A Population Health Strategy for Diabetes: New Partners, New Opportunities

Bright, Rachel K.; Sakurada, Brian

doi:10.31478/201602d

Cited by 4 publications

(4 citation statements)

References 47 publications

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“…The TELE-GEN pilot trial will begin to address critical barriers to defining a gold standard lifestyle intervention for AA families with children at risk for T2DM. The proposed approach is supported by the scientific literature [ 33 , 123 ] and leverages existing infrastructure to engage AA parents in a virtual community, a context most relevant in response to the current COVID-19 global pandemic [ 124 - 127 ]. The proposed study aims and innovative hybrid research design will contribute to advancing translational research by optimizing clinical and implementation science to improve health and reduce disease occurrence [ 128 ].…”

Section: Discussionmentioning

confidence: 99%

Telehealth Diabetes Prevention Intervention for the Next Generation of African American Youth: Protocol for a Pilot Trial

Gamble¹,

Beech²,

Wade³

et al. 2021

JMIR Res Protoc

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Background In 1999, type 2 diabetes mellitus (T2DM) was identified as an emerging epidemic in youth, and racial and ethnic minority youth were identified with high risk. Two decades later, no gold standard T2DM prevention intervention has been established for this population. Objective This study tests the efficacy of a telehealth diabetes prevention intervention for African American (AA) families with children with risk for T2DM. Concurrently, investigators aim to evaluate an implementation strategy for the uptake of the intervention by the University of Mississippi Medical Center’s (UMMC) pediatric weight management clinic. Methods This single-arm trial will enroll 20 parents with overweight or obesity of children (8-11 years) with overweight or obesity, both of whom are at risk for T2DM. Parents will meet in small groups (5 parents per group) weekly for 11 weeks and then monthly for 4 monthly maintenance sessions via videoconference using Wi-Fi–enabled iPads with cellular connectivity. The intervention will be adapted from the National Diabetes Prevention Program and Power to Prevent, a diabetes prevention program tailored for AA families. The same lifestyle intervention facilitated by a racially concordant lifestyle coach trained in the Diabetes Prevention Program will be delivered to all groups (n=4). Participants will be recruited in-person during patient encounters at the UMMC’s pediatric weight management clinic. Sessions will consist of dietary and physical activity behavior change strategies facilitated using problem-solving and goal-setting skills. The implementation strategy has 2 targets: the pediatric weight management clinic site and clinical team and parents of children at risk for T2DM engaged in intensive obesity treatment to prevent T2DM. The multifaceted implementation protocol includes 4 discrete strategies: creating a new clinical team, changing the service site, intervening with families, and promoting organizational readiness for change. Results Recruitment and enrollment began in December 2020, and the intervention is scheduled to be delivered to the first cohort of parents in March 2021. The results are expected to be submitted for publication beginning in November 2021 through 2022. The primary outcome measure for the pilot trial will include changes from baseline to 12 and 30 weeks in the child BMI z score and parent BMI. The implementation evaluation will include multiple measures of feasibility, acceptability, appropriateness, fidelity, and efficacy. This protocol was approved by the UMMC’s Institutional Review Board (#2020V0249). Conclusions The proposed intervention approach is supported by the scientific literature and is scalable given the current and future health care subsidies for telehealth. Findings from this pilot trial will begin to address critical barriers to defining a gold standard lifestyle intervention for AA families with children at risk for T2DM. If effective, the intervention could be feasibly disseminated to treat obesity and prevent T2DM in high-risk AA pediatric populations. International Registered Report Identifier (IRRID) PRR1-10.2196/25699

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Section: Discussionmentioning

confidence: 99%

Telehealth Diabetes Prevention Intervention for the Next Generation of African American Youth: Protocol for a Pilot Trial

Gamble¹,

Beech²,

Wade³

et al. 2021

JMIR Res Protoc

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“…A systematic review and meta-analysis found diabetes educators to be effective in mitigating therapeutic inertia and improving outcomes ( 16 ). Another meta-analysis of 50 high-quality systematic reviews found three types of quality-improvement interventions that were effective in improving diabetes care: patient education and support, multidisciplinary teams, and technology-enabled health care ( 17 , 18 ). These interventions, as well as population health and disease management strategies, have implementation costs that are largely offset by short-term reductions in health expenditures ( 18 ).…”

