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Adapting an Automated Telephone Support Program to Prevent Type 2 Diabetes

采用自动电话支持计划来预防 2 型糖尿病

基本信息

批准号：
9032360
负责人：
MARGARET Anne HANDLEY
金额：
$ 15.51万
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：
资助国家：
美国
起止时间：
至 2019-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9032360
关键词：
Address Adopted Adoption Affect African American Age Area Asia Asians Behavior Behavioral Body Weight decreased Breast Feeding Cardiovascular Diseases Caring Chronic Disease Clinic Clinical Communities Community Health Complement Counseling County Diabetes Mellitus Diabetes prevention Diagnosis Diet Educational Curriculum Ethnic Origin Event Evidence based intervention Evidence based program Exercise Face Fat-Restricted Diet Focus Groups Future General Hospitals Gestational Diabetes Glucose Intolerance Goals Health Health Promotion Healthcare High Risk Woman Home visitation House Call Incidence India Individual Infant Care Instruction Intervention Intervention Trial Knowledge Language Latina Life Literature Low Prevalence Low income Metabolic syndrome Mexican Minority Names Non-Insulin-Dependent Diabetes Mellitus Obesity Outcome Outcome Study Participant Patients Persons Physical activity Population Postpartum Period Postpartum Women Predisposition Pregnancy Prevention Preventive Preventive screening Preventive service Problem Solving Public Hospitals Publishing Race Randomized Clinical Trials Reporting Research Resources Risk Risk Factors Sampling San Francisco Self Management Sentinel Support System Target Populations Teenagers Telephone Testing Time Variant Weight Woman Women&apos s Group aged base behavior change behavioral outcome bilingualism caucasian American child bearing comparative effectiveness design diabetes prevention program diabetes risk diet and exercise disorder risk ethnic minority population evidence base follow-up health information technology health literacy high risk improved innovation literacy preference prevent programs reproductive risk perception safety net screening study population systematic review tool weight loss intervention working group young adult

项目摘要

PROJECT SUMMARY (See instructions): We propose to develop and test a targeted telephone-based health information technology (health IT) intervention for diabetes prevention among ethnic minority women in the San Francisco Bay area with recent prior gestational diabetes (pGDM). This group of women comprises the single most identifiable risk group for subsequent rapid onset of type-2 diabetes (DM), yet little is know about them, their diabetes knowledge or risk perceptions, behaviors, health literacy, or about their preferences related to tailored telephone-based counseling interventions to prevent DM. Ethnic minority women, particularly Latinas and Asians and women born outside the US, have disproportionately higher rates of GDM and DM, than white or African American women. Diabetes prevention studies indicate that the long-term risk for developing DM can be reduced significantly (up to 50%) through diet and exercise. Adapting these intensive interventions specifically to low income and ethnic minority pGDM women who have recently had a baby and may face barriers in accessing health care and adopting preventive behaviors is the goal of this project. In the proposed research we will study factors crucial to the adaptation of an existing effective evidence-based health IT tool to the prevention of DM in low-income ethnic minority pGDM women. We have determined in comparative effectiveness studies, that our Automated Telephone Self-Management Support (ATSM) program is efficacious in improving health outcomes for low-income ethnic minority patients with diabetes. In this CHARM Center study, we will use a participatory design to co-develop the ATSM intervention for DM prevention with key stakeholders, so that it is relevant to low income ethnic minority pGDM women and re-name it Support via Telephone Advice and Resources (STAR-Moms). We will then conduct a pilot randomized clinical trial in English and Spanish of STAR Moms beginning in the end of pregnancy and lasting 9 months post-partum among a sample of primarily Latina and Asian pGDM women receiving care at San Francisco General Hospital, a large public hospital where GDM women in the SF county safety net clinics receive care. Study outcomes include: weight loss (kg), exercise and diet changes, knowledge, and use of preventive services.

项目概述（见说明）：