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: 10379242
• 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 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10379242
• 关键词: Address; Age; American; Applications Grants; Asian; Asian Americans; Asian population; Body Weight decreased; Body mass index; Cellular Phone; Centers for Disease Control and Prevention (U.S.); Chinese; Chinese American; Chinese population; Cities; Communities; Community Health; 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; Precede-Proceed Model; 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; acceptability and feasibility; base; community based participatory research; community transmission; cultural values; diabetes prevention program; feasibility testing; formative assessment; high risk; implementation intervention; 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.

摘要 在美国的移民中，亚裔和中国移民的比例迅速上升 组成了增长最快的亚洲亚群。尽管肥胖率相对较低，但之前的研究 结果显示，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 与其他种族群体的关系。糖尿病预防计划(DPP)的结果表明，密集的 以增加体力活动和减少脂肪摄入为重点的生活方式干预显示 与二甲双胍组或A组相比，2型糖尿病的发病率显著降低 对照组。因此，民进党的课程已经在不同的地方成功地翻译和试点 人口和环境。然而，适应民进党的生活方式存在着独特的挑战 在中国人群中实施的干预措施。例如，低收入的华裔美国人经常 在与主流文化接触有限的孤岛社区。尽管基督教青年会民进党已经 广泛的以社区为基础的实施，它没有被量身定做来解决文化和语言问题 说中文的美国人的需求。此外，与其他移民群体类似，华裔美国人 经常长时间兼职，没有太多空闲时间参与健康促进 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，SC3项目的目标是：1) 使用形成性评估调整和翻译DPP课程，以改进促进健康的策略 高危华裔美国人的饮食习惯和增加体力活动，2)开发电子版 调整后的中国民进党课程并测试其可行性和可接受性，以及3)制定计划 过渡到非得分支持。拟议中的项目对其他难以实现的项目具有很高的可扩展性 人口。这种翻译模式可以很容易地移植和修改，以便在其他服务不足的情况下使用 少数族裔社区预防或减少糖尿病。此外，有了这个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评分 支持来源，如NIH R01资金机制。

项目成果

Stigma Is Associated With Widening Health Inequities: Challenges From the Current COVID-19 Pandemic.

耻辱与日益扩大的健康不平等有关：当前 COVID-19 大流行带来的挑战。

• DOI: 10.2105/ajph.2021.306265
• 发表时间: 2021
• 期刊: American journal of public health
• 影响因子: 12.7
• 作者: Yeh,Ming-Chin;Tung,Ho-Jui
• 通讯作者: Tung,Ho-Jui

Reducing Liver Cancer Risk through Dietary Change: Positive Results from a Community-Based Educational Initiative in Three Racial/Ethnic Groups.

• DOI: 10.3390/nu14224878
• 发表时间: 2022-11-18
• 期刊: NUTRIENTS
• 影响因子: 5.9
• 作者: Zhu, Lin;Kim, Ellen Jaeseon;Gonzalez, Evelyn;Fraser, Marilyn A.;Zhu, Steven;Rubio-Torio, Nathaly;Ma, Grace X.;Yeh, Ming-Chin;Tan, Yin
• 通讯作者: Tan, Yin

Staff resilience and innovation essential to New York City diabetes prevention programs going virtual during COVID-19 pandemic lockdowns.

纽约市糖尿病预防计划至关重要的工作人员的韧性和创新在19009年大流行锁定期间进行了虚拟计划。

• DOI: 10.1186/s12913-023-10129-y
• 发表时间: 2023-10-25
• 期刊: BMC HEALTH SERVICES RESEARCH
• 影响因子: 2.8
• 作者: Smith, Eleanor J.;Apfelbaum, Leora J.;Yeh, Ming-Chin;Horlyck-Romanovsky, Margrethe F.
• 通讯作者: Horlyck-Romanovsky, Margrethe F.