A diabetes networking tool to enhance self-management through social networks

一种通过社交网络增强自我管理的糖尿病网络工具

• 批准号: 8870861
• 负责人: PAMELA J SURKAN
• 金额: $ 26.46万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-01 至 2017-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8870861
• 关键词: Adoption; Adult; Affect; African American; Area; Attention; Baltimore; Behavior; Behavior Therapy; Behavioral; Behavioral Sciences; Blood Glucose; Cellular Phone; Cities; Clinical; Communication; Communities; Community Networks; Consumption; Data; Diabetes Mellitus; Diet; Diet Habits; Diffuse; Disease; Eating; Enhancers; Environment; Event; Family; Family member; Food; Fostering; Frequencies; Friends; Health; Health Fairs; Health Food; Health Technology; Healthcare; Household; Household and Family; Individual; Intake; Learning; Life; Literature; Location; Low income; Measures; Methods; Modeling; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Patient Education; Patients; Pattern; Persons; Population; Positive Reinforcements; Preparation; Process; Psychological reinforcement; Public Health; Recipe; Recommendation; Research; Research Project Grants; Resources; Sampling; Seeds; Self Care; Self Management; Social Environment; Social Network; Social Reinforcement; Social support; Structure; Support System; Technology; Testing; Time; Translating; base; behavior change; behavior in diabetes management; cooking; design; diabetes management; expectation; experience; frontier; fruits and vegetables; health application; high risk; improved; innovation; mHealth; member; new technology; peer networks; prototype; public health relevance; skills; social; social cognitive theory; socioeconomics; success; sugar; technological innovation; tool; tool development; user centered design

 DESCRIPTION (provided by applicant): We propose to develop a Diabetes Networking Tool (DNT), a mobile health (mHealth) application that enhances Type II diabetes patients' ability to self-manage and avoid disease complications by bolstering family, household, and community-based social support mechanisms. Type II Diabetes Mellitus (T2D) is a serious and growing public health problem that disproportionately affects African Americans. Research indicates that social networks can support individuals with T2D, especially in low-income African American (AA) communities. Family and community relationships influence an individual's ability to make successful diabetes-related behavior change, and thus the success of self-management, by providing positive reinforcement and sharing localized skills for maintaining healthy eating habits. DNT leverages these resources to create a smart-phone app that supports diabetes management communications within a specific micro- network (including household and family members and close friends), and community. The micro-network provides support for diabetes management behaviors in the context of that specific family/household, via private sharing of information such as healthy eating and food shopping tips as well as positive social reinforcement. The community network, using geo-fencing technology, allows location-specific information (e.g. about local food stores and health fairs) to be posted and shared. This exploratory research project focuses on three questions: 1) How can DNT, an mHealth technology application, be designed to enhance and facilitate social relationship-based support processes for T2D self-management related to food choice and diet among AAs? 2) What factors related to feasibility and cultural appropriateness affect DNT adoption and usage among AA with T2D? 3) What effect does DNT have on self-management as measured by clinical self-management outcomes: frequency of blood-glucose testing, reducing carb/sugar intake, and eating two or more servings of fruit/vegetables? Our team brings a unique combination of leaders and experts in user-centered design, social computing, mHealth, T2D, and behavioral science research. The project aims, corresponding to research questions, are to : 1) develop an initial DNT prototype, using a participatory design process; 2) introduce DNT to users in representative low-income African American communities and assess introduction and usage processes; and 3) conduct initial assessment of DNT usage in terms of changes in clinically defined T2D self- management outcomes. The proposed project is innovative in developing a locally and culturally-tailored mHealth application that enhances natural support systems to promote T2D management in a high risk AA population. The technology created for this application is general and easily applied other local communities. This project will help to improve diabetes-related behavioral interventions by increasing our understanding of how an augmented social support system affects diabetes management and potentially reduces disease complications.

 描述（由应用程序提供）：我们建议开发一种糖尿病网络工具（DNT），这是一种移动健康（MHealth）应用，可增强II型糖尿病患者自我管理能力并通过增强基于家庭，家庭和社区社会支持机制来避免疾病并发症的能力。 II型糖尿病（T2D）是一个严重且日益严重的公共卫生问题，对非裔美国人的影响不成比例。研究表明，社交网络可以支持具有T2D的人，尤其是在低收入的非裔美国人（AA）社区中。家庭和社区关系会通过提供积极的强化和共享局部技能来维持健康的饮食习惯，从而影响个人成功进行与糖尿病有关的行为变化，从而实现自我管理的成功能力。 DNT利用这些资源来创建一个智能手机应用程序，该应用支持特定的微型网络（包括家庭和家人以及亲密朋友）和社区中的糖尿病管理通信。在特定家庭/家庭的背景下，微型网络通过私人共享健康饮食和食品购物技巧以及积极的社会增强措施，为糖尿病管理行为提供了支持。使用地理障碍技术的社区网络允许发布和共享特定于位置的信息（例如有关当地食品商店和健康博览会）。该探索性研究项目的重点是三个问题：1）MHealth技术应用DNT如何旨在增强和促进基于社会关系的支持过程，用于与AAS中的食物选择和饮食有关的T2D自我管理？ 2）与可行性和文化适当性有关的哪些因素会影响T2D AA的采用和使用？ 3）DNT对通过临床自我管理结果衡量的自我管理有什么影响：血葡萄糖测试的频率，减少碳水化合物/糖的摄入量以及吃两份或更多份水果/蔬菜？我们的团队带来了以用户为中心的设计，社交计算，MHealth，T2D和行为科学研究的领导者和专家的独特组合。与研究问题相对应的项目的目标是：1）使用参与设计过程开发初始的DNT原型； 2）将DNT介绍给代表性低收入非裔美国社区的用户以及评估介绍和使用过程； 3）根据临床定义的T2D自我管理结果的变化，对DNT使用的初步评估。拟议的项目在开发本地和文化定制的MHealth应用程序方面具有创新性，该应用程序增强了自然支持系统，以促进高风险AA人群中的T2D管理。为此应用程序创建的技术是一般的，并且很容易应用其他当地社区。该项目将通过增加对增强社会支持系统如何影响糖尿病管理并可能减少疾病并发症的理解来帮助改善与糖尿病相关的行为干预措施。