Social Interaction and Support in a Type-2 Diabetes Computer Mediated Environment

2 型糖尿病计算机介导环境中的社交互动和支持

• 批准号: 9297097
• 负责人: Allison Lewinski
• 金额: $ 0.1万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-07-01 至 2017-07-13
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9297097
• 关键词: Address; Adherence; Adult; Behavior; Behavior Therapy; Caring; Categories; Cause of Death; Characteristics; Chronic Disease; Clinical; Code; Communities; Comorbidity; Computers; Data; Data Analyses; Diabetes Mellitus; Diagnosis; Education; Emotional; Ensure; Environment; Frequencies; Friends; Future; Glycosylated Hemoglobin; Glycosylated hemoglobin A; Health; Health Personnel; Health Policy; Health Status; Heart Diseases; Incidence; Individual; Internet; Intervention; Kidney Failure; Knowledge; Life; Lower Extremity; Measures; Mediating; Methods; Monitor; Non-Insulin-Dependent Diabetes Mellitus; Nurses; Outcome; Outcome Measure; Participant; Patients; Penetration; Persons; Physiological; Practice Management; Prevalence; Preventive care; Process; Provider; Public Health Practice; Research; Research Support; Risk; Self Care; Self Efficacy; Self Management; Site; Social Characteristics; Social Interaction; Social support; Stroke; Support Groups; System; Telephone; Text; Time; Voice; behavior change; behavior influence; clinically significant; design; diabetes education; diabetes management; experience; foot; improved; innovation; intimate behavior; limb amputation; mHealth; peer; peer support; prevent; programs; public health relevance; response; secondary analysis; skills; social; theories; trend; virtual

Abstract Significance: Type-2 diabetes (T2D) is the 7th leading cause of death in the U.S., as patients with T2D are at increased risk for comorbidities such as heart disease, lower limb amputations, stroke, and renal failure. Type- 2 diabetes and its complications depend largely on a patient's own self-management behaviors, as regular preventative care is essential to preventing comorbidities and maintaining a baseline level of health. Improving self-management of T2D is imperative with 9.3% of U.S. adults diagnosed and an estimated 8.1 million people who remain undiagnosed. As the incidence and prevalence of T2D increase each year, healthcare providers examine how to increase a patient's self-management skills. Social and peer support provides personal, informal advice and knowledge that helps individuals initiate and sustain T2D self-management behaviors, thus increasing adherence to these behaviors. Specifically, current T2D social/peer support research focuses on face-to-face interactions, computer mediated environments (CMEs) with person-to-person interaction via the Internet, mobile health, and the telephone. In CMEs, social interaction is a verbal or written exchange between two or more individuals on a mutually shared, central topic. Interventions provided through CMEs are a promising solution to increase self-management practices' however, little is known about the social interactions among individuals in CMEs, specifically the frequency and content of the social/peer support that is exchanged and how social interaction supports self-management. Purpose: The overall purpose of this study is to gain a comprehensive understanding of social interaction in CMEs, and the social/peer support characteristics that increase and sustain self-management behaviors. Methods: This secondary analysis, using a mixed methods approach, will use data previously collected in a CME study, Second Life Impacts Diabetes Education & Self-Management (SLIDES, 1R21-LM010727-01, PI: Johnson). A convergent parallel mixed method design will be used to explore and compare the qualitative and quantitative findings. The SLIDES site was a virtual replication of a real life community in which 6-months of naturalistic synchronous voice conversations were recorded among participants and providers (500 pages of transcribed text). Summary: This study will increase understanding of social interaction in CMEs, specifically how social/peer support is spontaneously exchanged among individuals living with T2D. Knowledge gained from this proposal will help to guide clinical and public health practice and policy regarding the provision of support for chronic illness via the Internet, by focusing on social interaction using recordings of naturalistic conversations and outcome measures of self-management and health status.

抽象的 意义：2 型糖尿病 (T2D) 是美国第七大死因，因为 T2D 患者的死亡率为 心脏病、下肢截肢、中风和肾衰竭等合并症的风险增加。类型- 2 糖尿病及其并发症很大程度上取决于患者自身的自我管理行为 预防性护理对于预防合并症和维持健康基线水平至关重要。改善 自我管理 T2D 势在必行，美国有 9.3% 的成年人被诊断出患有 T2D，估计有 810 万人被诊断出患有 T2D 仍未确诊的人。随着 T2D 的发病率和患病率逐年增加，医疗保健提供者 研究如何提高患者的自我管理技能。社会和同伴支持提供个人、 帮助个人启动和维持 T2D 自我管理行为的非正式建议和知识，从而 增加对这些行为的遵守。具体来说，当前的 T2D 社交/同伴支持研究侧重于 面对面的互动，计算机介导的环境（CME），通过 互联网、移动健康和电话。在 CME 中，社交互动是双方之间的口头或书面交流 两个或更多人讨论共同的中心主题。通过 CME 提供的干预措施是 增加自我管理实践的有希望的解决方案”然而，人们对社交互动知之甚少 CME 中的个人之间，特别是交换社会/同伴支持的频率和内容 以及社交互动如何支持自我管理。 目的：本研究的总体目的是全面了解社会互动 CME，以及增加和维持自我管理行为的社会/同伴支持特征。 方法：此二次分析采用混合方法，将使用先前在 CME 研究，第二人生影响糖尿病教育和自我管理（幻灯片，1R21-LM010727-01，PI： 约翰逊）。将使用收敛并行混合方法设计来探索和比较定性和 定量发现。 SLIDES 网站是现实生活社区的虚拟复制，其中 6 个月的时间 记录了参与者和提供者之间自然的同步语音对话（500 页 转录的文本）。 摘要：本研究将增进对 CME 中社交互动的理解，特别是社交/同伴如何 T2D 患者之间自发地交换支持。从该提案中获得的知识 将有助于指导有关为慢性病提供支持的临床和公共卫生实践和政策 通过互联网关注疾病，通过使用自然对话录音来关注社交互动， 自我管理和健康状况的结果测量。