A Family-Dyad-focused Diabetes Self-Management Intervention for African American Adults with Type 2 Diabetes

针对患有 2 型糖尿病的非裔美国成人以家庭为中心的糖尿病自我管理干预措施

基本信息

  • 批准号:
    10585454
  • 负责人:
  • 金额:
    $ 31.5万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2023
  • 资助国家:
    美国
  • 起止时间:
    2023-02-01 至 2026-01-31
  • 项目状态:
    未结题

项目摘要

Project Summary/Abstract African Americans (AAs) with Type 2 diabetes (T2D) have worse glycemic control and a 50% higher mortality rate of diabetes compared to non-Hispanic Whites (NHWs). AAs with T2D have 3.2 times more hospital admissions for uncontrolled diabetes compared to NHWs. Multiple, intertwined factors at the individual, interpersonal, community, societal, and healthcare system levels contribute to lower adherence to diabetes self- management, greater difficulty achieving glycemic control, and higher rates of microvascular and macrovascular complications. The NIH Science of Behavior Change identifies interpersonal and social processes as one of the three key mechanisms for behavior change, providing greater support for this strategy. Family is a critical social context in which interdependence, collectivism, and extended family network is central to their way of life among AAs. Indeed, focusing on the individual-level demonstrated only limited improvements in glycemic control for AAs with T2D. Thus, effective multi-level interventions that promote adherence to diabetes self-management in this vulnerable population are sorely needed. Our proposed phase I/II randomized controlled trial will not only improve glycemic control for participants with T2D, but also engage family members in physical activity and healthy eating strategies. The specific aims are: 1. to examine the feasibility and acceptability of a family-dyad- focused diabetes intervention in AA adults with T2D and their designated family members; 2. to examine the preliminary efficacy of the family-dyad-focused diabetes self-management intervention compared to a waitlist control arm on: (1) glycemic control (hemoglobin A1c) and health-related quality of life (HRQOL) (primary outcomes); and (2) blood pressure control (secondary outcome) in participants with T2D; and 3. to explore the dyadic relationship (quality and support) and its association with a) changes in dyadic stress, physical activity and dietary intake, and b) health outcomes (glycemic control, HRQOL and blood pressure control) over time in participants with T2D. We will conduct a two-arm RCT. We will enroll 104 AAs with T2D and one family member of each patient (104 dyads), randomized 1:1 to intervention or wait list control arm (n=52/arm). All participants will undergo the standard usual care held at the pharmacy clinic. Patient-family-member dyads in the intervention arm will receive 1) 14 session over 20 weeks of family dyad-focused, in-person group sessions on diabetes self- management and family support; 2) family dyad-focused support component in each group session; and 3) individual family feedback telephone sessions. All participants will be assessed at baseline, post-intervention and six months after intervention. Our goals of the intervention are to encourage participants to (1) daily self- manage diabetes and stress; (2) establish a healthy eating pattern reducing overall calorie and carbohydrate intake; (3) engage in brisk walking of 150 or more minutes a week; and (4) use solution-focused problem-solving strategy and supportive family communication skills. Our approach will add to the scientific knowledge and identify interpersonal and social mechanisms in adherence to diabetes self-management among AAs.
项目总结/文摘

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

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Jie Hu其他文献

Ultra-broadband asymmetric acoustic transmission in a straight open duct
直开式管道中的超宽带非对称声传输
  • DOI:
    10.35848/1882-0786/ab8d4a
  • 发表时间:
    2020-04
  • 期刊:
  • 影响因子:
    2.3
  • 作者:
    Jie Hu
  • 通讯作者:
    Jie Hu

Jie Hu的其他文献

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{{ truncateString('Jie Hu', 18)}}的其他基金

Community Engagement/Outreach Core
社区参与/外展核心
  • 批准号:
    8353873
  • 财政年份:
    2012
  • 资助金额:
    $ 31.5万
  • 项目类别:
A Family-Based Diabetes Intervention for Hispanic Adults in an Emerging Communit
针对新兴社区中西班牙裔成年人的基于家庭的糖尿病干预
  • 批准号:
    8353850
  • 财政年份:
    2012
  • 资助金额:
    $ 31.5万
  • 项目类别:
Community Engagement/Outreach Core
社区参与/外展核心
  • 批准号:
    8891960
  • 财政年份:
  • 资助金额:
    $ 31.5万
  • 项目类别:
A Family-Based Diabetes Intervention for Hispanic Adults in an Emerging Communit
针对新兴社区中西班牙裔成年人的基于家庭的糖尿病干预
  • 批准号:
    8551975
  • 财政年份:
  • 资助金额:
    $ 31.5万
  • 项目类别:
Community Engagement/Outreach Core
社区参与/外展核心
  • 批准号:
    8551980
  • 财政年份:
  • 资助金额:
    $ 31.5万
  • 项目类别:
A Family-Based Diabetes Intervention for Hispanic Adults in an Emerging Communit
针对新兴社区中西班牙裔成年人的基于家庭的糖尿病干预
  • 批准号:
    8656565
  • 财政年份:
  • 资助金额:
    $ 31.5万
  • 项目类别:
A Family-Based Diabetes Intervention for Hispanic Adults in an Emerging Communit
针对新兴社区中西班牙裔成年人的基于家庭的糖尿病干预
  • 批准号:
    8891955
  • 财政年份:
  • 资助金额:
    $ 31.5万
  • 项目类别:
Community Engagement/Outreach Core
社区参与/外展核心
  • 批准号:
    8656570
  • 财政年份:
  • 资助金额:
    $ 31.5万
  • 项目类别:

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