Partnership for a Hispanic Diabetes Prevention Program

西班牙裔糖尿病预防计划的合作伙伴关系

• 批准号: 7779506
• 负责人: BETI THOMPSON
• 金额: $ 55.06万
• 依托单位: FRED HUTCHINSON CANCER RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2013-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7779506
• 关键词: Address; Affect; Awareness; Belief; Collaborations; Communities; Data; Data Collection; Development; Diabetes Mellitus; Eating Behavior; Education; Educational Intervention; Evaluation; Family history of; Family member; Fred Hutchinson Cancer Research Center; Friends; Funding; Goals; Grant; Health; Health Educators; Health education; Hispanics; Home environment; Individual; Institution; Insurance; Intervention; Intervention Studies; Knowledge; Laboratories; Non-Insulin-Dependent Diabetes Mellitus; Not Hispanic or Latino; Pesticides; Phase; Physical activity; Pilot Projects; Population; Prediabetes syndrome; Prevention; Process; Questionnaires; Randomized; Relative (related person); Research; Research Activity; Research Infrastructure; Research Personnel; Research Project Grants; Solutions; Testing; Time; Training; Treatment Efficacy; United States; Washington; Work; base; cancer education; community based participatory research; community organizations; cultural values; diabetes education; diabetes management; diabetes prevention program; diabetic; efficacy testing; experience; health disparity; high risk; interest; low socioeconomic status; member; primary outcome; rural area; secondary outcome; success

DESCRIPTION (provided by applicant): Hispanics are underserved and less likely to take advantage of health education activities than their non-Hispanic White counterparts. We propose to continue the work we have done with community partners in a community-based participatory research (CBPR) project to reduce the diabetes health disparities experienced by Hispanics in a rural area. Our Community Advisory Board (CAB) has worked closely with the research institution (FHCRC) to plan and implement a pilot project on diabetes. Early in the project, the CAB funded small community-initiated research projects to identify the best pilot project that was feasible for this study. It has assisted in developing an evaluation plan, both for the pilot project, and for the CBPR aspect of the study. The CAB has worked diligently on preparing the project for this intervention research phase, where it plans to conduct a larger, randomized study to test the intervention. Toward that end, the specific aim of this proposal is to test the efficacy of an intervention to educate diabetics and pre-diabetics about the management of diabetes. In this project, we will continue our CBPR project with the Lower Yakima Valley of Washington. We will work closely with our CAB to test an intervention where Hispanic individuals with diabetes or pre-diabetes receive in-home intervention for managing their diabetes with their family members and/or relatives and friends. Diabetes information will be delivered through "home health parties," guided discussions in the individual's home. A trained promotora, or lay health educator, is invited to go into the home and present a four-session guided discussion on diabetes. The discussion is facilitated by sets of flip charts that were developed and revised in the planning phase of this grant. Individuals in the the study are given a baseline questionnaire on diabetes factors, eating behavior, physical activity, family history, and sociodemographic factors, then randomized to receive an immediate intervention, or are waitlisted to receive an intervention three months hence; this delayed intervention serves as control. The primary outcome of the intervention is changes in A1c levels three months after randomization. A secondary outcome is change in knowledge of diabetes. A process evaluation will be conducted to ascertain fidelity of the intervention. An evaluation of the CBPR process will also be conducted at two points throughout the trial: midway through intervention and at the end of data collection.

描述（由申请人提供）：与非西班牙裔白人相比，西班牙裔获得的服务不足，并且不太可能利用健康教育活动。我们建议继续与社区合作伙伴在基于社区的参与性研究 (CBPR) 项目中开展的工作，以减少农村地区西班牙裔人的糖尿病健康差异。我们的社区咨询委员会 (CAB) 与研究机构 (FHCRC) 密切合作，规划和实施糖尿病试点项目。在项目早期，CAB 资助了小型社区发起的研究项目，以确定对本研究可行的最佳试点项目。它协助制定了试点项目和研究的 CBPR 方面的评估计划。 CAB 一直在努力为这一干预研究阶段的项目做准备，并计划进行一项更大规模的随机研究来测试干预措施。为此，该提案的具体目的是测试对糖尿病患者和糖尿病前期患者进行糖尿病管理教育的干预措施的有效性。在这个项目中，我们将继续与华盛顿下亚基马谷进行 CBPR 项目。我们将与 CAB 密切合作，测试一项干预措施，让西班牙裔糖尿病患者或糖尿病前期患者接受家庭干预，与家人和/或亲戚和朋友一起控制糖尿病。糖尿病信息将通过“家庭健康聚会”提供，即在个人家中进行指导性讨论。受过训练的宣传员（即非专业健康教育者）受邀进入家中，进行一场关于糖尿病的四场指导性讨论。在这笔赠款的规划阶段制定和修订的几套活动挂图促进了讨论。研究中的个体会收到一份关于糖尿病因素、饮食行为、体力活动、家族史和社会人口因素的基线调查问卷，然后随机接受立即干预，或者被列入候补名单以在三个月后接受干预；这种延迟的干预起到了控制作用。干预的主要结果是随机分组后三个月 A1c 水平的变化。次要结果是糖尿病知识的改变。将进行过程评估以确定干预的保真度。 CBPR 流程的评估还将在整个试验过程中的两个时间点进行：干预中途和数据收集结束时。