CPF FUNDED GRANT DETAILS

This research proposal is to conduct qualitative research with patients with diabetesobesity, and patients with diabetesobesity and comorbid asthma to better understand the challenges they experience in the self-management of these chronic health conditions in terms of behaviors, healthcare system engagement, and adherence with medications. This seed project will also satisfy program officers at NIH who have suggested that prior qualitative research with patients will provide key data to inform two R01s to be submitted in 2016 in response to specific announcements: PA-14-334: Advancing Interventions to Improve Medication Adherence, through the National Institute of Diabetes and Digestive and Kidney Diseases NIDDK and PA-14-316: Obesity and Asthma: Awareness and Self-Management, offered through the National Institute of Nursing Research. Specific Aims: 1. Gauge the level of burden posed by the self-management of diabetesobesity and the self-identified factors that facilitate or detract from successful self management e.g., solid medication, exercise, and dietary adherence2. Among those patients with co-morbid diabetesobesity and asthma, to determine the degree to which managing the multiple conditions poses additional burden, and how patients prioritize and balance their effort at managing the co-morbidities3. Identify factors that impact successful self-management that may be amiable to intervention that are common to diabetes and asthma self-management, and factors that impinge upon successful self-management that are unique to each condition4. Develop a battery of behavioral, attitudinal, and environmental factors related to self-management that can inform questionnaire development in the subsequent quantitative Federal R01 applications. This battery of factors to reflect the experiences of patients, and the emotional impact of these conditions on the patients quality of life and health outcomes.