Grants and Contracts Details
Description
ABSTRACT
Recent studies have documented the powerful impact of how the emotional side of diabetes, called “diabetes
distress,” (DD) affects diabetes management and quality of life among adults with type 1 diabetes.(1-4)
Although the development and use of structured patient reported outcome (PRO) DD assessment and
intervention to reduce DD among adults with type 1 diabetes has been highly encouraged by the American
Diabetes Association (ADA), National Committee for Quality Assurance (NCQA) and other professional
organizations,(5-8) little effort has been devoted to helping clinicians make good clinical use of the DD PRO
data collected in time-efficient and effective ways. Clinics often require assistance integrating new programs
into clinical operations, however at present it is not clear what kinds of systematic programs are necessary to
introduce and maintain DD assessment and intervention as part of clinical care over time. The proposed quality
improvement work evaluates the impact of two systematic strategies for training and implementing DD
screening and follow-up into real-world diabetes clinic settings: 1) DD-ASSIST virtual, to train diabetes health
care professionals to assess for DD with guideline-based screening/assessment tools and intervention
methods through a virtual training program and 2) DD-ASSIST in-person, which delivers the training content in
person followed by virtual clinical skill building and practice implementation support to enhance DD
assessment and intervention skills. Given the need to include DD assessment and intervention into routine
clinical care, our study design allows us to directly determine the benefit of in-person vs. pre-recorded virtual
clinical training and follow-up virtual program to support DD intervention. This is information will be crucial as
DD assessment and intervention is expanded into real-world diabetes care. To maximize the generalizability of
our findings, we utilize an effectiveness-implementation hybrid design (9) in which we will compare program
effectiveness of DD-ASSIST virtual and DD-ASSIST in-person to each other and to a Usual Care period (wait-
list control DD-ASSIST virtual), while at the same time gathering information on program reach, adoption,
implementation and maintenance for each intervention arm. The results will provide much needed information
to help incorporate DD assessment and intervention programs into clinical care for adults with T1D.
Status | Active |
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Effective start/end date | 11/1/24 → 7/31/25 |
Funding
- University of California San Francisco: $10,000.00
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