ADAPTING AND ASSESSING THE FEASIBILITY OF A TELEHEALTH DIABETES PREVENTIONPROGRAM FOR HISPANIC ADOLESCENTS
调整和评估西班牙裔青少年远程健康糖尿病预防计划的可行性
基本信息
- 批准号:10513488
- 负责人:
- 金额:$ 15.08万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-08-01 至 2026-07-31
- 项目状态:未结题
- 来源:
- 关键词:AccelerometerAddressAdolescentAdultAgeAreaAwardBody Weight decreasedBody mass indexCOVID-19Cellular PhoneChildhoodCollaborationsCommunicationCommunitiesCost of IllnessData CollectionDevelopmentDevicesDiabetes MellitusDiabetes preventionDiseaseDisease OutcomeEducationEducational workshopEffectivenessEnsureExhibitsFamilyFeedbackFocus GroupsFoundationsFundingGlycosylated hemoglobin AGoalsGroup InterviewsHealth behaviorHealth behavior outcomesHealth educationHealthcareHispanicHomeInsulinInsulin ResistanceInsurance CoverageInternetInterventionInterviewK-Series Research Career ProgramsLeadLife ExpectancyMentorsMentorshipMethodsMinorityNon-Insulin-Dependent Diabetes MellitusNot Hispanic or LatinoObesityOutcomeParentsParticipantPersonsPhasePhysical activityPlant RootsPopulationPrediabetes syndromePreventionPrevention programPrevention strategyProcessQuality of lifeRandomizedReportingResearchResearch PersonnelSamplingScheduleScienceScientistSelf DeterminationSelf PerceptionServicesSurvey MethodologyTechnologyTestingText MessagingTrainingTransportationTreatment EfficacyUnited States Centers for Medicare and Medicaid ServicesWorkYouthacceptability and feasibilitybasebehavior changecommunity clinicdesigndiabetes prevention programdiabetes riskdigitaldisorder preventionevidence baseexperiencefasting glucosefeasibility testingfield studyfitbithealth care deliveryhealth disparityhigh riskinnovative technologiesinsulin sensitivityintervention deliverylifestyle interventionlifetime riskmeetingsminority childrenmultidisciplinarynovelnutritionnutrition educationpreventpreventive interventionprogramsrecruitremote deliveryskillssocial determinantssocial health determinantstechnology developmenttelehealthtelehealthcaretheoriestooltreatment as usualusabilityusual care armvulnerable community
项目摘要
Project Summary
Hispanic adolescents are disproportionately burdened by type 2 diabetes (T2D) and social determinants of health
(SDoH), which can serve as barriers to behavior change and participation in disease prevention efforts.
Telehealth is a potentially effective approach for delivering disease prevention programs in vulnerable
communities as it reduces the burden of some SDoH like transportation, childcare needs, and parent work
schedules. However, there are no theory- or evidence-based telehealth T2D prevention programs for Hispanic
youth. The goal of this career development award is to assist Dr. Erica Soltero in her long-term goal of becoming
an independent investigator designing and implementing T2D prevention interventions among high-risk pediatric
populations impacted by SDoH. Dr. Soltero’s short-term goals include gaining expertise in the use of mixed-
methods, the Self-Determination Theory (SDT), and development of technology-based interventions. In
collaboration with her multidisciplinary mentorship team, she has developed a training plan to reach these goals
via coursework, workshops, scientific meetings, and mentored research. The purpose of this study is to adapt
Everly Little Step Counts (ELSC), an evidence-based, culturally grounded T2D prevention program, for delivery
via telehealth and test the feasibility and acceptability of the adapted telehealth intervention. While telehealth is
more suited for remotely delivering nutrition education, other technology-based tools are needed to remotely
promote physical activity (PA). Thus, we will adapt and integrate our previously tested intervention that uses
activity trackers (i.e. Fitbit) and text-messages grounded in the SDT to promote PA into the telehealth program.
