Understanding Patient Engagement in Lifestyle Programs for Diabetes Prevention among Women with a Recent History of GDM

了解近期有 GDM 病史的女性患者参与糖尿病预防生活方式计划的情况

• 批准号: 9298185
• 负责人: Susan Denise Brown
• 金额: $ 6.02万
• 依托单位: KAISER FOUNDATION RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-05-01 至 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9298185
• 关键词: Address; Adult; Affect; Behavioral; Body mass index; California; Caring; Characteristics; Clinical; Complement; Counseling; Data; Diabetes prevention; Diagnosis; Diet; Disease; Dose; Educational Curriculum; Effectiveness; Electronic Health Record; Ethnic Origin; Face; Future; Gestational Diabetes; Goals; Guidelines; Health; Health system; Healthcare Systems; Individual; Knowledge; Life Style; Measures; Mental Depression; Mentored Research Scientist Development Award; Methodology; Minority Groups; Non-Insulin-Dependent Diabetes Mellitus; Patient-Focused Outcomes; Patients; Physical activity; Population Heterogeneity; Postpartum Period; Prevention trial; Preventive; Public Health; Race; Randomized; Recording of previous events; Reporting; Research; Risk; Sampling; Self Efficacy; Severities; Shapes; Source; Subgroup; Surveys; System; Techniques; Testing; Weight; Weight maintenance regimen; Woman; Work; base; behavior change; cohort; design; diabetes prevention program; diabetes risk; gestational weight gain; health care delivery; health disparity; high risk; improved; innovation; outreach; outreach program; parity; patient oriented; personalized strategies; prevent; programs; psychosocial; racial and ethnic; randomized trial; routine care; secondary analysis

ABSTRACT Type 2 diabetes affects over 13 million women in the US. Lifestyle programs to improve weight management, diet, and physical activity can prevent type 2 diabetes, are recommended for high-risk adults, and are increasingly available in healthcare delivery systems. Yet while prior research has focused on the efficacy and effectiveness of lifestyle programs, little research has examined factors associated with patient engagement in lifestyle programs in real-world clinical settings. Low program participation and high attrition may contribute to poorer health outcomes for patients. Research on patient engagement is especially important for women with a history of gestational diabetes, who face markedly higher risk for type 2 diabetes. To advance the field of diabetes prevention and improve healthcare delivery for individuals at high risk, the overall objective of this proposal is to identify patient characteristics associated with engagement in an effective lifestyle program offered on behalf of an integrated healthcare delivery system to diverse women with a recent history of gestational diabetes. The project aims to determine patient characteristics that identify subgroups at risk for poor patient engagement (Aim 1), and to develop meaningful descriptive profiles of these subgroups (Aim 2). This secondary analysis leverages a unique source of electronic health record and patient-reported information. Results may creatively inform the future design of targeted outreach and curriculum materials to maximize program participation, with the ultimate goal of improving health in a young and diverse population at high risk for type 2 diabetes.

抽象的 2型糖尿病会影响美国超过1300万妇女。改善体重管理的生活方式计划， 饮食和体育锻炼可以预防2型糖尿病，用于高危成年人，并且是 越来越多的医疗保健提供系统可用。然而，尽管先前的研究重点是疗效和 生活方式计划的有效性，很少研究与患者参与有关的因素 现实世界中的临床环境中的生活方式计划。计划低的参与和高损耗可能有助于 患者的健康状况较差。对患者参与的研究对于患有患有的女性尤其重要 妊娠糖尿病的病史，他们面临2型糖尿病风险的明显更高的风险。促进领域 预防糖尿病并改善高风险个人的医疗保健服务，这是总体目标 建议是确定与参与有效生活方式有关的患者特征 代表综合医疗保健提供系统提供给有历史的多元化女性 妊娠糖尿病。该项目旨在确定患者特征，以确定有风险的亚组 患者参与度不佳（AIM 1），并开发出这些亚组的有意义的描述性概况（AIM 2）。 该二次分析利用了电子健康记录的独特来源和患者报告 信息。结果可能会创造性地为有针对性的外展和课程材料的未来设计提供给 最大化计划参与，最终的目标是改善年轻和多样化的人群的健康 2型糖尿病的高风险。