UNDERSTANDING BARRIERS TO EFFECTIVE CONTROL OF DIABETES IN NAVAJOS

目的：评估护理障碍，以及 现有的和拟议的干预措施， Shiprock区 尽管有关于控制糖尿病的信息， 虽然有几种类型的干预措施，但糖尿病患者 控制了许多患者。 这项研究的目的是评估 糖尿病患者的需求，目的是提出文化 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， 定量方法 定性方法，包括焦点小组和 民族志访谈，将允许纳瓦霍糖尿病患者定义 研究的问题，包括有效管理的障碍， 预防并发症，如何定义成功的干预，以及 干预措施的主要内容是什么。 定量 技术将包括一个更大的病人群体的调查，以评估 人口中已查明的障碍的程度和影响 的糖尿病患者样本。 最后，医疗记录审查将允许 客观评估个体患者的 控制疾病的发展 积极参与：学生将获得研究设计技能， 科学方法，抽样方法，从医疗记录中提取， 调查问卷的编制、访谈技巧、流行病学和 统计，以及医疗和行为的建设和评估 干预措施。 学生将了解疾病的并发症 遗传因素、环境因素以及 行为和医疗方面的健康。

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.