grant
Nurse-led app intervention to improve glycemic control in patients with insulin-treated type 2 diabetes on Medicaid
Organization RUTGERS BIOMEDICAL AND HEALTH SCIENCESLocation Newark, UNITED STATESPosted 20 Jul 2023Deadline 30 Jun 2028
NIHUS FederalResearch GrantFY2025Access to CareAddressAdherenceAdult-Onset Diabetes MellitusAmericanAttentionAwardBehaviorBehavior Conditioning TherapyBehavior ModificationBehavior TherapyBehavior TreatmentBehavioral Conditioning TherapyBehavioral ModificationBehavioral TherapyBehavioral TreatmentBlood GlucoseBlood SugarCaringCell PhoneCellular PhoneCellular TelephoneChronic DiseaseChronic IllnessClinicClinicalCohort StudiesCollaborationsCommunity Health CentersComplexConcurrent StudiesConditioning TherapyCoping SkillsCreativenessCultural SensitivityDataDevelopmentDiabetes MellitusDiagnosisDietDiseaseDisease ManagementDisorderDisorder ManagementDrugsEducationEducational MaterialsEducational TechnologyEducational aspectsEducational process of instructingElectronic Health RecordEnrollmentEvaluationEvidence based interventionExerciseFailureFeedbackFocus GroupsFoodFutureGoalsGuidelinesHealth Care ProfessionalHealth ProfessionalHealth Services AccessibilityHealth systemHumulin RIndividualInstructionInsulinInsuranceInterventionInterviewKetosis-Resistant Diabetes MellitusManualsMaturity-Onset Diabetes MellitusMedicaidMedicationMental DepressionMental HealthMental HygieneMethodsMobile PhonesModelingNIDDMNeighborhood Health CenterNon-Insulin Dependent DiabetesNon-Insulin-Dependent Diabetes MellitusNoninsulin Dependent DiabetesNoninsulin Dependent Diabetes MellitusNovolin RNursesOutcomePatient EducationPatient InstructionPatient TrainingPatient outcomePatient-Centered OutcomesPatient-Focused OutcomesPatientsPharmaceutical PreparationsPhasePilot ProjectsPractice GuidelinesProblem SolvingProceduresPsychological HealthRecommendationRegistriesRegular InsulinReportingResearchResearch ResourcesResourcesSecureSelf ManagementSlow-Onset Diabetes MellitusStable Diabetes MellitusT2 DMT2DT2DMTeachingTechnologyTestingTherapeuticTimeTrainingTransmissionType 2 Diabetes MellitusType 2 diabetesType II Diabetes MellitusType II diabetesVisual AidWorkWritingaccess to health servicesaccess to servicesaccess to treatmentaccessibility to health servicesadult onset diabetesagedassess effectivenessavailability of servicesbarrier to carebarrier to health carebarrier to treatmentbehavior interventionbehavioral interventioncare accesschronic disorderco-morbidco-morbiditycomorbiditycoping strategycreativitydata exchangedata transferdata transmissiondepressiondesigndesigningdetermine effectivenessdevelopmentaldiabetesdiabetes managementdiabetes mellitus managementdiabetic managementdietsdrug/agenteffectiveness assessmenteffectiveness evaluationelectronic health care recordelectronic health medical recordelectronic health plan recordelectronic health registryelectronic medical health recordenrollevaluate effectivenessexamine effectivenessfamily managementfood insecurityglycemic controlhealth IThealth care managementhealth care qualityhealth information technologyhealth managementhealth service accesshealth services availabilityiPhoneimplementation interventionimplementation strategyimprovedimproved outcomeinadequate health literacyinsightketosis resistant diabeteslow health literacymaturity onset diabetesmeetingmeetingsminority healthminority health disparitynurseobstacle to careobstacle to health careoutreachparticipant engagementpatient clinician engagementpatient clinician interactionpatient clinician relationshippatient doctor engagementpatient doctor interactionpatient doctor relationshippatient engagementpatient oriented outcomespatient physician engagementpatient physician interactionpatient physician relationshippatient portalpatient provider engagementpatient provider interactionpatient provider relationshippatient-clinician communicationpatient-doctor communicationpatient-provider communicationpilot studypilot testpoor health literacypopulation healthpragmatic effectiveness trialpragmatic trialprimary care clinicprimary care clinicianrecruitreduced health literacyremote health monitoringremote monitoringremote patient monitoringservice availabilitysmart phonesmartphonesocial health determinantsstrategies for implementationtechnology interventiontechnology-based interventionstechnology-enabled interventionstechnology-focused interventionstooltransmission processtreatment accesstype 2 DMtype II DMtype two diabetesvirtual
Description preview
“Therapeutic inertia,” defined as a lack of timely adjustment to therapy when a patient’s treatment goals are unmet, is a major drive of poor outcomes in type 2 diabetes (T2D). This issue is especially pronounced among individuals enrolled in Medicaid (MA), who face challenges at three levels: patient (e.g., limited resources, low health literacy,…
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