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

MiDiario：用我自己的话反思和自省的糖尿病移动干预

• 批准号: 10698632
• 负责人: Amy Summerville
• 金额: $ 32.5万
• 依托单位: KAIROS RESEARCH LLC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-23 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10698632
• 关键词: Address; Adolescent; Adult; Affect; American; Behavioral Sciences; Caring; Chronic; Clinical Trials; Cognitive Science; Communication; Complex; Databases; Decision Making; Development; Diabetes Mellitus; Diet Records; Disparity; Education; Emotional; Ensure; Equilibrium; Evaluation; Face; Family; Feedback; Food; Foundations; Future; Generations; Glucose; Glycosylated hemoglobin A; Health; Healthy Eating; Hispanic; Insulin-Dependent Diabetes Mellitus; Intention; Intervention; Interview; Knowledge; Knowledge Management; Language; Latino; Latino Population; Learning; Libraries; Life; Managed Care; Measurement; Medicaid; Medical; Medical Care Costs; Modeling; Motivation; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Patient Care; Patient Education; Patients; Phase; Pilot Projects; Population; Populations at Risk; Research; Research Methodology; Self Efficacy; Self Management; Small Business Innovation Research Grant; Social Psychology; Specific qualifier value; Structure; Summary Reports; Target Populations; Teenagers; Testing; Thinking; Validation; behavior change; care providers; clinical care; clinical practice; commercialization; design; diabetes management; diaries; disparity reduction; experience; glycemic control; health care disparity; health disparity; health inequalities; improved; innovation; insight; mobile application; novel; novel strategies; patient population; patient-level barriers; peer; prototype; psychologic; psychosocial; randomized, clinical trials; skills; social; success; tool; usability

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.

项目总结/摘要 拉丁裔青少年1型糖尿病（T1 D）面临着护理和结果的巨大差异， 支持这一群体的工具至关重要。管理T1 D需要一套复杂的知识和决策- 制作技能。青少年在管理T1 D方面面临着特殊的挑战，包括对以下方面的社会心理需求： 自主性和与同龄人的适应，沿着仍在发展的决策和规划技能。此外，本发明还 拉丁裔青少年面临着独特的挑战和缺乏获得文化敏感的照顾和支持， 认识到这些患者的独特经历、语言和障碍。以前的社会研究 心理学已经证明，反事实（“如果”）思维与适当的教育内容相结合， 可以改善健康状况。融合、创新的文化敏感的糖尿病护理方法， 患者教育可改善拉丁裔青少年的T1 D结局。尽管众多的移动的应用程序（app） 糖尿病管理，目前没有一个提供针对这一人群的功能集， 关于自我效能和行为改变的尖端行为科学，以及文化上适当的护理模式。 我们的初步研究证明了反事实反思任务对健康饮食意图的影响， 拉丁美洲人，文化对反事实功能的影响，以及对文化敏感的护理对 拉丁裔T1 D青少年的治疗结果，为该产品的核心假设提供概念验证。在 在SBIR的第一阶段，我们将构建一个新应用程序的原型，帮助拉丁裔青少年管理他们的T1 D， 提供基于优势、对文化敏感的工具，以积累知识，促进自我效能和规划。 我们将通过两个目标来实现这一目标。Aim 1将通过最终用户研究优化应用程序的设计， 内部测试。目标2验证应用程序的可接受性和可用性。为此，我们将开发新的反射 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，我们将测试的可用性和可接受性的工作原型在最终用户 通过半结构化访谈和定量测量对人口进行调查。通过创建一个创新的应用程序， 管理T1 D，计划中的研究将为拉丁裔青少年T1 D的治疗提供进步。 此外，这项研究将提供有关社会认知科学如何融入临床的见解。 实践，以支持患者在管理T1 D方面的疗效。除了改善临床护理，这项研究还将推动 社会认知心理学通过调查反事实反射和意图生成的功能 在一个新的健康领域。这些创新将共同解决健康方面的关键差距， 为拉丁美洲人生活，并为未来的创新提供新的工具，以减少相关领域的差距。 域.