the Diabetes Research for Equity through Advanced Multilevel Science Center for Diabetes Translational Research (DREAMS-CDTR)

通过糖尿病转化研究高级多层次科学中心 (DREAMS-CDTR) 进行糖尿病公平研究

• 批准号: 10290745
• 负责人: Alyce Sophia Adams
• 金额: $ 73.5万
• 依托单位: KAISER FOUNDATION RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10290745
• 关键词: Area; Attention; COVID-19 pandemic; California; Caring; Clinical; Clinical Research; Communities; Community Health Systems; Complex; Complications of Diabetes Mellitus; Cost Effectiveness Analysis; Data; Development; Diabetes Mellitus; Elderly; Epidemic; Faculty; Family; Fostering; Foundations; Funding; Future; Grant; Health; Health Policy; Health Services Accessibility; Health system; Healthcare Systems; Human; Improve Access; Individual; Institution; Intervention; Intervention Studies; Low income; Machine Learning; Methods; Minority Groups; National Institute of Diabetes and Digestive and Kidney Diseases; Natural experiment; Non-Insulin-Dependent Diabetes Mellitus; Observational Study; Outcome; Outcomes Research; Paper; Pattern; Plant Roots; Policies; Policy Making; Policy Research; Population Heterogeneity; Prevalence; Public Health; Public Health Practice; Publishing; Recording of previous events; Research; Research Activity; Research Design; Research Methodology; Research Personnel; Research Project Grants; Resources; Rural; Rural Population; San Francisco; Science; Scientist; Site; Social Environment; Social Policies; Structure; System; Target Populations; Translating; Translational Research; Translations; Universities; Vulnerable Populations; Work; base; care delivery; career; career development; community setting; comparative effectiveness; cost; data integration; design; diabetes control; diabetes risk; ethnic minority population; evidence base; food insecurity; health care delivery; health communication; health disparity; health economics; health equity; health equity promotion; health inequalities; high risk; improved; innovation; low socioeconomic status; medication compliance; member; models and simulation; multidisciplinary; novel; programs; racial minority; ranpirnase; scaffold; service organization; support network; systems research; telehealth; therapy design

Project Summary/Abstract Diabetes mellitus is a significant health burden in the U.S. and California leads the nation in incident cases and costs of Type 2 Diabetes. Individuals with low socioeconomic status, older adults, rural populations, and racial and ethnic minorities are at highest risk. The drivers of these disparities include a complex combination of interacting factors at the individual, family, community, health system, societal, and policy levels. Programs and policies that can effectively translate high-quality, evidence-based diabetes interventions into widespread practice across diverse communities, modes of delivery, and a range of settings are desperately needed. The Diabetes Research for Equity through Advanced Multilevel Science Center for Diabetes Translational Research (DREAMS-CDTR) aims to advance health equity science through the development and translation of: 1) innovations and structural changes to healthcare delivery systems that substantively reduce health inequalities, and 2) innovative, scalable interventions to alter the socioenvironmental drivers of the Type 2 Diabetes epidemic and associated disparities. Focusing on the northern California and Central Valley regions of California, the DREAMS-CDTR will conduct clinical research and interventions designed to inform practice and policy change at the health system, community and policy levels. The DREAMS-CDTR (formerly Health Delivery Systems) brings together translational science core faculty who have expertise in diverse, multi-level areas including: food insecurity, medication adherence, health communication, health IT, social policy, and cost effectiveness analysis. DREAMS-CDTR will involve four regional academic sites with a range of public and non-profit health systems that serve large and diverse populations: Kaiser Permanente Northern California’s Division of Research and the University of California at San Francisco, Merced and Davis. The DREAMS-CDTR activities include: an Administrative Core, Pilot and Feasibility Program, Enrichment Program, and three coordinated research cores - Health Equity & Action Translational (HEAT) core, Methods and Data Integration (MDI) translational core, and National Diabetes Policy Research Resource (DPR) core. The HEAT Core will employ a multi-level systems approach to designing rigorous action-oriented observational and interventional research. The MDI Core will systematically prepare and support DREAMS-CDTR members in harnessing novel advances in methods and data to achieve greater health equity in Type 2 Diabetes. Lastly, the novel National DPR Core will extend the reach of the DREAMS-CDTR expertise and resources beyond the primary institutions in five key areas of expertise: (1) natural experiments research,(2) health economics, including comparative effectiveness and cost-effectiveness analysis; (3) simulation modeling, (4) machine learning, and (5) communicating science to policy-making institutions, community partners, health departments, and human service organizations.

项目总结/文摘