grant
Development and Evaluation of EHR-enabled Population Health Outreach Strategies to Improve Diabetes Screening in a Safety-net Health System: a Pragmatic Randomized Controlled Trial
Organization UT SOUTHWESTERN MEDICAL CENTERLocation DALLAS, UNITED STATESPosted 1 Mar 2022Deadline 28 Feb 2027
NIHUS FederalResearch GrantFY202621+ years old3-arm studyAddressAdultAdult HumanAdult-Onset Diabetes MellitusAffectBlack PopulationsBlack groupBlack individualBlack peopleBlacksClinicClinicalClinical effectivenessCommunitiesComplementComplement ProteinsCost Effectiveness AnalysisDecrease disparityDetectionDevelopmentDiabetes MellitusDiagnosisDirect CostsDisparitiesDisparityElectronic Health RecordEthnic GroupEthnic OriginEthnic PeopleEthnic PopulationEthnic individualEthnicityEthnicity PeopleEthnicity PopulationEvaluationFeedbackFocus GroupsGoalsHealth Care SystemsHealth systemHispanic PopulationsHispanic groupHispanic individualHispanic peopleHispanicsInterventionKetosis-Resistant Diabetes MellitusLower disparityMaturity-Onset Diabetes MellitusNIDDMNon-HispanicNon-Insulin Dependent DiabetesNon-Insulin-Dependent Diabetes MellitusNonhispanicNoninsulin Dependent DiabetesNoninsulin Dependent Diabetes MellitusNot Hispanic or LatinoOutcomePatientsPilot ProjectsPopulationPopulation HeterogeneityPre-DMPrediabetesPrediabetes syndromePrediabetic StateProcessProgram EffectivenessProviderPublic HealthRaceRacesRandomizedRandomized, Controlled TrialsRiskRisk AssessmentScreening for cancerSlow-Onset Diabetes MellitusStable Diabetes MellitusSubgroupT2 DMT2DT2DMTestingType 2 Diabetes MellitusType 2 diabetesType II Diabetes MellitusType II diabetesVariantVariationVisitadult onset diabetesadulthoodarmassess effectivenessautomated interventioncare as usualcase findingclinical decision supportclinical practicecomplementationcostcost effectivecost effectivenesscost efficient analysiscost-effective analysisdesigndesigningdetermine effectivenessdetermine efficacydevelopmentaldiabetesdiabetes riskdifferences due to racedifferences in racediffers by racediffers in racedisparity reductiondiverse populationsearly cancer detectioneffectiveness assessmenteffectiveness evaluationefficacy analysisefficacy assessmentefficacy determinationefficacy evaluationefficacy examinationelectronic health care recordelectronic health medical recordelectronic health plan recordelectronic health registryelectronic medical health recordethnic minorityethnic subgroupethnicity groupevaluate effectivenessevaluate efficacyevidence baseexamine effectivenessexamine efficacyexperienceheterogeneous populationhigh riskhigh risk grouphigh risk individualhigh risk peoplehigh risk populationimprovedintervention costketosis resistant diabetesmaturity onset diabetesmitigate disparitynoveloutreachparticipant engagementpatient engagementpatient outreachpatient screeningpilot studypoor health outcomepopulation diversitypopulation healthpragmatic effectiveness trialpragmatic trialpre-diabetespre-diabeticprediabeticprimary care clinicprimary care patientprogramsrace based differencesrace differencesrace related differencesracialracial backgroundracial differenceracial minorityracial originracially differentrandomisationrandomizationrandomized control trialrandomly assignedrecommended screeningreduce disparityreduced health outcomereduction in disparityresponsesafety netscreeningscreening cancer patientsscreening disparitiesscreening guidelinesscreening programscreening recommendationsscreeningsthree-arm studytreatment as usualtype 2 DMtype II DMtype two diabetesusual careworse health outcome
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Modified Abstract Section
ABSTRACT
Type 2 diabetes (T2D) screening remains suboptimal in spite of well-recognized, national screening guidelines. In the US, 7.3 million adults with T2D and 74.5 with prediabetes (PDM) remain undiagnosed. In spite of opportunistic screening in clinical practice, nearly one-third of primary care patients have…
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