Using Social Ties To Reduce Disparities: The Coached Care For Diabetes Program

利用社会关系减少差异：糖尿病指导护理计划

• 批准号: 7687351
• 负责人: Dara H. Sorkin
• 金额: $ 14.51万
• 依托单位: UNIVERSITY OF CALIFORNIA-IRVINE
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-15 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7687351
• 关键词: Academic Medical Centers; Adopted; Affect; Asian Americans; Attitude; Behavior; Blood Glucose; Caring; Characteristics; Chronic Disease; Clinical; Communication; Communities; Complex; Decision Making; Diabetes Mellitus; Diet; Disease; End stage renal failure; Ensure; Environment; Ethnic group; Exercise; Family; Goals; Health Professional; Health Services; Health behavior; Health behavior outcomes; Healthcare; Home environment; Hour; Incentives; Insurance Coverage; Investigation; K-Series Research Career Programs; Latino; Lead; Left; Life; Life Style; Marital Relationships; Mediation; Medical; Mentored Research Scientist Development Award; Mentorship; Mexican; Minority; Minority Groups; Monitor; Morbidity - disease rate; Non-Insulin-Dependent Diabetes Mellitus; Not Hispanic or Latino; Office Visits; Outcome; Patients; Physicians; Preparation; Provider; Psychological reinforcement; Quality of Care; Research; Research Personnel; Resources; Role; Sampling; Self Management; Social Environment; Social Network; Source; Testing; Training Programs; Treatment Protocols; Work; design; diabetes control; diabetes management; diabetes risk; diet and exercise; ethnic difference; experience; glucose monitor; improved; intervention program; medication compliance; meetings; member; mortality; patient oriented; programs; skills; skills training; social; therapy design; treatment adherence; treatment planning

DESCRIPTION (provided by applicant): Dr. Sorkin's long term goal is to become an independent investigator in an academic medical center, working within an interdisciplinary team and developing and testing interventions and programs designed to improve diabetes quality of care and the self-management of diabetes. Despite a dramatic increase in efforts to improve the quality of diabetes care, no amount of technically competent and humanely delivered medical care will lead to the effective management of diabetes unless patients actively implement treatment regimens in the circumstances of their daily lives. Efforts to increase patients' self-management must focus on the micro-environment of the patient-provider interaction where the treatment decisions are made, as well as the macro-environment of the family and community where a healthy lifestyle must be implemented and maintained. The goal of this 5-year Mentored Research Scientist Development award is to enable the applicant to obtain the necessary skills and training to become an independent health services investigator in improving diabetes self-management by focusing on the interaction between the patient-provider relationship and the patient's informal support network. This career development award will consist of coursework, mentorship, and supervised investigations focusing on 1) describing the social environment of a sample of ethnically/ racially diverse patients with type 2 diabetes, 2) investigating the affect of patients' social environment on a high quality clinical intervention designed to improve treatment adherence and outcomes in diabetes, and modified to be effective among limited-English proficient minority patients; and 3) examining the marital relationship as a unique source of influence and support of patients' self-management. This career development award will allow Dr. Sorkin to aquire additional research skills and experience under the mentorship of nationally and internationally known researchers in a supportive academic environment. Completing these three objectives will enhance her ability to conduct patient-centered research and to achieve her goal of becoming an independent patient-oriented researcher in diabetes.

描述（由申请人提供）： Sorkin博士的长期目标是成为一个学术医学中心的独立研究员，在跨学科团队中工作，并制定和测试旨在提高糖尿病护理质量和糖尿病自我管理的干预措施和计划。尽管在提高糖尿病护理质量的努力方面急剧增加，但除非患者在日常生活情况下积极实施治疗方案，否则在技术上有能力和人道化的医疗护理没有任何技术能力和人道化的医疗服务。提高患者自我管理的努力必须集中于做出治疗决策的患者互动的微环境，以及必须实施和维护健康生活方式的家庭和社区的宏观环境。这项为期5年的指导研究科学家发展奖的目标是使申请人能够获得必要的技能和培训，以成为独立的健康服务研究者，以改善糖尿病的自我管理，通过关注患者提供者之间的相互作用与患者的非正式支持网络之间的相互作用。该职业发展奖将由课程工作，指导和监督调查组成，重点是1）描述2型糖尿病的种族/种族多样化患者的社会环境，2）研究患者的社会环境对高质量临床干预的影响，旨在改善糖尿病的治疗依从性和在糖尿病中的治疗依从性，并在糖尿病中改善，并在糖尿病中进行改善，并在有效的限量性限制效果上有效地有效地有效地有效地有效地熟练熟练的效果； 3）研究婚姻关系是对患者自我管理的影响和支持的独特来源。该职业发展奖将使Sorkin博士能够在支持性学术环境中的国家和国际知名研究人员的指导下提高更多的研究技能和经验。完成这三个目标将增强她进行以患者为中心的研究的能力，并实现成为糖尿病中独立的以患者为导向的研究人员的目标。