A generalized Diabetes Networking Tool (DNT) to enhance social support for patient self management

通用糖尿病网络工具 (DNT)，用于增强患者自我管理的社会支持

• 批准号: 9622396
• 负责人: PAMELA J SURKAN
• 金额: $ 25.34万
• 依托单位: STARSHIP HEALTH TECHNOLOGIES
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-20 至 2019-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9622396
• 关键词: Address; Adherence; Android; Attention; Behavior; Behavioral Sciences; Blood Tests; Chronic; Communities; Community Networks; Consumption; Dangerousness; Data; Data Analyses; Development; Devices; Diabetes Mellitus; Disease; Exercise; Experimental Diabetes Mellitus; Face; Family; Family member; Food; Frequencies; Friends; Funding; Geography; Glucose; Health Fairs; Health Personnel; Household; Household and Family; Incidence; Individual; Life; Location; Low income; Measurement; Measures; Medicare; Methods; Mobile Health Application; Non-Insulin-Dependent Diabetes Mellitus; Participant; Patients; Pharmaceutical Preparations; Phase; Physical activity; Policies; Population; Positive Reinforcements; Prediabetes syndrome; Preparation; Private Sector; Privatization; Process; Provider; Public Health; Public Sector; Qualitative Methods; Randomized; Research; Resources; Sales; Sampling; Schedule; Self Care; Self Management; Social Environment; Social Network; Social Reinforcement; Social support; Support System; System; Technology; Testing; Translating; Translations; United States National Institutes of Health; base; behavior change; clinical translation; commercial application; compliance behavior; control trial; cost; design; diabetes management; empowered; formative assessment; human centered computing; improved; individual patient; mHealth; member; minority communities; new technology; population health; prototype; racial and ethnic; research and development; scale up; smartphone Application; social; social computing; social media; socioeconomics; study population; success; technological innovation; tool; treatment planning; usability

Abstract We propose to develop a social computing technology called the Diabetes Networking Tool (DNT), that enhances Type II Diabetes and pre-diabetes patients’ ability to self-manage and avoid disease complications by bolstering family, household, and community-based support mechanisms. Type II Diabetes Mellitus is a life-long condition that is a serious and growing public health problem, and that requires constant self-management by the patient to avoid dangerous complications. Prior research by the research team and others indicates that a Type II diabetes patient’s social network can help a patient improve self-management and developed a demonstration smart-phone app around this concept. Family and community relationships influence an individual’s ability to make successful diabetes-related behavior change, and thus the success of self-management. These relationships can provide positive reinforcement and personal encouragement for key activities such as adherence to medication and blood-testing schedules and getting exercise. This proposal seeks to expand the prior research and translate it into a commercial-grade DNT product that will leverage these family and community resources through a fully-developed smartphone app. DNT allows a patient to create a private local social network of household/family/friends that can support the patient with her/his diabetes self-management behaviors, such as adhering to medication and glucose-testing schedules, finding people to exercise with, and sharing of information such as food shopping tips and positive social reinforcement. DNT also gives the patient access to local community resources, uses geo-fencing technology, and allows location specific information (e.g., healthy grocery sales, health fairs) to be posted and shared. Gaming features to be developed, such as earning badges and participating in social challenges, can increase engagement and frequency of use. Our team brings a unique combination of leaders and experts in user-centered and social computing and behavioral science research. Phase I Aims are to: 1. Define needs and opportunities for DNT social support using participatory design methods within a sample of diverse middle and low-income communities. 2. Design the DNT user interface and develop a complete DNT app prototype. 3. Conduct initial formative assessment of the prototype DNT for usability and perceived usefulness. The full DNT product can improve diabetes-related self-management, as well as increase scientific understanding of how an augmented social support system can benefit diabetes management and potentially reduce disease complications.

摘要 我们建议开发一种名为糖尿病网络工具（DNT）的社会计算技术， 增强II型糖尿病和糖尿病前期患者自我管理和避免疾病并发症的能力， 加强家庭、住户和社区支助机制。 II型糖尿病是一种终身疾病，是一个严重的和日益严重的公共卫生问题， 需要患者持续的自我管理以避免危险的并发症。以前的研究由 一个研究小组和其他人指出，II型糖尿病患者的社交网络可以帮助患者改善 并围绕这一概念开发了一个示范智能手机应用程序。家庭和 社区关系影响个体成功改变糖尿病相关行为的能力， 也就是自我管理的成功。这些关系可以提供积极的强化和个人 鼓励关键活动，如坚持药物治疗和血液检测时间表， 锻炼的 该提案旨在扩大先前的研究，并将其转化为商业级DNT产品， 将通过一个完全开发的智能手机应用程序利用这些家庭和社区资源。DNT允许 患者创建家庭/家人/朋友的私人本地社交网络，可以支持患者 她/他的糖尿病自我管理行为，如坚持药物治疗和葡萄糖测试时间表， 找到可以一起锻炼的人，分享信息，如食品购物技巧和积极的社交信息。 加固. DNT还为患者提供当地社区资源，使用地理围栏技术， 并允许位置特定信息（例如，健康食品杂货销售，健康博览会）发布和分享。 有待开发的游戏功能，如赚取徽章和参与社交挑战，可以增加 参与度和使用频率。 我们的团队带来了以用户为中心和社会计算领域的领导者和专家的独特组合， 行为科学研究第一阶段的目标是： 1.使用参与式设计方法，确定DNT社会支持的需求和机会， 不同的中低收入社区的样本。 2.设计DNT用户界面并开发完整的DNT应用原型。 3.对原型DNT的可用性和感知有用性进行初步形成性评估。 全DNT产品可以改善糖尿病相关的自我管理，以及增加科学的 了解增强的社会支持系统如何有益于糖尿病管理， 减少疾病并发症。