The Diabetes Clinical outcomes Associated with Retention and Engagement in Care, in Samoa (Diabetes CARE)

萨摩亚与保留和参与护理相关的糖尿病临床结果（糖尿病护理）

基本信息

批准号：
10428767
负责人：
Anna Christine Rivara
金额：
$ 13.83万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-15 至 2027-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10428767
关键词：
Address Adult Age Applications Grants Applied Research Award Biometry Caring Chronic Chronic Care Chronic Disease Clinical Communication Communities Complement Coping Skills Cross-Sectional Studies Data Data Collection Decision Making Development Diabetes Mellitus Diagnosis Dimensions Disease Distress Doctor of Philosophy Economics Epidemic Epidemiology Foundations Funding Future Glycosylated hemoglobin A Goals Government Grant Health Policy Health Services Hospitals Human Genetics Individual Infrastructure International Intervention Interview Investigation K-Series Research Career Programs Linear Models Linear Regressions Logistic Regressions Manuscripts Measures Medicine Mentors Mentorship Methodology Methods Modeling National Institute of Diabetes and Digestive and Kidney Diseases Non-Insulin-Dependent Diabetes Mellitus Outcome Outcomes Research Pacific Islander Pacific Islands Participant Patients Peer Review Persons Physiological Policies Population Positioning Attribute Postdoctoral Fellow Preparation Prevalence Public Health Schools Qualitative Methods Reporting Research Research Design Research Methodology Research Personnel Research Training Resource-limited setting Samoa Samoan Science Scientist Self Management Structure Testing Time Training Training Programs United States National Institutes of Health Universities Woman Work base behavioral/social science career career development cohort coping data format design diabetes control evidence base experience experimental study glycemic control health care service utilization health economics implementation science innovation intervention program medication compliance men mid-career faculty patient oriented pilot test policy recommendation preference professor prospective recruit sex skills social symposium tool treatment program willingness to pay

项目摘要

Project Summary This proposal presents a five-year research career development award for Dr. Anna Rivara, an Associate Research Scientist (Yale's equivalent to Assistant Professor (Research)) in the Department of Chronic Disease Epidemiology at the Yale School of Public Health (YSPH). The proposal aims to address important issues surrounding the current epidemic of Type 2 Diabetes Mellitus (T2D) being experienced by Samoans and other Pacific Islanders. Project goals are to 1) examine preferences for diabetes care among adult Samoans recently diagnosed with diabetes using a discrete choice experiment, 2) prospectively estimate the associations between diabetes care and glycemic outcomes among adult Samoans, and 3) longitudinally assess diabetes care decision-making and coping strategies. Outcomes from this project will be integral to understanding and offering effective and acceptable treatment options to alleviate the burden of diabetes faced by Pacific Islander populations. The proposal describes a rigorous, mixed methods-based investigation that will be made possible through the advanced mentoring and training that the PI will receive throughout the award period. The proposed work will be conducted under primary mentors Dr. Nicola Hawley, Ph.D, Associate Professor of Epidemiology (Chronic Diseases) at YSPH, Dr. Leslie Curry, Ph.D., MPH, Professor of Health Policy at YSPH and Associate Director of the Yale Scholars in Implementation Science Training Program, and Dr. Satupaitea Viali, MBBS, MPH, of the National University of Samoa and the University of Otago. Additionally, collaborators Dr. Omar Galárraga, Ph.D, Associate Professor of Health Services, Policy and Practice at Brown University School of Public Health, Dr. Rochelle Rosen, Ph.D., Associate Professor of Behavioral and Social Sciences at The Miriam Hospital and Brown University, Dr. Erin Kershaw, Ph.D., MD., Associate Professor of Medicine at the University of Pittsburgh, and Dr. Jenna Carlson, Assistant Professor of Biostatistics and Human Genetics at the University of Pittsburgh, will be providing mentorship and hands-on training in research implementation, dissemination, and mixed methods analyses. Dr. Rivara's training goals are to 1) gain new skills in discrete choice experiments and longitudinal analytical approaches and advance skills in mixed methods data collection and mixed effects linear modeling; 2) strengthen professional development through preparation and submission of policy briefs and peer-reviewed manuscripts and science communication via presentation of results at invited seminars, and national and international conferences; and 3) advance skills in grantsmanship though didactic and applied training and the construction and submission of a diabetes-focused R01 intervention upon the completion of the award period. Together, the research outcomes and training will lay the foundations for Dr. Rivara's career developing culturally sensitive, participant-guided interventions in low resource settings as a diabetes-focused health services researcher.

项目摘要该提案为同事安娜·里瓦拉（Anna Rivara）博士颁发了五年的研究职业发展奖研究科学家（耶鲁大学等于慢性疾病系的助理教授（研究））耶鲁大学公共卫生学院（YSPH）的流行病学。该提案旨在解决重要问题萨摩亚人和其他人经历了2型糖尿病（T2D）的当前流行病太平洋岛民。项目目标是1）最近检查成人萨摩亚人的糖尿病护理偏好使用离散选择实验诊断患有糖尿病，2）前瞻性估计关联在成年萨摩亚人的糖尿病护理和血糖结果之间，3）纵向评估糖尿病护理决策和应对策略。该项目的结果将是理解和提供有效且可接受的治疗方案，以减轻太平洋岛民面临的糖尿病的烧伤人群。该提案描述了一项严格的基于方法的调查，将成为可能通过PI在整个奖励期内将获得的高级心理和培训。这拟议的工作将在主要导师Nicola Hawley博士博士的领导下进行。 YSPH的流行病学（慢性疾病），Leslie Curry博士博士，MPH，YSPH卫生政策教授耶鲁大学实施科学培训计划的副局长和萨特图塔博士萨摩亚国立大学和奥塔哥大学的Viali，MBBS，MPH。此外，合作者布朗大学卫生服务，政策和实践副教授OmarGalárraga博士公共卫生学院，Rochelle Rosen博士，博士，行为与社会科学副教授 Miriam医院和布朗大学，医学博士Erin Kershaw博士，医学副教授匹兹堡大学和生物统计学和人类遗传学助理教授Jenna Carlson博士在匹兹堡大学，将在研究实施方面提供指导和动手培训，传播和混合方法分析。里瓦拉博士的培训目标是1）在离散方面获得新技能选择实验和纵向分析方法和混合方法数据收集中的进步技能和混合效应线性建模； 2）通过准备和提交政策简介和同行评审的手稿和科学沟通在被邀请的半货人以及国家和国际会议上的结果； 3）授予技巧的提高技能虽然教学和应用培训以及以糖尿病为中心的R01的建设和提交裁决期结束后的干预。研究成果和培训将共同里瓦拉（Rivara）博士的职业基础发展了文化敏感的，参与的指导干预措施作为以糖尿病为重点的卫生服务研究人员的资源设置。