Using Social Ties To Reduce Disparities: The Coached Care For Diabetes Program

描述(由申请人提供)： 索尔金博士的长期目标是成为学术医学中心的一名独立研究员，在一个跨学科团队中工作，开发和测试旨在改善糖尿病护理质量和糖尿病自我管理的干预措施和计划。尽管提高糖尿病护理质量的努力大大增加，但如果患者不根据日常生活的情况积极实施治疗方案，再多的技术能力和人性化的医疗护理也不会导致对糖尿病的有效管理。加强患者自我管理的努力必须侧重于作出治疗决定的患者-提供者互动的微观环境，以及必须实施和维持健康生活方式的家庭和社区的宏观环境。这个为期5年的指导研究科学家发展奖的目标是使申请者能够获得必要的技能和培训，通过关注患者-提供者关系和患者的非正式支持网络之间的互动，成为改善糖尿病自我管理的独立健康服务调查员。这一职业发展奖将包括课程、指导和有监督的调查，重点是1)描述种族/种族多样化的2型糖尿病患者样本的社会环境，2)调查患者的社会环境对高质量临床干预的影响，该干预旨在改善糖尿病患者的治疗依从性和结果，并修改为对有限的英语熟练的少数族裔患者有效；以及3)检查婚姻关系作为影响和支持患者自我管理的独特来源。这一职业发展奖将使索尔金博士能够在国内和国际知名研究人员的指导下，在支持性的学术环境中获得更多的研究技能和经验。完成这三个目标将增强她进行以患者为中心的研究的能力，并实现她成为一名独立的以患者为中心的糖尿病研究人员的目标。

DESCRIPTION (provided by applicant): Dr. Sorkin's long term goal is to become an independent investigator in an academic medical center, working within an interdisciplinary team and developing and testing interventions and programs designed to improve diabetes quality of care and the self-management of diabetes. Despite a dramatic increase in efforts to improve the quality of diabetes care, no amount of technically competent and humanely delivered medical care will lead to the effective management of diabetes unless patients actively implement treatment regimens in the circumstances of their daily lives. Efforts to increase patients' self-management must focus on the micro-environment of the patient-provider interaction where the treatment decisions are made, as well as the macro-environment of the family and community where a healthy lifestyle must be implemented and maintained. The goal of this 5-year Mentored Research Scientist Development award is to enable the applicant to obtain the necessary skills and training to become an independent health services investigator in improving diabetes self-management by focusing on the interaction between the patient-provider relationship and the patient's informal support network. This career development award will consist of coursework, mentorship, and supervised investigations focusing on 1) describing the social environment of a sample of ethnically/ racially diverse patients with type 2 diabetes, 2) investigating the affect of patients' social environment on a high quality clinical intervention designed to improve treatment adherence and outcomes in diabetes, and modified to be effective among limited-English proficient minority patients; and 3) examining the marital relationship as a unique source of influence and support of patients' self-management. This career development award will allow Dr. Sorkin to aquire additional research skills and experience under the mentorship of nationally and internationally known researchers in a supportive academic environment. Completing these three objectives will enhance her ability to conduct patient-centered research and to achieve her goal of becoming an independent patient-oriented researcher in diabetes.