To ensure that all technology-based components are feasible and considerate of SDoH, we will use a mixed-
methods approach across three iterative phases to engage Hispanic adolescents (14-16 years; N=24) and their
parents (N=24) in the adaptation process. Once the ELSC-telehealth program is developed, a new sample of
Hispanic adolescents (14-16 years; N=40) with obesity (BMI%≥95th) will be recruited from community clinics
and randomized to the 12-week ELSC-telehealth intervention or usual care control group. Feasibility and
acceptability will be assessed using a priori feasibility criteria (e.g. recruitment, data collection, fidelity) and exit
interviews. We will examine the preliminary efficacy of the intervention on PA and T2D risk outcomes (fasting
glucose, insulin, insulin resistance and HbA1c). This proposal builds on the investigative team’s previous work
in T2D prevention, activity trackers, and text messaging to develop a telehealth delivered T2D prevention
program with great potential for reaching and engaging Hispanic youth. This study will advance the science on
telehealth as a disease-prevention tool among high-risk youth impacted by SDoH. Completion of the proposed
training and research will provide Dr. Soltero with the skills, research experience, professional development, and
scholarly products needed to apply for R01 funding and transition to a successful, independent scientist.
项目摘要
西班牙裔青少年不成比例地负担2型糖尿病(T2 D)和健康的社会决定因素
(SDoH),这可能成为行为改变和参与疾病预防工作的障碍。
远程医疗是一种潜在的有效方法,可为弱势群体提供疾病预防计划。
社区,因为它减少了一些SDoH的负担,如交通,育儿需求和父母的工作
时间表。然而,没有针对西班牙裔的基于理论或证据的远程医疗T2 D预防计划。
青年这个职业发展奖的目标是帮助埃里卡索朗博士实现她的长期目标,
一名独立的研究者在高危儿童中设计和实施T2 D预防干预措施
受SDoH影响的人群。Soldier博士的短期目标包括获得使用混合药物的专业知识-
方法,自我决定理论(SDT)和基于技术的干预措施的发展。在
她与她的多学科导师团队合作,制定了一项培训计划,以实现这些目标
通过课程、研讨会、科学会议和指导研究。本研究的目的是适应
埃弗利Little Step Counts(ELSC)是一项以证据为基础、以文化为基础的T2 D预防计划,
通过远程保健,并测试经调整的远程保健干预措施的可行性和可接受性。虽然远程保健是
更适合远程提供营养教育,需要其他基于技术的工具来远程提供营养教育。
促进身体活动(PA)。因此,我们将调整和整合我们以前测试过的干预措施,
活动跟踪器(即Fitbit)和基于SDT的短信,以促进PA进入远程医疗计划。
为确保所有以科技为本的组件均切实可行,并顾及可持续发展目标,我们会采用混合模式-
方法方法在三个迭代阶段进行,以吸引西班牙裔青少年(14-16岁; N=24)及其
父母(N=24)在适应过程中。一旦ELSC远程医疗计划开发,一个新的样本,
将从社区诊所招募肥胖(BMI%≥ 95 th)的西班牙裔青少年(14-16岁; N=40)
并随机分配到为期12周的ELSC远程健康干预组或常规护理对照组。可行性和
将使用先验可行性标准(例如招募、数据收集、保真度)和退出评估可接受性
采访我们将检查干预对PA和T2 D风险结局(禁食)的初步疗效。
葡萄糖、胰岛素、胰岛素抵抗和HbA 1c)。这项建议是在调查小组以前工作的基础上提出的
在T2 D预防、活动跟踪器和短信方面,开发远程医疗提供的T2 D预防
该计划具有巨大的潜力,可以接触和吸引西班牙裔青年。这项研究将推动科学
远程保健作为受SDoH影响的高危青年的疾病预防工具。完成建议
培训和研究将为Soldier博士提供技能,研究经验,专业发展,
学术产品需要申请R 01资金和过渡到一个成功的,独立的科学家。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Erica Soltero其他文献
Erica Soltero的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Erica Soltero', 18)}}的其他基金
ADAPTING AND ASSESSING THE FEASIBILITY OF A TELEHEALTH DIABETES PREVENTIONPROGRAM FOR HISPANIC ADOLESCENTS
调整和评估西班牙裔青少年远程健康糖尿病预防计划的可行性
- 批准号:
10652654 - 财政年份:2022
- 资助金额:
$ 15.08万 - 项目类别:
Fit24: Using technology to improve activity and sleep in Hispanic youth