Section: Value Of Dcessmentioning

confidence: 99%

“…Another meta-analysis of 50 high-quality systematic reviews found three types of quality-improvement interventions that were effective in improving diabetes care: patient education and support, multidisciplinary teams, and technology-enabled health care ( 17 , 18 ). These interventions, as well as population health and disease management strategies, have implementation costs that are largely offset by short-term reductions in health expenditures ( 18 ). There is a crucial need and an opportunity to further integrate DCESs into diabetes care delivery models and services, especially in supporting primary care practices, where the majority of diabetes and cardiometabolic disease prevention and management occurs.…”

Section: Value Of Dcessmentioning

confidence: 99%

Improving Quality Outcomes: The Value of Diabetes Care and Education Specialists

Rodriguez

Ryan²,

Ziemer

et al. 2022

Clinical Diabetes

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Given the growing prevalence and accelerating cost of diabetes, there is an urgent need to expand strategies in health care that improve access and outcomes and reduce the financial and human burden of the disease. Diabetes care and education specialists (DCESs) are well positioned to assist health care systems with delivery models that enhance diabetes care through evidence-based standards and quality improvement strategies. DCESs have increased opportunities to apply their competencies in primary, specialty, hospital, and acute care settings; accountable care organizations; community settings; research; and academia. Two national certification programs provide an evidence-based foundation for quality in the specialty, with updated competencies guiding practice. This article serves as a call to action for health care systems to integrate specialists in diabetes care and education into diabetes care delivery models and raise awareness of the positive impact these professionals have on the lives of people with diabetes.

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“…Serious complications of diabetes are preventable if people with diabetes understand their disease and participate in managing their own care [5,6]. It is imperative to focus prevention efforts in combating diabetes which involve both patients' and healthcare providers.…”

Section: Introductionmentioning

confidence: 99%

An Overview of Confidence in Diabetes Self- Management among Diabetics in the State of Qatar

Al-Thani

2019

CRDOJ

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Background: Diabetes complications are preventable given a supportive environment. Managing diabetes daily requires confidence which can be effectively done with effective support system. The information and health services received by diabetics are vital to empowerment as it enables them to make correct choices for better outcomes. The aims of this study were to examine patients' confidence in self-managing diabetes and its relationship to the level of information and available diabetes related services received in the State of Qatar. Methods:The study was conducted among 300 diabetic patients through face-to-face interviews using a semi-structured questionnaire between February and May 2015 at healthcare facilities of Hamad Medical Corporation in Qatar. Patient consent to participate was sought. Survey responses were analyzed using frequencies, percentages, Chi-squared and Fisher's exact tests at 5% level of significance.Results: About 54% of patients reported to have had Type 2 and 31% had Type 1 diabetes. Approximately 32% were treated for complications. Diabetic patients were more likely to gain confidence in managing their diabetes the more frequent they were in contact with hospital specialist consultant (P=.02), foot specialist (P=.03), eye specialist (P=.03) and diabetes coordinator (P <0.000), when provided with diabetes plan (P <,000), and having a contact number to call for any diabetes-related concern (P =,005). Healthcare services available to the patients were a significant help for diabetic patients in coping and confidently managing their diabetes. Conclusion:Better patient-provider collaboration and healthcare system's provision of medical services were substantially useful to diabetics in developing higher confidence to self-manage diabetes.

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A Population Health Strategy for Diabetes: New Partners, New Opportunities

Cited by 4 publications

References 47 publications

Telehealth Diabetes Prevention Intervention for the Next Generation of African American Youth: Protocol for a Pilot Trial

Telehealth Diabetes Prevention Intervention for the Next Generation of African American Youth: Protocol for a Pilot Trial

Improving Quality Outcomes: The Value of Diabetes Care and Education Specialists

An Overview of Confidence in Diabetes Self- Management among Diabetics in the State of Qatar

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