Computer Assisted Support for Underserved Diabetics

1600万美国人患有糖尿病。西班牙裔成年人的糖尿病患病率尤其高。帮助患者控制糖尿病可以减少并发症，提高生活质量，降低护理成本。营养和运动达到健康的体重是糖尿病管理的关键行为干预。然而，以诊所为基础的体重管理项目价格低廉，难以在人群基础上实施，并且通常不能满足医疗服务不足的西班牙裔人口的独特需求。本提案的目标是开发一种实用且易于交付的体重管理干预措施，以解决低收入西班牙裔糖尿病患者的特殊需求。干预将利用基于计算机的软件程序来定制干预，以满足每个患者的独特需求。以证据为基础的行为模型有望帮助个人做出改变，更好地管理体重，这些模型将得到应用。该系统设计用于在基于临床的个人电脑上操作，并将为患者提供个性化评估和定制的实时反馈报告，以及护理人员报告，概述患者改善的关键领域，并为从业人员提供咨询建议。在第一阶段，我们将开发软件程序，并在一组受试者（N=50）中使用前后设计评估系统的可接受性。建议的商业应用：有效的低成本基于人群的体重管理干预措施提供了重要的生活质量和经济效益。医疗服务提供者正越来越多地寻找以更低成本提供高质量护理的方法，尤其是对慢性病患者。社区卫生中心、医院和mco都有很大的动机来更好地管理护理成本。该系统旨在以低成本生产，并应在目前参与资本化医疗的1,000多个卫生保健组织中拥有重要的商业市场。

Sixteen million Americans suffer from diabetes. Prevalence of diabetes is especially high among Hispanic adults. Helping patients control their diabetes can decrease complications, improve quality of life, and decrease costs of care. Nutrition and exercise to achieve a healthy weight are key behavioral interventions in diabetes management. However, clinic-based weight management programs are inexpensive, difficult to deliver on a population-basis and are not typically structured to meet the unique needs of medically underserved Hispanic populations. The goal of this proposal is to develop a practical and easily delivered intervention for weight management to address the special needs of low-income Hispanic diabetics. The intervention will utilize a computer-based software program tp tailor the intervention to the unique needs of each patient. Evidence-based behavioral models that hold promise for helping individuals make changes to better manage body weight will be applied. This system is designed to operate on clinic-based personal computers and will providing individual assessment and tailored, real-time and feedback reports to patients and caregiver reports outlining key areas for patient improvement and counseling suggestions for practitioners. In Phase I we will develop the software program and evaluate system acceptability using a pre-post design in a single group of subjects (N=50). PROPOSED COMMERCIAL APPLICATIONS: Effective low-cost population based weight management interventions provide important quality of life and financial benefits. Medical providers are increasingly looking for ways to provide high quality care at lower costs-especially for patients with chronic diseases. Community health centers, hospitals and MCOs, have significant incentives to better manage the costs of care. This system is designed to be produced at a low cost and should have a significant commercial market among the 1,000+ health care organizations now participating in capitated care.