Computer Assisted Support to Reduce Risks of Diabetes

描述（由申请人提供）：美国大约8%的成年人患有2型糖尿病。治疗可以预防一些严重的并发症，但通常不能恢复正常的血糖或消除不良后果。因此，预防是可取的。两项大型对照试验的证据表明，通过生活方式干预，2型糖尿病可以得到延缓，甚至可能得到预防。营养和运动达到健康的体重是预防糖尿病的关键行为干预措施。然而，以诊所为基础的体重管理项目是昂贵的，难以在人口基础上交付，并且通常不能满足医疗服务不足和西班牙裔人口的独特需求。（西班牙裔成年人的糖尿病患病率尤其高）。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，以帮助服务不足的有糖尿病风险的患者。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。该系统被设计为在基于临床的个人电脑上运行，并将为患者提供个性化评估和定制的实时反馈报告，以及医生报告，概述患者改善的关键领域，并为从业者提供咨询建议。在第一阶段，我们将开发软件程序，并在一组受试者（N=50）中评估系统的可接受性。

DESCRIPTION (provided by applicant): Approximately 8% of adults in the U.S. suffer from type 2 diabetes. Treatment prevents some of its devastating complications, but does not usually restore normal glycemia or eliminate adverse consequences. Hence, prevention is preferable. Evidence from two large, well-controlled trials indicates that type 2 diabetes can be delayed, and possibly prevented, through lifestyle interventions. Nutrition and exercise to achieve a healthy weight are key behavioral interventions in preventing diabetes. 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 and Hispanic populations. (Prevalence of diabetes is especially high among Hispanic adults). The goal of this proposal is to develop a practical and easily delivered intervention for weight management to assist underserved patients with a risk for diabetes. 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 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 in a single group of subjects (N=50).