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（由申请人提供）：我们建议开发糖尿病网络工具（DNT），这是一种移动健康（mHealth）应用程序，通过支持家庭、家庭和社区的社会支持机制，增强 II 型糖尿病患者自我管理和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，对非裔美国人影响尤为严重。研究表明，社交网络可以为 T2D 患者提供支持，尤其是在低收入非裔美国人 (AA) 社区。家庭和社区关系通过提供积极强化和分享维持健康饮食习惯的本地技能，影响个人成功改变糖尿病相关行为的能力，从而影响自我管理的成功。 DNT 利用这些资源创建一个智能手机应用程序，支持特定微网络（包括家庭成员和亲密朋友）和社区内的糖尿病管理通信。该微网络通过私下共享健康饮食和食品购物技巧等信息以及积极的社会强化，为特定家庭/家庭的糖尿病管理行为提供支持。社区网络使用地理围栏技术，允许发布和共享特定位置的信息（例如有关当地食品店和健康博览会的信息）。该探索性研究项目重点关注三个问题：1）如何设计 DNT（一种移动医疗技术应用）来增强和促进基于社会关系的支持流程，以实现 AA 中与食物选择和饮食相关的 T2D 自我管理？ 2) 与可行性和文化适宜性相关的哪些因素会影响 T2D AA 中 DNT 的采用和使用？ 3) 根据临床自我管理结果衡量，DNT 对自我管理有什么影响：血糖测试频率、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？我们的团队汇集了以用户为中心的设计、社交计算、移动医疗、T2D 和行为科学研究领域的领导者和专家。该项目的目标与研究问题相对应，是：1）使用参与式设计流程开发初始 DNT 原型； 2) 向具有代表性的低收入非裔美国人社区的用户介绍 DNT，并评估介绍和使用流程； 3) 根据临床定义的 T2D 自我管理结果的变化对 DNT 的使用进行初步评估。拟议项目在开发适合当地和文化的移动医疗应用程序方面具有创新性，该应用程序可增强自然支持系统，以促进高风险 AA 人群的 T2D 管理。为此应用程序创建的技术是通用的，并且很容易应用于其他当地社区。该项目将通过增加我们对增强的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了解，帮助改善与糖尿病相关的行为干预。