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

描述(由申请者提供)：美国糖尿病教育工作者协会(AADE)建议向全国糖尿病教育工作者(DE‘s)传播关于糖尿病护理的以患者为中心的结果研究(PCOR)/比较有效性研究(CER)。DE为患者提供自我护理行为的指导，并促进患者遵守建议的治疗，包括服药依从性、自我监测、饮食、锻炼和降低风险的行为。DE‘s可以帮助患者了解治疗方案并做出知情的医疗决策。为了成功地履行这些职责，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生产的关于预混合胰岛素类似物的CER和关于2型糖尿病口服药物的CER。AADE将评估DE对这一信息的接受情况，包括他们对AHRQ临床医生和消费者摘要的利用；衡量DE对糖尿病药物的相对有效性的了解的变化；以及评估DE对CER/PCOR的额外教育的需求。根据这一评估和多学科PCOR咨询小组的意见，AADE将在为期三年的项目过程中传播关于其他糖尿病护理主题、相关状况和慢性病管理的PCOR/CER。传播工作将适应目标受众的各种学习偏好，范围从使用传统方法的活动(现场会议和印刷出版物上的文章)到使用新技术的活动(在线感兴趣的社区、播客和博客)。AADE将在PCOR/CER上向远程教育中心提供基于网络的现场继续教育。AADE将衡量和报告参与度、满意度、知识变化和能力变化，包括DES在实践中自我报告的变化。将利用重点小组收集关于环境和发展司将变革和组织振兴方案/经济、社会和文化权利应用于实践的定性意见。AADE还将在糖尿病教育领域建立PCOR基础设施，开发将PCOR/CER转化为从入门级工人到高级糖尿病从业者/临床经理的各种DE职业实践的指导方针和工具。

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.