Community Web Health Portal for Diabetes Prevention

描述(由申请者提供)：美国流行的肥胖症正在推动2型糖尿病的流行。鉴于患有这些疾病或面临这些疾病风险的大量人口，迫切需要意义深远的社区干预。虽然生活方式干预预防糖尿病的有效性已经在糖尿病预防计划等试验中得到证实，但在现实世界的社区中，改善饮食和体力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。一个以行为矫正理论为基础的网络项目，以及DPP的生活方式干预，为大型社区提供了经济高效的糖尿病预防策略。建议开发一个糖尿病防治社区门户网站。该门户将以创新的个性化障碍分析工具和奖励计划为特色。提议的计划，“营养导航在线边缘”，或“NnoLEDGE”，将被社区财团用于其社区内的减肥和糖尿病健康干预。具体目标是：(1)招募当地社区组织作为社区健康联盟参与；(2)开发一个综合的社区健康网络门户，包括导航核心、障碍分析、社区工具箱和奖励系统；(3)对该系统的参与者使用NnoLEDGE作为控制体重和预防糖尿病的工具的态度和看法进行最终评估，以确定可行性。这种技术还提供了经济利益的承诺，特别是能够通过收费和财政激励为居民和社区组织参与提供持续的支持。NnoLEDGE计划在第一阶段成功试行，然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。这条调查路线承诺制定一项计划，将新的金融机会与2010年健康人群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.