Translating Research Into Action for Diabetes (TRIAD) Legacy Study

将糖尿病研究转化为行动 (TRIAD) 遗产研究

• 批准号: 8029608
• 负责人: JOE Vandiver SELBY
• 金额: $ 12.2万
• 依托单位: KAISER FOUNDATION RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-12 至 2013-07-11
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8029608
• 关键词: Translating; Research; Into; Action; Diabetes

DESCRIPTION OF THE PROJECT: The Kaiser Permanente Northern California (KPNC)'s Division of Research proposes to continue participation in the TRIAD Study through its Legacy FOA. TRIAD has proven many new insights into how both system and patient factors influence the quality and outcomes of diabetes care in health systems. Many "second generation" questions have been raised and the TRIAD datasets allow for study of some of these questions. The KPNC team (Drs. Selby, Karter, Ferrara, and Schmittdiel) all hope to remain involved during TRIAD and have each contributed to the six paper proposals included. These proposals focus squarely on advancing our understanding of health disparities in these insured populations. They examine both system and patient factors as potential determinants of disparities. Two proposals examine the potential effects of system-level interventions (mail order pharmacy (#3) and incentives to use mail order pharmacy (#1)) on patient behaviors and outcomes, with specific attention to differences by race/ethnicity and socioeconomic status. Two proposals (#'s 4 and 6) look at patient factors (i.e., weight gain) and how differential weight gain in persons with diabetes and women with gestational diabetes affects patterns of disparities in CVD risk factor levels. One proposal (#5) looks at a physician factor, the awareness of medication non-adherence, by primary care physicians. The final proposal (#2) is a methodologic inquiry into the mechanisms of health disparities. The KPNC TRIAD investigator team has proven its engagement with TRIAD by first-authoring 16 of TRIAD's 64 papers, and by making additional KPNC data available to colleagues from other TRCs for site specific projects (e.g., Mail Order Pharmacy Project, Medicare Part D Project, Insulin Starts Project). The team hopes to pursue our paper proposals and those proposed from other TRIAD TRCs in the same collaborative fashion that TRIAD has established, to continue participating on (and continuing to chair, if requested) the Steering Committee. It is also committed to preserving and practicing secure data sharing of the previously collected TRIAD data and to disseminating study findings back to the health systems that provided the data as well as to the scientific community through publications and presentations.

该项目的描述：Kaiser Permanente North California（KPNC）的研究部提议通过其传统FOA继续参与三合会研究。三合会证明了许多新的见解，即系统和患者因素如何影响卫生系统中糖尿病护理的质量和结果。已经提出了许多“第二代”问题，三合会数据集允许研究其中一些问题。 KPNC团队（Selby博士，Karter，Ferrara和Schmittdiel）都希望在Triad期间继续参与 并为包括的六个论文提案做出了贡献。这些提案正专注于促进我们对这些被保险人群中健康差异的理解。他们将系统和患者因素视为差异的潜在决定因素。两项建议研究了系统级干预措施（邮购药房（＃3）和使用邮购药房（＃1））对患者行为和结果的潜在影响，并特别注意种族/誉和社会经济状况的差异。两项建议（＃4和6）研究患者因素（即体重增加）以及糖尿病患者和妊娠糖尿病女性的体重增加如何影响CVD风险因素水平的差异模式。一 提案（＃5）着眼于医师的医师因素，对药物不遵守药物的意识。最终提案（＃2）是对健康差异机制的方法论研究。 KPNC Triad研究者团队通过首次撰写了Triad的64篇论文，证明了其与Triad的参与，并通过将来自其他TRC的同事提供额外的KPNC数据（例如，邮购Pharmacy Promastion，Medicare Part D Part D Project，Insulin Start Project）。该团队希望以与Triad所建立的合作方式相同的方式提出我们的论文提案，以及其他三合会TRC提出的建议，继续参与（并继续主持） 指导委员会。它还致力于保存和练习先前收集的三合会数据的安全数据共享，并通过出版物和演示文稿将研究结果传播回提供数据以及科学界提供数据的卫生系统。