Projects and Grants per year
Grants and Contracts Details
Description
ABSTRACT
The prevalence of diabetes in Kentucky is nearly 25% higher than the national average and rural areas within
Kentucky face an even higher burden of diabetes and its related complications. Diabetes self-management
education and support (DSMES) services are integral to quality diabetes care. Substantial evidence shows that
DSMES participation improves glycemic control, decreases diabetes complications, reduces mortality,
improves quality of life and is cost-effective. Despite strong evidence of benefit and clear guidelines from the
American Diabetes Association recommending its use, only 10% of eligible individuals complete DSMES. In
response to the current RFA seeking to test innovative and pragmatic approaches to facilitate greater use of
DSMES, we propose implementing automated patient identification and a bidirectional referral system to
reduce barriers related to identification and referral of eligible patients and using practice facilitation to increase
clinician awareness and buy-in. We have partnered with the Kentucky Department of Public Health (a
statewide provider of free, in-person and online DSMES), the Kentucky Regional Extension Cooperative
(practice facilitation partner), Kentucky Health Information Exchange (health information technology partner)
and four healthcare systems in rural Kentucky. We will use a pragmatic cluster randomized study design to
evaluate implementation effectiveness and will use an implementation science framework (PRISM) to guide
evaluation of the feasibility, acceptability, and sustainability of the intervention. This pilot and feasibility study
will provide insight on pragmatic, scalable strategies to increase DSMES utilization. Findings will generate key
preliminary data that will guide planning of an R01-level dissemination and implementation trial with the goal of
reducing diabetes-related morbidity and mortality.
Status | Active |
---|---|
Effective start/end date | 5/1/22 → 4/30/26 |
Funding
- National Institute Diabetes & Digestive & Kidney: $1,118,481.00
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Projects
- 1 Finished
-
COVID-19 Infection and Diabetes Incidence in Native Americans: Supplemental Scope
Lacy Leigh, M. (PI)
National Institute Diabetes & Digestive & Kidney
8/1/22 → 1/31/25
Project: Research project