Fit24:利用技术改善西班牙裔青少年的活动和睡眠
- 批准号:
10392991 - 财政年份:2021
- 资助金额:
$ 15.08万 - 项目类别:
Fit24: Using technology to improve activity and sleep in Hispanic youth
Fit24:利用技术改善西班牙裔青少年的活动和睡眠
- 批准号:
10609866 - 财政年份:2021
- 资助金额:
$ 15.08万 - 项目类别:
Fit24: Using technology to improve activity and sleep in Hispanic youth
Fit24:利用技术改善西班牙裔青少年的活动和睡眠
- 批准号:
10195179 - 财政年份:2021
- 资助金额:
$ 15.08万 - 项目类别:
相似海外基金
Enhancing Structural Competency in School-Based Health Centers to Address LGBTQ+ Adolescent Health Equity
增强校本健康中心的结构能力,以解决 LGBTQ 青少年健康公平问题
- 批准号:
10608426 - 财政年份:2023
- 资助金额:
$ 15.08万 - 项目类别:
Application and feasability of a brief digital screening tool to address parental and adolescent tobacco and electronic cigarette use in pediatric medical care - a pilot study
简短的数字筛查工具的应用和可行性,以解决儿科医疗中父母和青少年烟草和电子烟的使用问题 - 一项试点研究
- 批准号:
486580 - 财政年份:2022
- 资助金额:
$ 15.08万 - 项目类别:
Studentship Programs
Co-design of an intervention to address alcohol use among adolescent boys and young men in Tanzania
共同设计一项干预措施,解决坦桑尼亚青春期男孩和年轻男性的饮酒问题
- 批准号:
MR/V032380/1 - 财政年份:2022
- 资助金额:
$ 15.08万 - 项目类别:
Research Grant
Complex intervention to optimise adolescent BMI pre-conception to address the double burden of malnutrition: A RCT in rural and urban South Africa
优化青少年孕前体重指数以解决营养不良的双重负担的复杂干预措施:南非农村和城市的随机对照试验
- 批准号:
MR/V005790/1 - 财政年份:2021
- 资助金额:
$ 15.08万 - 项目类别:
Research Grant
Application of a brief digital screening tool to address parental and adolescent tobacco and electronic cigarette use in pediatric medical care
应用简短的数字筛查工具来解决儿科医疗中父母和青少年烟草和电子烟的使用问题
- 批准号:
455984 - 财政年份:2021
- 资助金额:
$ 15.08万 - 项目类别:
Operating Grants
Complex intervention to optimise adolescent BMI pre-conception to address the double burden of malnutrition: A RCT in rural and urban South Africa
优化青少年孕前体重指数以解决营养不良的双重负担的复杂干预措施:南非农村和城市的随机对照试验
- 批准号:
MR/V005790/2 - 财政年份:2021
- 资助金额:
$ 15.08万 - 项目类别:
Research Grant
Development of the Cannabis Actions and Practices (CAP): A Parent-Focused Intervention to Address Adolescent Marijuana Use
大麻行动和实践 (CAP) 的发展:以家长为中心的干预措施,解决青少年大麻使用问题
- 批准号:
10057761 - 财政年份:2020
- 资助金额:
$ 15.08万 - 项目类别:
Development of the Cannabis Actions and Practices (CAP): A Parent-Focused Intervention to Address Adolescent Marijuana Use
大麻行动和实践 (CAP) 的发展:以家长为中心的干预措施,解决青少年大麻使用问题
- 批准号:
10213683 - 财政年份:2020
- 资助金额:
$ 15.08万 - 项目类别:
Targeted interventions to address the multi-level effects of gender-based violence on PrEP uptake and adherence among adolescent girls and young women in Kenya
有针对性的干预措施,以解决性别暴力对肯尼亚少女和年轻妇女接受和坚持 PrEP 的多层面影响
- 批准号:
9403567 - 财政年份:2017
- 资助金额:
$ 15.08万 - 项目类别:
Designing targeted interventions to address HIV vulnerabilities and improve clinical outcomes among conflict affected adolescent girls and young women under 25 in Northern Uganda
设计有针对性的干预措施,以解决乌干达北部受冲突影响的少女和 25 岁以下年轻妇女的艾滋病毒脆弱性并改善临床结果
- 批准号:
356145 - 财政年份:2016
- 资助金额:
$ 15.08万 - 项目类别:
Operating Grants