Leveraging Social Media to Improve Health Outcomes in Adolescents with Diabetes

项目总结/摘要 这份建议书描述了一个五年的研究培训计划，它将使我实现我的长期目标 成为一名独立的学院科学家，致力于提高医疗质量和患者健康， 青年糖尿病美国大多数1型糖尿病（T1 D）青少年患者 达到治疗的目的我建议开发工具，提供创新的糖尿病管理支持， 通过使用社交媒体（SM），在诊所环境之外的青少年中，并评估其可行性， 对T1 D青少年的可接受性。SM已经成为青少年生活中不可或缺的一部分，在这个时候， 缺乏高质量的实证研究调查SM在医疗保健环境中的使用。 鉴于需要有影响力的干预措施来支持青少年T1 D管理，这项工作具有潜力 从而在这一脆弱人群的疾病管理方面取得重大进展。 本建议的目标是发展一个以病人为中心的SM干预，将提高病人的自我效能 改善T1 D青少年的健康状况。我将通过首先确定几个 不同的SM干预策略的不同部分的青少年糖尿病。在目标1中，我计划 对T1 D青少年的大样本进行调查，以检查如何使用SM的看法 在糖尿病管理，然后使用潜在的类分析技术，我将细分青少年的基础上， 患者特征和使用SM的偏好。在目标2中，我将纳入其他利益相关者 通过使用以用户为中心的设计研讨会，包括护理人员和医疗团队成员的输入 在以往形成性工作的基础上，制定一项SM干预试点。通过让青少年、照顾者、 和医疗团队成员在一个以用户为中心的设计研讨会迭代过程中，我希望开发一个 与主要利益相关者的价值观、偏好和目标相一致的SM干预。在目标3中，我将驾驶 在随机对照试验中进行SM干预，并检查其可行性和可接受性。此外，我计划 探索对患者报告结局（例如自我效能）和血糖控制的影响。 我的研究将得到一群在社交媒体研究方面具有专业知识的杰出导师的支持， 儿科糖尿病，调查研究，临床干预措施的设计。通过实现这一目标， 建议，我将解决目前的差距，我们的理解如何利用SM支持青少年与 慢性病此外，这份建议书将使我能够在我的研究培训中采取下一个关键步骤 通过为我提供机会，获得设计，评估和评估所需的额外研究技能， 利用社交媒体实施行为健康干预。最终，这个提议将使我能够建立一个 一项研究计划，旨在调查以系统为导向、以患者为中心的解决方案，以提高交付和质量 对糖尿病患者的医疗照顾！

PROJECT SUMMARY/ABSTRACT This proposal describes a five-year research training program that will allow me to achieve my long-term goal of becoming an independent faculty-scientist dedicated to improving healthcare quality and patient health for youth with diabetes. The majority of adolescents with type 1 diabetes (T1D) in the United States are not meeting the goals of therapy. I propose to develop tools to provide innovative diabetes management support to adolescents outside of the clinic setting through the use of social media (SM) and evaluate its feasibility and acceptability to adolescents with T1D. SM has become an integral part of adolescents’ lives and at this time, there is an absence of high quality empirical studies investigating the use of SM in the healthcare setting. Given the need for impactful interventions to support adolescent T1D management, this work has the potential to result in a major advance for disease management in this vulnerable population. The goal of this proposal is to develop a patient-centered SM intervention that will enhance patient self-efficacy and improve health outcomes for adolescents with T1D. I will achieve this goal by first identifying several different SM intervention strategies for distinct segments of adolescents with diabetes. In Aim 1, I plan to conduct a survey of a large sample of adolescents with T1D to examine perceptions on how SM can be utilized in diabetes management and then using latent class analysis techniques, I will segment adolescents based on patient characteristics and preferences around the use of SM. In Aim 2, I will incorporate additional stakeholder input, including caregivers and healthcare team members, through the use of user-centered design workshops to develop a pilot SM intervention based on previous formative work. By engaging adolescents, caregivers, and healthcare team members in an iterative process of user-centered design workshops I hope to develop a SM intervention that is consistent with key stakeholder values, preferences and goals. In Aim 3, I will pilot the SM intervention in a randomized controlled trial and examine its feasibility and acceptability. In addition, I plan to explore the impact on patient-reported outcomes (e.g. self-efficacy) and glycemic control. My research will be supported by an outstanding group of mentors with expertise in social media research, pediatric diabetes, survey research, and the design of clinical interventions. By accomplishing the aims in this proposal, I will address current gaps in our understanding of how to leverage SM to support adolescents with chronic disease. In addition, this proposal will allow me to take the next critical steps on my research training trajectory by providing me the opportunity to acquire additional research skills required to design, evaluate and implement behavioral health interventions using social media. Ultimately, this proposal will allow me to build a research program to investigate system-oriented, patient-centered solutions to improve the delivery and quality of medical care to youth with diabetes.!