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

项目摘要 这项提议为安娜·里瓦拉博士颁发了为期五年的研究职业发展奖，她是一名助理 慢性病系研究科学家(耶鲁大学相当于助理教授(研究)) 耶鲁大学公共卫生学院(YSPH)流行病学。该提案旨在解决重要问题 围绕目前萨摩亚人和其他人正在经历的2型糖尿病(T2D)疫情 太平洋岛民。该项目的目标是1)调查最近成年萨摩亚人对糖尿病护理的偏好 使用离散选择实验诊断为糖尿病，2)前瞻性地估计相关性 成年萨摩亚人的糖尿病护理和血糖结果之间的关系，以及3)纵向评估糖尿病 关怀决策和应对策略。该项目的成果将是理解和 提供有效和可接受的治疗方案，减轻太平洋岛民面临的糖尿病负担 人口。该提案描述了一项严格的、基于混合方法的调查，这将成为可能 通过高级指导和培训，PI将在整个获奖期内接受培训。这个 拟议的工作将在初级导师尼古拉·霍利博士的指导下进行，副教授 YSPH流行病学(慢性病)，YSPH卫生政策教授Leslie Curry博士，医学博士，公共卫生硕士 耶鲁大学学者实施科学培训计划副主任和Satupaitea博士 Viali，MBA，公共卫生硕士，萨摩亚国立大学和奥塔哥大学。此外，合作者 Omar Galárraga博士，博士，布朗大学卫生服务、政策和实践副教授 罗谢尔·罗森博士，公共卫生学院行为和社会科学副教授 米里亚姆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詹娜·卡尔森博士 在匹兹堡大学，将提供研究实施方面的指导和实践培训， 传播法和混合法分析。Rivara博士的培训目标是1)获得离散领域的新技能 选择实验和纵向分析方法以及混合方法数据收集的高级技巧 和混合效果线性建模；2)通过准备和加强专业发展 提交政策简报和同行评议的手稿，并通过以下方式进行科学交流 在受邀的研讨会、国内和国际会议上取得的成果；3)提高资助人技能 通过授课和应用培训以及构建和提交以糖尿病为重点的R01 在奖励期结束时进行干预。总之，研究成果和培训将为 Rivara博士开发文化敏感、参与者指导的Low干预措施的职业基础 作为一名专注于糖尿病的卫生服务研究人员的资源设置。

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.