Computer Assisted Support For Underserved Diabetics

描述(申请人提供)：1600万美国人患有糖尿病。在西班牙裔成年人中，糖尿病的患病率尤其高。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。营养和运动以达到健康的体重是糖尿病管理中的关键行为干预措施。然而，以诊所为基础的体重管理计划昂贵，难以按人口提供，而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。这项提案的目标是测试一种实用且易于实施的体重管理干预措施，以帮助服务不足的西班牙裔糖尿病患者。干预将利用基于计算机的软件程序来为每个患者的独特需求量身定做干预。基于证据的行为模型将被应用，这些模型有望帮助个人做出改变，更好地管理体重。该系统设计为在诊所的个人计算机上运行，将向患者提供个人评估和量身定制的实时反馈报告，以及概述患者改善关键领域的医生/医疗保健提供者报告，并为从业者提供咨询建议。在第二阶段，我们将使用随机设计来测试这种治疗方法，比较测试和控制条件，样本为306名身体质量指数(BMI)大于25的西语裔糖尿病患者，这些患者在医疗上得不到充分的服务。该干预系统有望改善测试人群中的血糖控制和体重管理，其速度高于对照人群。

DESCRIPTION (provided by applicant): 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 expensive, 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 test a practical and easily delivered intervention for weight management to assist underserved Hispanic diabetics. The intervention will utilize a computer-based software program to 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 provide individual assessment and tailored, real-time and feedback reports to patients and physician/healthcare provider reports outlining key areas for patient improvement and counseling suggestions for practitioners. In Phase II, we will test this treatment approach using a randomized design comparing TEST and CONTROL conditions with a sample of 306 medically under-served Hispanic diabetics with a body-mass-index (BMI) greater than 25. The intervention system is expected to improve glucose control and weight management in the TEST population at a rate greater than the CONTROL population.