Making the Connection: Understanding the dynamic social connections impacting type 2 diabetes management among Black/African American men

项目总结 这项研究旨在解决疾病自我管理率低得令人震惊的问题 在目前不成比例的慢性病中，特别是2型糖尿病(T2D)，由黑人/非洲人承担 美国男性。黑人/非裔美国男性在可预防的情况下死亡率最高 部分原因是卫生保健利用率低。遵循社会生态模型，理解 影响T2D自我管理的社会影响和社会网络。加强关系和 创建行为强化环改善了T2D自我管理和应对等社会措施 和自我效能感。更广泛的社交网络在慢性病管理中发挥着重要作用，但仍存在差距 保留在有关识别这些网络的文献中，并了解这些网络如何 随着时间的推移而进化，特别是在黑人/非裔美国男性中。因此，迫切需要确定 与黑人/非洲人之间的T2D自我管理和支持相关的社交网络方面 美国男性。这些关于人际、社区和社会影响的新知识 社会文化环境可以导致发展新的、有效的策略来提高T2D自我 黑人/非裔美国男性的管理遵从性和健康结果。 我们的长期目标是开发与文化和社会相关的二元关系干预点 改善黑人/非裔美国男性的T2D自我管理能力。我们在这方面的总体目标 应用程序是建立与健康自我管理实践相关的社交网络方面 描述了它们的形成和演化。为了实现这些目标，我们将使用融合混合 使用社交网络分析确定社交网络的重要方面的方法 并进行深入的定性访谈。首先，我们将招募具有全国代表性的1200名黑人/非洲人样本 使用Qualtrics研究小组确定患有T2D的美国男性与T2D之间的显著关联 管理他们的社会关系。接下来，来自全国的65名黑人/非裔美国男性组成的队列 样本将被要求参与关于他们的社交网络的纵向定性访谈，其中 随访6个月和1年。这个项目的基本原理是确定一个人的方面 促进自我管理的网络将为改善T2D的干预研究提供基础 在健康差距较大的人群中进行自我管理。为了达到我们的长期目标和目标， 将追求以下具体目标：1)确定选定领域内二元关系的具体方面 (家人、朋友、邻居、教堂、其他)在与T2D相关的黑人/非裔美国男性社交网络中 自我管理坚持；2)表征导致以下结果的二元关系的形成和演变 改善了黑人/非裔美国男性对T2D自我维持策略的坚持。

PROJECT SUMMARY This study is designed to address the alarmingly low rate of disease self-management that has resulted in the current disproportionate chronic illness, specifically type 2 diabetes (T2D), burden borne by Black/African American males. Black/African American males have the highest mortality rates from preventable conditions due, in part, to a low rate of health care utilization. Following the social ecological model, it is vital to understand the social influences and social networks that impact T2D self-management. Strengthening relationships and creating behavior reinforcement loops has improved T2D self-management and social measures such as coping and self-efficacy. Broader social networks play a significant role in chronic disease management, yet a gap remains in the literature regarding the identification of these networks, and understanding how these networks evolve over time, specifically among Black/African American males. Therefore, there is a critical need to identify the aspects of social networks that are associated with T2D self-management and support among Black/African American males. Such newfound knowledge about the influence of interpersonal, community, and societal sociocultural environments can result in the development of novel, effective strategies to improve T2D self- management compliance and health outcomes in Black/African American males. Our long-term goal is to develop culturally- and socially-relevant dyadic relationship intervention points to improve T2D self-management among Black/African American men with T2D. Our overall objectives in this application are to establish the aspects of social networks related to healthy self-management practices as well as characterize their formation and evolution. To accomplish these objectives, we will use a convergent mixed methods approach to determine significant aspects of social networks identified by using social network analysis and in-depth qualitative interviews. First, we will recruit a nationally representative sample of 1,200 Black/African American males with T2D using Qualtrics research panels to determine significant associations between T2D management their social relationships. Next, a cohort of 65 Black/African American males from the national sample will be asked to participate in longitudinal qualitative interviewing regarding their social networks with two follow-ups at six months and one year. The rationale for this project is that determining the aspects of one’s network that promotes self-management will provide the groundwork for intervention studies to improve T2D self-management within a population with health disparities. To achieve our long-term goal and objectives, the following specific aims will be pursued: 1) Identify specific aspects of dyadic relationships within select domains (family, friends, neighbors, church, other) among Black/African American male social networks related to T2D self-management adherence; 2) Characterize the formation and evolution of dyadic relationships that result in improved T2D self-maintenance strategy adherence among Black/African American males.