural Appalachian Grandparent Headed Households

降低阿巴拉契亚农村祖父母户主家庭的糖尿病风险

基本信息

批准号：
9109168
负责人：
Jennifer Hatcher
金额：
$ 1.35万
依托单位：
UNIVERSITY OF KENTUCKY
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-07-01 至 2017-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9109168
关键词：
Address Adult Advocacy Affect Age American Appalachian Region Area Asthma Belief Biological Caregivers Caring Censuses Centers for Disease Control and Prevention (U.S.)Child Chronic Disease Collaborations Communities Coronary heart disease Country Data Development Diabetes Mellitus Emotional Employment Evidence based intervention Family Family health status Family member Food Foundations Goals Head Health Health Services Accessibility Health behavior Health behavior outcomes Household Household Heads Household and Family Hypertension Intervention Interview Kentucky Life Literature Measures Medical Mental Depression Methods Minority Non-Insulin-Dependent Diabetes Mellitus Phase Physical activity Physical environment Physically Handicapped Population Poverty Predisposing Factor Prevalence Preventive Public Health Research Risk Risk Factors Risk Reduction Rural Social Environment Social Health Services Socioeconomic Status Stress Substance abuse problem Surveys System Testing Vulnerable Populations Work base design diabetes control diabetes risk experience grandchild grandparent health disparity informant innovation member nutrition peer phase 2 study prevent rural area sedentary lifestyle therapy design

项目摘要

DESCRIPTION (provided by applicant): Residents of rural Appalachian Kentucky suffer rates of type II diabetes mellitus (DM) that are among the highest and most rapidly increasing in the country. Members of grandparent headed households (GHH), one of the fastest growing family constellations in rural Appalachian Kentucky and the US, may be particularly vulnerable to health threats elevating their risk for DM. While the literature provides a starting point for the examination of this health disparity, little is known about the socioecological factors that influence the risk for DM among GHH. Given the increasing prevalence of GHH, their vulnerability to health threats, and the current lack of information about their DM risk factors, w propose to holistically examine the socio-ecological context of the health of GHH in rural Appalachian Kentucky in order to implement a culturally and contextually appropriate family intervention to reduce diabetes risk. We will conduct a two phase mixed methods study that culminates in a feasibility trial of such an intervention in rural Appalachian Kentucky. Phase I of the proposed study will utilize a simultaneous mixed methods design to assess socioecologic and biological risk of diabetes for GHH family members via surveys, biological measures, in-depth interviews with family members, key informants interviews, and a community assessment. Seventy families that are headed by a grandparent, have one or more family members at risk for diabetes, and include at least one grandchild ages 10 to 14 will be included in this phase of the study, with 20 of those families participating in the in-depth qualitative interviews. Phase II of he study will include selection and refinement of an appropriate intervention to reduce diabetes risk for the families. Based on phase I findings and existing literature we will select an evidence based intervention and refine it to be culturally and contextually appropriate for the rural Appalachian families that are the focus of this project, in collaboration with our strong network o community partners. Finally, we will test he feasibility and acceptability of the refined intervention with 10 GHH. The proposed study will serve as the foundation for interventions for families in other rural areas with notable diabetes disparities.

描述（由申请人提供）：肯塔基州阿巴拉契亚农村地区的居民患II型糖尿病（DM）的比率是全国最高和增长最快的。祖父母户主家庭（GHH）是肯塔基州阿巴拉契亚地区和美国农村地区增长最快的家庭群体之一，他们可能特别容易受到健康威胁的影响，从而增加了患糖尿病的风险。虽然文献为研究这种健康差异提供了一个起点，但对影响GHH中患糖尿病风险的社会生态因素知之甚少。鉴于GHH患病率的增加，他们对健康威胁的脆弱性，以及目前缺乏关于他们的糖尿病危险因素的信息，我们建议全面检查肯塔基州阿巴拉契亚农村GHH健康的社会生态背景，以便实施文化和环境合适的家庭干预来降低糖尿病风险。我们将进行两阶段的混合方法研究，最终在肯塔基州阿巴拉契亚农村进行这种干预的可行性试验。第一期