Community Web Health Portal for Diabetes Prevention

描述（由申请人提供）：美国的流行性肥胖正在推动2型糖尿病的流行。鉴于有大量人口患有或面临这些疾病的风险，迫切需要广泛的社区干预措施。虽然在糖尿病预防计划等试验中已经确定了预防糖尿病的生活方式干预措施的有效性，但在现实世界的社区中，改善饮食和身体活动模式从而预防糖尿病的干预措施的发展一直难以捉摸。基于行为矫正理论的网络计划和DPP的生活方式干预，为大型社区提供了具有成本效益的糖尿病预防策略。建议开发糖尿病预防和控制社区门户网站。该门户网站将采用创新的个性化障碍分析工具和奖励计划。拟议的计划，“营养导航在线边缘”，或“NnoLEDGE”，将用于社区联盟的减肥和糖尿病健康干预在其社区。具体目标是：（1）招募本地社区组织作为社区健康联盟参与;（2）发展一个综合社区健康网站，包括导航核心、障碍剖析器、社区工具箱和奖励系统;以及（3）最终评估系统，评估参与者对使用NnoLEDGE作为体重控制和糖尿病预防工具的态度和看法，以确定可行性这种技术还有望带来经济利益，特别是能够通过收费和财政奖励为居民和社区组织的参与提供持续的支持。NnoLEDGE计划在第一阶段成功试点后，将进入第二阶段测试，最终目的是验证一个有利于广泛复制和传播的计划。这条调查线承诺制定一个计划，将新的财务机会与2010年健康人领先健康指标的进展相结合。

DESCRIPTION (provided by applicant): Epidemic obesity in the US is driving an epidemic in type 2 diabetes. Given the enormous populations with or at risk for these conditions, far-reaching community interventions are urgently needed. While the efficacy of lifestyle interventions for diabetes prevention has been established in such trials as the Diabetes Prevention Program, the development of interventions to improve dietary and physical activity patterns and thereby prevent diabetes in real-world communities has been elusive. A web-based program predicated on behavior modification theory, and the lifestyle intervention of the DPP, offers large communities cost-effective access to diabetes prevention strategies. Proposed is the development of a diabetes prevention and control community web portal. The portal will feature an innovative personalized impediment profiling tool and reward program. The proposed program, "Nutrition Navigation on-Line Edge," or "NnoLEDGE", will be used by community consortiums for weight loss and diabetic health interventions within their communities. The Specific Aims are: (1) the recruitment of local community organizations to participate as a community health consortium; (2) the development of a comprehensive community health web portal consisting of a navigation core, impediment profiler, community toolbox, and rewards system; and (3) final evaluation of the system with regard to participants attitudes and perceptions of using NnoLEDGE as a tool for weight control and diabetes prevention to determine feasibility. Such technology also offers the promise of financial benefits, specifically the ability to provide ongoing support through fees and financial incentives for residents and community organizations to participate. Successfully piloted in Phase I, the NnoLEDGE program would then progress to Phase II testing, with the ultimate intent of validating a program conducive to widespread replication and dissemination. This line of inquiry promises to develop a program that blends new financial opportunities with progress toward leading health indicators of Healthy People 2010.