Redmond Michelle L, Nollen Nicole, Okut Hayrettin, Collins Tracie C, Chaparro Barbara, Mayes Paigton, Knapp Kara, Perkins Amanda, Hill-Briggs Felicia
University of Kansas School of Medicine-Wichita, 1010 N. Kansas, Wichita, KS, USA.
University of Kansas Medical Center, USA.
Contemp Clin Trials Commun. 2023 Feb 4;32:101087. doi: 10.1016/j.conctc.2023.101087. eCollection 2023 Apr.
In the US, diabetes affects 13.2% of African Americans, compared to 7.6% of Caucasians. Behavioral factors, such as poor diet, low physical activity, and general lack of good self-management skills and self-care knowledge are associated with poor glucose control among African Americans. African Americans are 77% more likely to develop diabetes and its associated health complications compared to non-Hispanic whites. A higher disease burden and lower adherence to self-management among this populations calls for innovative approaches to self-management training. Problem solving is a reliable tool for the behavior change necessary to improve self-management. The American Association of Diabetes Educators identifies problem-solving as one of seven core diabetes self-management behaviors.
We are using a randomized control trial design. Participants are randomized to either traditional DECIDE or eDECIDE intervention. Both interventions run bi-weekly over 18 weeks. Participant recruitment will take place through community health clinics, University health system registry, and through private clinics. The eDECIDE is an 18-week intervention designed to deliver problem-solving skills, goal setting, and education on the link between diabetes and cardiovascular disease.
This study will provide feasibility and acceptability of the eDECIDE intervention in community populations. This pilot trial will help inform a powered full-scale study using the eDECIDE design.
在美国，13.2%的非裔美国人患有糖尿病，相比之下，白人的这一比例为7.6%。行为因素，如不良饮食、缺乏体育锻炼以及普遍缺乏良好的自我管理技能和自我护理知识，与非裔美国人血糖控制不佳有关。与非西班牙裔白人相比，非裔美国人患糖尿病及其相关健康并发症的可能性高77%。该人群中更高的疾病负担和更低的自我管理依从性要求采用创新的自我管理培训方法。解决问题是改善自我管理所需行为改变的可靠工具。美国糖尿病教育者协会将解决问题确定为七种核心糖尿病自我管理行为之一。
我们采用随机对照试验设计。参与者被随机分配到传统的DECIDE或eDECIDE干预组。两种干预均为每两周进行一次，为期18周。参与者将通过社区健康诊所、大学健康系统登记处以及私人诊所招募。eDECIDE是一项为期18周的干预措施，旨在传授解决问题的技能、设定目标以及关于糖尿病与心血管疾病之间联系的教育。
本研究将提供eDECIDE干预在社区人群中的可行性和可接受性。这项试点试验将有助于为使用eDECIDE设计的大规模研究提供信息。
