Diabetes Prevention in Chinese Americans: Online Adaptation of Diabetes Prevention Program

华裔美国人的糖尿病预防：糖尿病预防计划的在线改编

• 批准号: 9900033
• 负责人: Ming-Chin Yeh
• 金额: $ 11.7万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-01 至 2023-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9900033
• 关键词: Address; Age; American; Applications Grants; Asian Americans; Asians; Body Weight decreased; Body mass index; Cellular Phone; Centers for Disease Control and Prevention (U.S.); Chinese American; Chinese People; Cities; Communities; Computers; Control Groups; Counseling; Data; Diabetes Mellitus; Diabetes prevention; Diet Habits; Educational Curriculum; Ethnic group; Event; Exposure to; Face; Fatty acid glycerol esters; Focus Groups; Funding; Funding Mechanisms; Generations; Goals; Health; Health Planning; Health Promotion; Hour; Immigrant; Impaired fasting glycaemia; Incidence; Individual; Intake; Knowledge; Life Style; Linguistics; Logic; Low Prevalence; Low income; Mainstreaming; Metformin; Methods; Modeling; Monitor; Needs Assessment; New York City; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Occupations; Penetration; Pharmaceutical Preparations; Physical activity; Pilot Projects; Population; Prevalence; Progress Reports; Protocols documentation; Publications; Research; Research Project Grants; Site; Source; Subgroup; Surveys; System; Testing; Text; Third-Party Payer; Time; Translating; Translations; United States; United States National Institutes of Health; Update; Woman; Work; base; community based participatory research; cultural values; diabetes prevention program; formative assessment; high risk; lifestyle intervention; men; minority communities; nutrition; preference; prevent; programs; screening; symposium; underserved minority; virtual; young man

ABSTRACT Asians comprise a rapidly increasing proportion of immigrants in the United States with Chinese immigrants comprising the fastest growing Asian subgroup. Despite relatively low obesity prevalence, prior research showed that Asians had comparable, if not higher, diabetes or impaired fasting glucose prevalence compared with other ethnic groups. Results from the Diabetes Prevention Program (DPP) have shown that an intensive lifestyle intervention focusing on increasing physical activity and decreasing fat intake demonstrated a significant reduction in the incidence of type 2 diabetes compared with a metformin medication group or a control group. As a result, the DPP curriculum has been successfully translated and piloted in different populations and settings. However, there are unique challenges inherent in adapting the DPP lifestyle intervention for implementation in Chinese populations. For instance, low-income Chinese Americans often live in insular communities with limited exposure to the dominant mainstream culture. Although the YMCA DPP has widespread community-based implementation, it has not been tailored to address the cultural and linguistic needs of Chinese-speaking Americans. In addition, similar to other immigrant groups, Chinese Americans often work long hours with multiple jobs and do not have much free time to participate in health promotion programs. Finding new strategies, such as delivering diabetes prevention programs online, could potentially overcome the time barrier immigrants often face. Therefore, the aims of the SCORE SC3 project are to: 1) adapt and translate the DPP curriculum using formative evaluation to refine strategies to promote healthy dietary habits and increase physical activity in high-risk Chinese Americans, 2) develop an electronic version of the adapted Chinese DPP curriculum and test its feasibility and acceptability, and 3) develop plans for transition to non-SCORE support. The proposed project has high potential for scalability to other hard-to-reach populations. This translation model can be easily transferred and readily adapted for use in other underserved minority communities to prevent or reduce diabetes. In addition, with this SCORE SC3 funding support, the PI will be able to gather needed preliminary data to generate robust applications and to transition to non-SCORE sources of support such as NIH R01 funding mechanism.

抽象的 亚裔在美国移民中所占比例与中国移民相比迅速增加 包括增长最快的亚洲亚集团。尽管肥胖患病率相对较低，但先前的研究 研究表明，与亚洲人相比，亚洲人的糖尿病或空腹血糖受损患病率即使不是更高，也是相当的。 与其他民族。糖尿病预防计划 (DPP) 的结果表明，强化 注重增加体力活动和减少脂肪摄入的生活方式干预表明 与二甲双胍药物组或二甲双胍药物组相比，2型糖尿病的发病率显着降低 对照组。 DPP课程已成功翻译并在不同国家进行试点 人口和环境。然而，适应民进党生活方式本身也存在独特的挑战 在中国人群中实施干预。例如，低收入的华裔美国人通常居住在 在与主流文化接触有限的孤立社区中。虽然基督教青年会民进党 广泛以社区为基础的实施，但并未针对文化和语言问题进行定制 美国人的华语需求。此外，与其他移民群体类似，华裔美国人 经常长时间从事多种工作，没有太多空闲时间参与健康促进活动 程序。寻找新的策略，例如在线提供糖尿病预防计划，可能会 克服移民经常面临的时间障碍。因此，SCORE SC3 项目的目标是：1) 使用形成性评估来调整和翻译 DPP 课程，以完善促进健康的策略 改善高危华裔美国人的饮食习惯并增加体力活动，2）开发电子版 改编后的中国 DPP 课程并测试其可行性和可接受性，以及 3）制定计划 过渡到非 SCORE 支持。拟议的项目具有很高的可扩展性到其他难以到达的项目的潜力 人口。该翻译模型可以轻松转移并易于适应其他服务不足的地区 少数民族社区预防或减少糖尿病。此外，借助 SCORE SC3 的资金支持，PI 将能够收集所需的初步数据以生成强大的应用程序并过渡到非 SCORE 支持来源，例如 NIH R01 资助机制。