Version 2.1.1.0

Abstract

Grant Number:	1U44DK066724-01
PI Name:	BUDAY, RICHARD H.
PI Email:	rbuday@archimageonline.com
PI Title:
Project Title:	Computer-based Intervention for Type 2 Diabetes in Youth

Abstract: DESCRIPTION (provided by applicant): Diabetes is the 7th leading cause of death in the United States. Almost 20 million Americans now have diabetes and the incidence rate is increasing. Experts predict 10 percent of the US population will be diabetic by the end of decade. Type 2 diabetes (T2D) currently costs the US $100 billion per year. Associated with the nation's spiraling obesity rates, increasing numbers of children, primarily of African- American and Hispanic ethnicity, are being diagnosed with T2D. Recent results from the multiyear Diabetes Prevention Program trial provide strong evidence that diabetes can be prevented through lifestyle modifications. Behavioral intervention programs can effect positive and lasting lifestyle change. The most successful use focused, highly tailored messages and one-on-one counseling. Unfortunately, one-on-one strategies are intrinsically costly and inefficient to apply to large groups. Population-based T2D behavior change programs using traditional print, radio and television have proven only marginally effective. Computers offer an opportunity to highly tailor behavior change messages to culture and individual. The flexibility and cost effectiveness of digital media also makes it attractive for reaching large number of at-risk individuals. Middle schools' established setting for delivering behavior change messages (smoking, drugs, AIDS, etc.) and high penetration rate of computers makes them ideally suited to computer-based interventions. We believe a national market exists for a school-oriented, computer-based intervention (CBI) product that promotes healthy nutrition and physical activity. The objective of this SBIR grant application is the development and testing of that product. Our long-term goal is reducing the incidence of T2D and related health problems. Our central hypothesis is that interactive media tailored to individual psychosocial and environmental characteristics will reduce T2D risks. This research will deliver, for the first time, population based, individually tailored, behavioral change messages to prevent T2D. This Phase I application encompasses the formative assessment and development of the 7th grade CBI, with a prototype for session I that is alpha and beta tested as the deliverable.

Thesaurus Terms:
behavior modification, computer assisted medical decision making, computer program /software, disease /disorder prevention /control, education evaluation /planning, educational resource design /development, health behavior, interactive multimedia, middle childhood (6-11), noninsulin dependent diabetes mellitus
behavioral medicine, cooperative study, counseling, diabetes education, dietary constituent, disease /disorder proneness /risk, exercise, nutrition education, outcomes research
behavioral /social science research tag, clinical research, data collection methodology /evaluation, human subject, questionnaire

Institution:	ARCHIMAGE, INC.
	4200 MONTROSE BLVD, STE 330
	HOUSTON, TX 77006
Fiscal Year:	2003
Department:
Project Start:	30-SEP-2003
Project End:	31-AUG-2004
ICD:	NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES
IRG:	ZRG1

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