RIOS Net: Infrastructure and Exploratory Project

描述（由申请人提供）：研究涉及门诊设置网络（RIOS网），一个发展实践为基础的研究网络，由临床医生在印度卫生，社区卫生中心和新墨西哥州的新墨西哥大学网站在整个新墨西哥州提出的项目，以发展网络基础设施和探索与糖尿病初级预防相关的因素。RIOS Net是一个PBRN，致力于解决西南地区文化多样性、医疗服务不足和低收入社区的健康问题，并将糖尿病问题作为首要任务。这项申请要求支持网络的基础设施发展，以进一步建立电子系统，以收集和反馈数据，招募和保留网络成员，并建立网络项目所需的社区伙伴关系。该应用程序还要求支持多方法探索性项目。该项目的目的是阐明在医疗服务不足的低收入社区的初级保健实践中初级预防和减少风险因素的过程，并了解有关临床医生如何在短暂的初级保健遇到的竞争需求中进行选择的动态的更广泛适用的信息。这个项目的结果将成为后续网络试验的关键组成部分，以加强糖尿病的一级预防。

DESCRIPTION (provided by applicant): The Research Involving Outpatient Settings Network (RIOS Net), a developing practice-based research network composed of clinicians in Indian Health, community health center and University of New Mexico sites throughout the state of New Mexico proposes projects to develop network infrastructure and to explore factors related to primary prevention of diabetes. RIOS Net is a PBRN dedicated to addressing the health problems of the culturally diverse, medically underserved, and low-income communities of the Southwest, and has set the problem of diabetes as a top priority. This application requests support for infrastructure development of the network to further build the electronic system for data collection and feedback, for recruitment and retention of network members, and building the community partnership necessary for network projects. The application also requests support for a multi-method exploratory project. The aims of this project are to clarify the process of primary prevention and risk factor reduction in primary care practice in medically underserved, low-income communities, and to learn more broadly applicable information about the dynamics of how clinicians choose among competing demands in the brief primary care encounter. The results of this project will be critical components to a subsequent network trial of an intervention to enhance primary prevention of diabetes.