Dissemination of Patient Centered Outcomes Research to a National Audience of Dia

描述（由申请人提供）：美国糖尿病教育工作者协会（AADE）提议向全国糖尿病教育工作者（DE）传播以患者为中心的糖尿病护理结果研究(PCOR)/比较有效性研究（CER）。DE为患者提供有关自我护理行为的指导，并促进患者遵守推荐的治疗，包括药物依从性，自我监控，饮食，运动和降低风险的行为。DE's可以帮助患者了解治疗方案并做出明智的医疗保健决定。为了成功地发挥这些作用，DE必须了解糖尿病和相关疾病的治疗方案的有效性，并有能力与患者和医疗团队讨论这些方案。AADE最初将专注于传播ahrq生产的预混合胰岛素类似物的CER和2型糖尿病口服药物的CER。AADE将评估DE对这些信息的吸收情况，包括他们对AHRQ临床医生和消费者摘要的利用情况；测量糖尿病患者对糖尿病药物相对有效性知识的变化；并评估DE对CER/PCOR额外教育的需求。基于这一评估和多学科PCOR咨询小组的意见，AADE将在为期三年的项目中传播关于其他糖尿病护理主题、相关疾病和慢性病管理的PCOR/CER。传播工作将适应目标受众的各种学习偏好，范围从利用传统方法的活动（现场会议和印刷出版物中的文章）到采用新技术的活动（在线兴趣社区、播客和博客）。AADE将在PCOR/CER上为DE提供基于网络和现场的继续教育。AADE将测量和报告参与、满意度、知识变化和能力变化，包括de在实践中自我报告的变化。将利用焦点小组收集DE在PCOR/CER实践中应用的定性输入。AADE还将在糖尿病教育领域建立PCOR基础设施，通过开发指南和工具，将PCOR/CER转化为DE职业范围的实践，从初级工作者到高级糖尿病从业者/临床管理人员。

DESCRIPTION (provided by applicant): American Association of Diabetes Educators (AADE) proposes to disseminate Patient Centered Outcomes Research (PCOR)/Comparative Effectiveness Research (CER) on diabetes care to a national audience of diabetes educators (DE's). DE's provide patients with instruction on self- care behaviors and promote patient compliance with recommended treatment, including medication adherence, self-monitoring, diet, exercise, and risk reduction behaviors. DE's can assist patients in understanding treatment options and making informed health care decisions. In order to perform these roles successfully, DE's must be knowledgeable about the effectiveness of treatment options for diabetes and related conditions and competent in discussing these options with patients and within the healthcare team. AADE will initially focus on disseminating the AHRQ-produced CER on pre-mixed insulin analogues and the CER on oral medications for type 2 diabetes. AADE will evaluate the uptake of this information among DE's, including their utilization of AHRQ clinician and consumer summaries; measure change in DE's knowledge of the comparative effectiveness of diabetes medications; and assess DE's need for additional education on CER/PCOR. Based on this assessment, and input of a multi-disciplinary PCOR Advisory Panel, AADE will disseminate PCOR/CER on other diabetes care topics, related conditions, and chronic disease management over the course of the three-year project. Dissemination efforts will accommodate various learning preferences of the target audience and will range from activities that utilize traditional methods (live meetings and articles in print publications) to activities that employ newer technologies (on-line Communities of Interest, podcasts, and blogs). AADE will provide both web-based and live continuing education to DE's on PCOR/CER. AADE will measure and report participation, satisfaction, change in knowledge, and change in competence, including DEs' self-reported change in practice. Focus groups will be utilized to gather qualitative input on DE's application of PCOR/CER to practice. AADE will also build PCOR infrastructure within the field of diabetes education by developing guidelines and tools for translating PCOR/CER to practice for a career spectrum of DE's, ranging from entry level workers to advanced level diabetes practitioners/clinical managers.