DM-BOOST para Latinx: a Diabetes Mellitus program using Behavioral economics to Optimize Outreach and Self-management support with Technology for Latinx patients

DM-BOOST para Latinx：利用行为经济学优化拉丁裔患者的外展和自我管理支持的糖尿病计划

• 批准号: 10652644
• 负责人: Daniel John Amante
• 金额: $ 16.36万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10652644
• 关键词: Address; Adherence; Adult; Affect; Appointments and Schedules; Architecture; Award; Behavior; Behavior Therapy; Binding; Body Weight decreased; Caring; Certification; Chronic Disease; Clinical; Clinical Research; Collaborations; Communities; Community Health; Competence; Decision Making; Development; Diabetes Mellitus; Disparity; Distress; Doctor of Philosophy; Education; Educational Intervention; Effectiveness; Evaluation; Extended Family; Face; Foundations; Fright; Funding; Future; Glycosylated hemoglobin A; Goals; Guidelines; Health; Healthcare Systems; High Prevalence; Human; Intention; Intervention; Interview; K-Series Research Career Programs; Knowledge; Language; Latinx; Latinx population; Limited English Proficiency; Marketing; Medical; Medicare; Mentored Research Scientist Development Award; Mentors; Mentorship; Modeling; Morbidity - disease rate; Non-Insulin-Dependent Diabetes Mellitus; Not Hispanic or Latino; Outcome; Patient Outcomes Assessments; Patients; Pattern Recognition; Physicians; Population; Positioning Attribute; Process; Provider; Questionnaires; Randomized; Recommendation; Research; Research Training; Risk; Schedule; Science; Scientist; Self Care; Self Efficacy; Self Management; Self-control as a personality trait; Specialist; Technology; Testing; Training; Translating; Transportation; Underserved Population; Uninsured; United States National Institutes of Health; Work; Writing; acceptability and feasibility; barrier to care; behavior change; behavioral economics; behavioral health; beneficiary; care systems; career; clinical encounter; community engagement; consumer behavior; design; diabetes management; diabetes self-management; evidence base; evidence based guidelines; experience; financial incentive; health care delivery; health information technology; health training; implementation barriers; implementation evaluation; improved; innovation; iterative design; outreach; patient engagement; patient population; peer; personalized intervention; preference; process evaluation; programs; satisfaction; skills; social; social health determinants; telehealth; theories; therapy design; treatment as usual; uptake; usability; virtual

1 ABSTRACT 2 This application for the NIH Mentored Research Scientist Development K01 Award proposes a specialized 3 experience to launch the independent research career of Dr. Daniel J. Amante, PhD, MPH. He will focus on 4 implementing technology-based behavioral interventions to improve the effectiveness of healthcare delivery and 5 management of type 2 diabetes (T2D). The three-year proposed experience 1.) builds upon an exciting 6 foundation of work, 2.) addresses a clinical need (improving engagement and delivery of diabetes self- 7 management training), and 3.) is informed by input from clinical, community and patient stakeholders. 8 Management of chronic diseases is challenging, especially for patients with T2D who have many competing 9 health demands. Much of T2D management occurs outside of clinical encounters, requiring proficient patient 10 self-care skills. Current evidence-based guidelines recommend diabetes self-management training (DSMT) for 11 all T2D patients. DSMT provides patients with increased access and personalization of support by certified 12 diabetes care and education specialists. DSMT faces significant implementation challenges, however, with very 13 few patients completing training. Latinx patients, a population disproportionately affected by T2D, complete 14 DSMT at especially low rates. Culturally-tailored interventions designed to increase engagement with DSMT in 15 such underserved populations are needed so that negative diabetes-related outcomes are averted. 16 To enhance implementation of DMST, Dr. Amante developed DM-BOOST (Diabetes Mellitus program using 17 Behavioral economics to Optimize Outreach and Self-management support with Technology). The goals of DM- 18 BOOST are to increase patient engagement and experience with DMST using Behavioral Economics-inspired, 19 technology-assisted approaches. DM-BOOST has been developed for English-speaking patients but needs to 20 be culturally-adapted for Spanish-speaking Latinx patients to increase the reach and impact of the program. 21 The specific aims of this project are to culturally adapt DM-BOOST for Latinx patients, usability test ‘DM- 22 BOOST para Latinx’ to optimize cultural appropriateness and patient engagement and conduct a feasibility 23 evaluation of DM-BOOST para Latinx. These aims will be accomplished via a community-based participatory 24 research approach in collaboration with clinical, community and patient partners. This project will inform 25 subsequent proposals to evaluate implementation of DM-BOOST in the UMass Memorial Health Care system. 26 To accomplish these aims, Dr. Amante will be guided by expert mentors and receive specialized training in: 27 1.) cultural adaption of diabetes self-management training interventions for Latinx patients, 2.) innovation with 28 user experience to optimize use of patient-facing health information technologies, and 3.) implementation 29 science to enhance uptake of evidence-based diabetes care services. This career development award will be 30 guided by expert mentors and in collaboration with Dr. Amante’s clinical, community and patient partners.

1篇摘要 2 NIH指导研究科学家发展K 01奖的申请提出了一个专门的 3经验，推出独立的研究生涯博士丹尼尔J阿曼特，博士，公共卫生硕士。他将专注于 4实施基于技术的行为干预措施，以提高医疗保健服务的有效性， 2型糖尿病（T2 D）的治疗三年的经验（1）。建立在一个令人兴奋的 6工作基础，2。）满足临床需求（改善糖尿病自我治疗的参与和交付， （7）管理培训;（3）由临床、社区和患者利益相关者提供信息。 8慢性病的管理具有挑战性，特别是对于T2 D患者，他们有许多竞争性的 9健康需求大部分T2 D管理发生在临床接触之外，需要熟练的患者 10个自我护理技巧目前的循证指南建议糖尿病自我管理培训（DSMT）， 11例T2 D患者。DSMT为患者提供更多的访问和个性化的支持， 12名糖尿病护理和教育专家。然而，DSMT面临着重大的实施挑战， 13名患者完成培训。Latinx患者，T2 D影响不成比例的人群，完成 14 DSMT在特别低的利率。针对文化的干预措施，旨在增加与DSMT的接触， 15需要这样的服务不足的人群，以避免与糖尿病相关的负面结果。 16为了加强DMST的实施，Amante博士开发了DM-BOOST（糖尿病计划， 17行为经济学，以优化推广和自我管理的支持与技术）。DM的目标- 18 BOOST旨在利用行为经济学的启发， 19项技术援助办法。DM-BOOST是为讲英语的患者开发的，但需要 20是文化适应讲西班牙语的拉丁美洲患者，以增加该计划的覆盖面和影响力。 21该项目的具体目标是使DM-BOOST适应拉丁裔患者的文化，可用性测试“DM- 22 BOOST帕拉Latinx "优化文化适当性和患者参与度，并进行可行性研究 23对DM-BOOST帕拉Latinx的评价。这些目标将通过以社区为基础的参与性 24与临床，社区和患者合作伙伴合作的研究方法。该项目将告知 25随后的建议，以评估实施DM-BOOST在马萨诸塞州纪念医疗保健系统。 26.为实现这些目标，Amante博士将接受专家指导，并接受以下方面的专门培训： 1.）糖尿病自我管理培训干预拉丁患者的文化适应，2.）创新 28用户体验，以优化面向患者的健康信息技术的使用，以及3。执行 29科学，以提高循证糖尿病护理服务的吸收。这个职业发展奖将是 30由专家导师指导，并与Amante博士的临床，社区和患者合作伙伴合作。