MiDiario: Mobile Intervention for Diabetes via Reflection and Introspection in My Own Words

项目摘要/摘要 患有1型糖尿病(T1D)的拉丁裔青少年在护理和预后方面面临着巨大的差异，使新的 支持这一群体的工具至关重要。管理T1D需要一系列复杂的知识和决策- 制作技巧。青少年在管理T1D方面有特殊的挑战，包括对 自主性和与同龄人的融洽，以及仍在发展中的决策和规划技能。另外， 拉美裔青少年既面临着独特的挑战，又缺乏获得文化敏感的护理和支持的机会 认识到这些患者的独特经历、语言和障碍。社交领域的先前研究 心理学已经证明，反事实(“如果”)思维与适当的教育内容相匹配 可以改善健康状况。一致地，创新的对文化敏感的糖尿病护理方法和 耐心教育改善了拉美裔青少年的T1D结局。尽管有许多移动应用程序(APP) 现有的糖尿病管理，目前还没有提供针对这一人群的功能集，它结合了 关于自我效能感和行为改变的尖端行为科学，以及文化上适当的护理模式。 我们的初步研究证实了反事实反思任务对健康饮食意向的影响。 拉美人，文化对反事实功能的影响，以及对文化敏感的照顾的好处 在患有T1D的拉丁裔青少年中的结果，为该产品的核心假设提供了概念验证。在……里面 在第一阶段SBIR中，我们将构建一个新应用程序的原型，该应用程序将通过以下方式帮助拉丁裔青少年管理他们的T1D 提供以优势为基础、对文化敏感的工具，以建立知识并促进自我效能和规划。 我们将通过两个目标实现这一目标。Aim 1将通过最终用户研究和 内部测试。目的2验证应用程序的可接受性和可用性。为了做到这一点，我们将发展新的反思 促进自我管理的任务，并通过患者的混合方法研究验证这些任务 人口。此外，我们还将测试工作原型在最终用户中的可用性和可接受性 通过半结构化访谈和定量测量的方法对人群进行问卷调查。通过创建一款创新的应用程序 管理T1D，计划中的研究将为拉丁裔青少年T1D的治疗提供进展。 此外，这项研究还将为社会认知科学如何融入临床提供见解。 在管理T1D方面支持患者疗效的实践。除了改善临床护理外，这项研究还将取得进展 反事实反思和意图生成功能的社会认知心理学研究 在一个新的健康领域。总之，这些创新将解决健康方面的严重差距，以促进健康 为拉美裔美国人生活以及为未来的创新提供新的工具，以减少相关领域的差距 域名。

PROJECT SUMMARY/ABSTRACT Latino adolescents with Type 1 Diabetes (T1D) face substantial disparities in care and outcomes, making new tools to support this population essential. Managing T1D requires a complex set of knowledge and decision- making skills. Adolescents have specific challenges to managing T1D, including psychosocial needs for autonomy and fitting in with peers, along with still-developing decision-making and planning skills. Additionally, Latino adolescents face both unique challenges and a lack of access to culturally-sensitive care and support that recognizes the unique experiences, language, and barriers for these patients. Previous research in social psychology has demonstrated that counterfactual (“what if”) thinking paired with appropriate educational content can improve health outcomes. Convergently, innovative culturally sensitive approaches to diabetes care and patient education improve T1D outcomes for Latino adolescents. Although numerous mobile applications (apps) exist for diabetes management, none currently offer a feature set targeted to this population that combines cutting-edge behavioral science on self-efficacy and behavior change with models of culturally appropriate care. Our preliminary studies demonstrate the impact of counterfactual reflection tasks on healthy eating intentions in Latinos, the effects of culture on counterfactual functionality, and the benefits of culturally-sensitive care to outcomes in Latino adolescents with T1D, offering proof-of-concept for the core assumptions of this product. In this Phase 1 SBIR, we will build a prototype of a new app that will help Latino adolescents manage their T1D by offering strengths-based, culturally sensitive tools to build knowledge and facilitate self-efficacy and planning. We will achieve this through two aims. Aim 1 will optimize the design of the app through end user research and internal testing. Aim 2 validate the acceptability and usability of the app. To do this, we will develop new reflection tasks to facilitate self-management and validate these tasks through mixed-methods research in patient populations. Additionally, we will test the usability and acceptability of a working prototype in the end user population through semi-structured interviews and quantitative measurement. By creating an innovative app to manage T1D, the planned research will offer advancements to the treatment of T1D in Latino adolescents. Additionally, the research will provide insights into how social cognitive science can be integrated into clinical practice to support patient efficacy in managing T1D. Beyond improving clinical care, the research will advance social cognitive psychology by investigating the functionality of counterfactual reflection and intention generation in a novel health domain. Together, these innovations will address a critical disparity in health to advance healthy living for Latino Americans as well as offering new tools for future innovations to reduce disparities in related domains.