Making the Connection: Understanding the dynamic social connections impacting type 2 diabetes management among Black/African American men

建立联系：了解影响黑人/非裔美国男性 2 型糖尿病管理的动态社会联系

• 批准号: 10782674
• 负责人: Tyler Prochnow
• 金额: --
• 依托单位: TEXAS A&M UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-25 至 2023-09-26
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10782674
• 关键词: Address; Adherence; African American; Behavior; Black race; Chronic Disease; Church; Communities; Data; Development; Disease; Disease Management; Environment; Evolution; Family; Family member; Friends; Goals; Health; Health Care Rationing; Home; Individual; Intervention; Intervention Studies; Interview; Knowledge; Life; Literature; Maintenance; Measures; Methods; Modeling; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Participant; Pathway Analysis; Patient Self-Report; Persons; Play; Population; Practice Management; Psyche structure; Psychological reinforcement; Research; Role; Sampling; Self Efficacy; Self Management; Social Network; Social isolation; Social support; Socialization; Spouses; Time; Work; cohort; coping; design; diabetes management; diabetes self-management; effective intervention; health care service utilization; health disparity; improved; innovation; male; men; mortality; novel; peer; recruit; social; social culture; social influence; social interventions; social relationships; support network

PROJECT SUMMARY This study is designed to address the alarmingly low rate of disease self-management that has resulted in the current disproportionate chronic illness, specifically type 2 diabetes (T2D), burden borne by Black/African American males. Black/African American males have the highest mortality rates from preventable conditions due, in part, to a low rate of health care utilization. Following the social ecological model, it is vital to understand the social influences and social networks that impact T2D self-management. Strengthening relationships and creating behavior reinforcement loops has improved T2D self-management and social measures such as coping and self-efficacy. Broader social networks play a significant role in chronic disease management, yet a gap remains in the literature regarding the identification of these networks, and understanding how these networks evolve over time, specifically among Black/African American males. Therefore, there is a critical need to identify the aspects of social networks that are associated with T2D self-management and support among Black/African American males. Such newfound knowledge about the influence of interpersonal, community, and societal sociocultural environments can result in the development of novel, effective strategies to improve T2D self- management compliance and health outcomes in Black/African American males. Our long-term goal is to develop culturally- and socially-relevant dyadic relationship intervention points to improve T2D self-management among Black/African American men with T2D. Our overall objectives in this application are to establish the aspects of social networks related to healthy self-management practices as well as characterize their formation and evolution. To accomplish these objectives, we will use a convergent mixed methods approach to determine significant aspects of social networks identified by using social network analysis and in-depth qualitative interviews. First, we will recruit a nationally representative sample of 1,200 Black/African American males with T2D using Qualtrics research panels to determine significant associations between T2D management their social relationships. Next, a cohort of 65 Black/African American males from the national sample will be asked to participate in longitudinal qualitative interviewing regarding their social networks with two follow-ups at six months and one year. The rationale for this project is that determining the aspects of one’s network that promotes self-management will provide the groundwork for intervention studies to improve T2D self-management within a population with health disparities. To achieve our long-term goal and objectives, the following specific aims will be pursued: 1) Identify specific aspects of dyadic relationships within select domains (family, friends, neighbors, church, other) among Black/African American male social networks related to T2D self-management adherence; 2) Characterize the formation and evolution of dyadic relationships that result in improved T2D self-maintenance strategy adherence among Black/African American males.

项目摘要 这项研究旨在解决令人担忧的低疾病自我管理率， 在目前不成比例的慢性病，特别是2型糖尿病（T2 D），负担由黑人/非洲人 美国男性黑人/非洲裔美国人男性因可预防疾病死亡率最高 部分原因是卫生保健利用率低。遵循社会生态模型， 影响T2 D自我管理的社会影响和社交网络。加强关系和 创造行为强化环改善了T2 D自我管理和社会措施， 和自我效能。更广泛的社交网络在慢性病管理中发挥着重要作用，但仍存在差距 仍然存在于文献中，关于识别这些网络，并了解这些网络如何 随着时间的推移，特别是在黑人/非洲裔美国男性中。因此，迫切需要确定 与T2 D自我管理相关的社交网络的各个方面以及黑人/非洲人之间的支持 美国男性这种新发现的关于人际、社区和社会影响的知识 社会文化环境可以导致开发新的，有效的策略来改善T2 D自我， 黑人/非裔美国男性的管理依从性和健康结果。 我们的长期目标是发展文化和社会相关的二元关系干预点 改善黑人/非裔美国男性T2 D患者的T2 D自我管理。我们在这方面的总体目标 应用是建立社交网络的方面有关的健康自我管理的做法，以及 来描述它们的形成和演化为了实现这些目标，我们将使用一个收敛的混合 方法确定通过使用社会网络分析识别的社交网络的重要方面的方法 和深入的定性访谈。首先，我们将招募1,200名黑人/非洲人的全国代表性样本， 美国男性T2 D患者使用Qualtrics研究小组确定T2 D与 管理他们的社会关系。接下来，一组来自全国的65名黑人/非洲裔美国男性， 样本将被要求参加关于他们的社交网络的纵向定性访谈，其中有两个 六个月和一年的随访。这个项目的基本原理是， 一个促进自我管理的网络将为改善T2 D的干预研究提供基础 在健康不平等的人群中自我管理。为了实现我们的长远目标， 将追求以下具体目标：1）确定选定领域内二元关系的具体方面 （家庭、朋友、邻居、教会、其他）与T2 D相关的黑人/非洲裔美国男性社交网络 自我管理的坚持; 2）描述形成和演变的二元关系，导致 改善黑人/非裔美国人男性的T2 D自我维持策略依从性。