The Kentucky Diabetes and Obesity Collaborative (KDOC)

肯塔基州糖尿病和肥胖协作组织 (KDOC)

• 批准号: 8005803
• 负责人: MARK B DIGNAN
• 金额: $ 99.86万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-08-15 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8005803
• 关键词: Address; Bioinformatics; Caring; Case Management; Charge; Clinical; Clinical Data; Collaborations; Communication; Communication Research; Communities; Community Health Centers; Data; Development; Diabetes Mellitus; Disease Management; Distance Learning; Education; Effectiveness; Faculty; Federally Qualified Health Center; Focus Groups; Fostering; Funding; Goals; Health; Health Personnel; Health Science Library; Health Services Research; Healthcare; Healthcare Systems; Human Resources; Informatics; Information Systems; Information Technology; Kentucky; Knowledge; Lead; Life; Link; Market Research; Medicaid; Medical; Methods; Mission; Obesity; Online Systems; Patients; Persons; Population; Postdoctoral Fellow; Preparation; Primary Health Care; Professional Organizations; Protocols documentation; Provider; Public Health; Qualifying; Registries; Research; Research Infrastructure; Research Personnel; Research Priority; Research Support; Research Training; Resources; Rural; Rural Community; Self Management; Services; Site; Specificity; Structure; Target Populations; Techniques; Technology; Testing; Training; Training and Infrastructure; Translational Research; United States Public Health Service; Universities; Visit; base; burden of illness; college; design; disease registry; health information technology; improved; informant; innovation; medically underserved population; meetings; mortality; multidisciplinary; novel; operation; payment; protocol development; public health relevance; rural area; symposium; systems research; tool

DESCRIPTION (provided by applicant): Broad goals and specific aims: Kentucky ranks among the worst in the nation for its burdens of diabetes (41st ) and obesity (46th), which are major contributors to the fact that Kentucky ranks 44th for its all-cause mortality rate. The proposed Kentucky Diabetes and Obesity Collaborative (KDOC) represents a transformative initiative to develop a novel and sustainable research infrastructure designed for the long-term goals of mitigating the public health burdens of obesity and diabetes in a rural medically underserved population and generating new knowledge applicable to similar populations. KDOC partners will include a network of rural primary care providers, Public Health Departments, Kentucky Medicaid and key units of the University of Kentucky Academic Health Center (UK AHC). This three year infrastructure- building project will has these specific aims: Specific Aim 1: Engage the partners listed above to collaboratively develop the proposed research infrastructure and define mutual research priorities and training needs related to its use Specific Aim 2: Develop, test and refine new web-based informatics tools to facilitate translational research and disease management across the KDOC network Specific Aim 3: Develop, implement and evaluate training of AHC-community partners for effective research collaborations congruent with KDOC goals Methods: The project will create a partnership linking 10 rural Federally-Qualified Community Health Centers, 6 Public Health Department Diabetes Centers of Excellence, Kentucky Medicaid and the UK AHC to form the KDOC infrastructure. Funding, project input, and responsibilities will be shared across the partners. Information technologies will support KDOC operations; including a new web-based patient clinical data registry linked to Medicaid claims data and a web-based suite of tools for research communications, protocol management and training. Training needs of users of the infrastructure will be assessed via focus groups and key informants, then addressed using in-person and distance- learning techniques. Regular KDOC project personnel visits to partner sites, tele-video meetings, annual KDOC conferences, a 'flat' governing structure and marketing of the research infrastructure to potential users will be used to assure its utility and productive use. The UK Center for Clinical and Translational Science and the UK Center for Public Health Services and Systems Research will provide extensive support and expertise for development and use of KDOC. PUBLIC HEALTH RELEVANCE: Obesity and diabetes cause enormous burdens of disease in Kentucky and many other rural states, where they pose major threats to public health and strain the capacity of healthcare systems. This project aims to develop new University-Community partnerships for research that will lead to reductions in the burdens of obesity, diabetes and their complications among rural Kentuckians, and generate new knowledge applicable to other medically underserved populations.

描述（由申请人提供）：广泛的目标和具体目标：肯塔基州在糖尿病（第41位）和肥胖（第46位）负担方面位居全国最差，这是肯塔基州全因死亡率排名第44位的主要原因。拟议的肯塔基州糖尿病和肥胖协作（KDOC）代表了一项变革性举措，旨在开发一种新型的可持续研究基础设施，以实现减轻农村医疗服务不足人群中肥胖和糖尿病的公共卫生负担的长期目标，并产生适用于类似人群的新知识。KDOC的合作伙伴将包括农村初级保健提供者、公共卫生部门、肯塔基州医疗补助和肯塔基州大学学术健康中心（英国AHC）的关键单位。这个为期三年的基础设施建设项目将有以下具体目标：具体目标1：吸引上述合作伙伴共同开发拟议的研究基础设施，并确定相互研究的优先事项和与其使用相关的培训需求具体目标2：开发、测试和改进新的基于网络的信息学工具，以促进整个KDOC网络的转化研究和疾病管理具体目标3：开发，实施和评估的AHC社区合作伙伴的有效的研究合作与KDOC的目标一致的培训方法：该项目将创建一个合作伙伴关系，连接10个农村联邦合格的社区卫生中心，6个公共卫生部糖尿病卓越中心，肯塔基州医疗补助和英国AHC形成KDOC的基础设施。资金、项目投入和责任将由合作伙伴分担。信息技术将支持KDOC的运作，包括一个新的基于网络的患者临床数据登记处，与医疗补助索赔数据和一套基于网络的工具，用于研究通信、协议管理和培训。将通过重点小组和主要信息提供者评估基础设施用户的培训需求，然后使用面对面和远程学习技术解决这一问题。将利用KDOC项目人员定期访问伙伴地点、电视会议、KDOC年度会议、“扁平”管理结构以及向潜在用户推销研究基础设施等手段，确保其效用和生产性使用。英国临床和转化科学中心和英国公共卫生服务和系统研究中心将为KDOC的开发和使用提供广泛的支持和专业知识。 公共卫生相关性：肥胖和糖尿病在肯塔基州和许多其他农村州造成巨大的疾病负担，对公共卫生构成重大威胁，并使医疗保健系统的能力紧张。该项目旨在发展新的大学-社区研究伙伴关系，以减少农村地区的肥胖症、糖尿病及其并发症的负担，并产生适用于其他医疗服务不足人口的新知识。

项目成果

Research Partnerships with Healthcare Providers in Rural Community Health Centers: Needs and Challenges in Diabetes Research.

与农村社区卫生中心医疗保健提供者的研究伙伴关系：糖尿病研究的需求和挑战。

• DOI: 10.5963/phf0401001
• 发表时间: 2015
• 期刊: Public health frontier
• 作者: Pearce,KevinA;Jarrett,TraciD;Scutchfield,FDouglas;Talbert,JefferyC;Bolt,WDavid;Barron,MaryA;Houlihan,JessicaM;Dignan,MarkB
• 通讯作者: Dignan,MarkB

Informatics-based Challenges of Building Collaborative Healthcare Research and Analysis Networks from Rural Community Health Centers.

从农村社区卫生中心建立协作医疗研究和分析网络的基于信息学的挑战。

• DOI: 10.1109/bhi.2016.7455947
• 发表时间: 2016-02
• 期刊: ... IEEE-EMBS International Conference on Biomedical and Health Informatics. IEEE-EMBS International Conference on Biomedical and Health Informatics
• 作者: Harris DR;Harper TJ;Henderson DW;Henry KW;Talbert JC
• 通讯作者: Talbert JC