Diabetes Second Life: A virtual world to support an underserved population

糖尿病的第二人生：为服务不足的人群提供支持的虚拟世界

• 批准号: 7820293
• 负责人: LAURIE RUGGIERO
• 金额: $ 95.66万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7820293
• 关键词: Address; Adult; African American; Area; Behavior; Behavioral; Clinic; Clinic Visits; Clinical; Control Groups; Controlled Study; Data; Development; Diabetes Mellitus; Education; Enrollment; Environment; Epidemic; Evaluation; Feedback; Health Professional; Healthy People 2010; Individual; Internet; Intervention; Life; Low Income Population; Low income; Measurement; Measures; Mediator of activation protein; Medical; Minority; Minority Groups; Non-Insulin-Dependent Diabetes Mellitus; Nursing Faculty; Outcome; Participant; Pattern; Physicians; Population; Population Heterogeneity; Prevalence; Primary Health Care; Problem Solving; Public Health; Randomized Controlled Trials; Regimen; Reporting; Research; Research Personnel; Risk; Sampling; Self Care; Self Management; Series; Services; Surveys; Training; Training Support; Translations; Underserved Population; comparative effectiveness; cost; diabetic; effective intervention; effectiveness research; empowerment; experience; follow-up; glycemic control; health disparity; improved; multidisciplinary; novel strategies; patient oriented; programs; psychosocial; routine care; therapy design; virtual; virtual reality

DESCRIPTION (provided by applicant): This application addresses the following primary broad Challenge Areas and Specific Challenge Topics: Broad Challenge Area (05) Comparative Effectiveness Research (CER) and Specific Challenge Topic 05-LM-104 "Value of "Virtual Reality" Interaction in Improving Compliance with Diabetic Regimen. Diabetes, especially type 2, has been identified as an epidemic in the U. S. and is continuing to grow in prevalence. The burden of diabetes, including prevalence and risk of complications, is greater for low-income individuals and minority groups, especially African Americans. The Healthy People 2010 report notes that the burden of diabetes can be reduced through facilitating optimal self-management. The internet offers a new approach to reaching large populations with diabetes, while removing barriers often seen in underserved populations and managing costs. In particular, Second Life, the most frequently used virtual world environment, with 6.9 million registered users worldwide offers a unique opportunity for reaching people with diabetes. The purpose of this study is to develop, implement, and evaluate the feasibility, acceptability, and impact of a Second Life virtual reality intervention designed to provide diabetes self-management education, training, and support to facilitate optimal diabetes self- management in low-income African Americans with type 2 diabetes attending primary care clinics. This study will involve the development and evaluation of a Diabetes Second Life (DSL) intervention tailored for African American adults with type 2 diabetes. This intervention provides a series of interactive contextual experiences in a virtual world that will train them in basic diabetes self-care and problem solving mixed with intermittent educational interactions with multidisciplinary health care professionals and interactions with others with diabetes. Feasibility, acceptability, and parameters of use will be examined through the participants' interactions with the DSL intervention. Psychosocial, behavioral, and A1C outcomes will be examined across repeated measurements in a population of low income African American Adults receiving primary care services at a FQHC. If effective, this intervention has the potential to be easily expanded for other populations and to be easily implemented in other primary care clinics serving diverse populations. . Diabetes has been identified as an epidemic in the U. S. and the burden of diabetes, including prevalence and risk of complications, is greater for low-income individuals and minority groups, including African Americans. The Healthy People 2010 report notes that the burden of diabetes can be reduced through facilitating optimal self-management and the internet, especially virtual worlds, offers a new approach to reaching large populations with diabetes. This study will examine the impact of using Second Life to help educate and support underserved groups with diabetes.

描述（由申请人提供）：本申请涉及以下主要广泛挑战领域和特定挑战主题：广泛挑战领域 (05) 比较有效性研究 (CER) 和特定挑战主题 05-LM-104“虚拟现实”交互在提高糖尿病治疗依从性方面的价值。糖尿病，尤其是 2 型糖尿病，已被确定为美国的流行病，并且患病率正在持续增长。糖尿病的负担，包括 对于低收入个人和少数群体，尤其是非裔美国人，并发症的患病率和风险更大。 《2010 年健康人民》报告指出，通过促进最佳的自我管理可以减轻糖尿病的负担。互联网提供了一种接触大量糖尿病患者的新方法，同时消除了服务不足的人群中常见的障碍并管理成本。尤其是“第二人生”，使用频率最高的虚拟世界环境，拥有 690 万注册用户 全球范围内为接触糖尿病患者提供了独特的机会。本研究的目的是开发、实施和评估“第二人生”虚拟现实干预措施的可行性、可接受性和影响，该干预措施旨在提供糖尿病自我管理教育、培训和支持，以促进患有 2 型糖尿病的低收入非洲裔美国人在初级保健诊所进行最佳糖尿病自我管理。这项研究将涉及糖尿病第二项的开发和评估 专为患有 2 型糖尿病的非洲裔美国成年人量身定制的生活 (DSL) 干预措施。这种干预措施在虚拟世界中提供了一系列交互式情境体验，将训练他们进行基本的糖尿病自我护理和解决问题，以及与多学科医疗保健专业人员的间歇性教育互动以及与其他糖尿病患者的互动。可行性、可接受性和使用参数将通过参与者与 DSL 干预。将通过对在 FQHC 接受初级保健服务的低收入非裔美国成年人群体的重复测量来检查社会心理、行为和 A1C 结果。如果有效，这种干预措施有可能很容易扩展到其他人群，并可以在为不同人群提供服务的其他初级保健诊所中轻松实施。 。糖尿病在美国已被确定为一种流行病，并成为人们的负担 低收入个人和少数群体（包括非裔美国人）的糖尿病（包括并发症的患病率和风险）更高。 《健康人 2010》报告指出，通过促进最佳自我管理可以减轻糖尿病负担，而互联网，尤其是虚拟世界，为接触大量糖尿病患者提供了一种新方法。这项研究将探讨使用“第二人生”来帮助教育和支持服务不足的糖尿病群体的影响。

项目成果

Diabetes island: preliminary impact of a virtual world self-care educational intervention for african americans with type 2 diabetes.

糖尿病岛：虚拟世界自我护理教育干预对非裔美国人 2 型糖尿病的初步影响。

• DOI: 10.2196/games.3260
• 发表时间: 2014
• 期刊: JMIR serious games
• 影响因子: 4
• 作者: Ruggiero,Laurie;Moadsiri,Ada;Quinn,LaurettaT;Riley,BarthB;Danielson,KirstieK;Monahan,Colleen;Bangs,ValerieA;Gerber,BenS
• 通讯作者: Gerber,BenS