UNDERSTANDING BARRIERS TO EFFECTIVE CONTROL OF DIABETES IN NAVAJOS

目的：评估护理障碍，以及可接受性和有效性 纳瓦霍斯糖尿病患者的现有和拟议干预措施 希普罗克地区。尽管有关于糖尿病控制和 几种干预措施的可获得性，糖尿病的情况很差 对许多患者进行了控制。这项研究的目标是评估 糖尿病患者的需求，目的是从文化上提出 可接受的、当地可行的干预措施。 方法：本项目将涉及定性和定量相结合的方法。 数量化方法。定性方法，包括焦点小组和 人种学访谈，将允许纳瓦霍糖尿病患者定义 需要研究的问题，包括有效管理的障碍和 并发症的预防，如何定义成功的干预措施，以及 干预措施的显著要素是什么。量化 技术将包括对更大一组患者进行调查，以评估 已确定的人口内部障碍的规模和影响 糖尿病患者的样本。最后，病历审查将允许 客观地评估个别患者的 控制他们的疾病的发展。 学生参与：学生将获得研究设计和研究的技能 科学方法，抽样方法，从病历中提取， 问卷的构建、访谈技巧、流行病学和 统计，以及构建和评估医疗和行为 干预措施。学生将了解疾病的并发症 与遗传成分、环境因素和 健康的行为和医学方面。

OBJECTIVE: To assess barriers to care, and acceptability and utility of existing and proposed interventions for Navajos with diabetes in the Shiprock area. Despite the information about control of diabetes and the availability of several types of interventions, diabetes is poorly controlled for many patients. The goal of this research is to assess the needs of the patients with diabetes, with the aim of proposing culturally acceptable, locally feasible interventions. METHODS: This project will involve the integration of qualitative and quantitative methods. Qualitative methods, including focus groups and ethnographic interviews, will permit Navajo diabetic patients to define the problems to research, including barriers to effective management and prevention of complications, how a successful intervention is defined, and what the salient elements of the interventions are. Quantitative techniques will include a survey of a larger group of patients to assess the magnitude and impact of the identified barriers within the population of diabetic patients sampled. Finally, medical record review will permit objective assessment of the degree to which individual patients are managing the progression of their disease. STUDENT INVOLVEMENT: Students will gain skill in research design and scientific method, sampling methodology, abstracting from medical records, construction of questionnaires, interviewing skills, epidemiology and statistics, and construction and evaluation of medical and behavioral interventions. Students will learn about the complications of diseases with genetic components, environmental factors and interactions between behavioral and medical aspects of health.