VA Diabetes Prevention: Enhanced Implementation Evaluation

VA 糖尿病预防:加强实施评估

基本信息

项目摘要

Background: Multiple large scale randomized controlled trials have shown that in people with impaired glucose tolerance, between 40 and 60% of cases of Type 2 diabetes can be prevented with lifestyles interventions that emphasize diet, exercise and weight loss. Despite the strong evidence base supporting preventability, the incidence of diabetes continues to increase. In the US, almost 2 million people were newly diagnosed with type 2 diabetes in 2010. VA MOVE! does not specifically target those with pre-diabetes and most veterans referred to VA MOVE! who don't already have a diagnosis of diabetes do not know if they are pre-diabetic or not. With a few exceptions, lifestyle modification interventions that target individuals with pre-diabetes and follow the Diabetes Prevention Program curriculum are not available to veterans with pre-diabetes in the VA. This project will build on two pre- existing projects, the VA Diabetes Prevention clinical demonstration project funded by our partners at VA National Center for Health Promotion and Disease Prevention (NCP) and the QUERI funded RRP titled: VA Diabetes Prevention: Epidemiology of Pre-Diabetes and Implementation Pilot. Methods: The evaluation components proposed in this SDP application represent a Hybrid Type 3 mixed methods implementation evaluation. Consistent with this goal, our research team has worked collaboratively with NCP to identify three specific implementation-focused research questions, the answers to which will inform national implementation of the DPP in the VA. There are three distinct research components corresponding to the three specific aims in this research plan: an implementation evaluation, a mediation analysis of components that differ between VA MOVE! and VA DPP, and a cost- effectiveness/budget impact analysis. Veterans who are referred to VA MOVE! at one of three VA medical centers will be screened for pre-diabetes. Those who meet inclusion criteria will be assigned using a systematic sampling to either VA DPP or VA MOVE! Participants will be tracked for 1 year following assignment to evaluate weight loss and session attendance. Participants will also be invited to complete two surveys, one at baseline and one at a 12 month follow-up visit. A subset of participants will be interviewed for qualitative data to support quantitative results and to inform the implementation analysis. Additional staff interviews will be coded using the CFIR and RE-AIM implementation framework to guide future implementation strategies. Objective 1. Test an implementation strategy and identify barriers and facilitators to implementation of the VA DPP at three VA medical centers using a mixed methods approach that is informed by the CFIR and RE- AIM implementation frameworks. 2. Test for mediation of intervention effect on weight loss by constructs that are addressed differently in VA MOVE! and the VA DPP including group cohesion, intervention intensity, outcome expectations, goal awareness and commitment, and self-regulation skills. 3. Conduct cost-effectiveness and budget impact analyses of implementing the VA DPP broadly in the VA from the perspective of the health system.
背景资料: 多项大规模随机对照试验表明,在糖受损人群中, 耐受性,40%至60%的2型糖尿病病例可以通过生活方式预防 强调饮食、锻炼和减肥的干预措施。尽管有强大的证据基础 支持可预防性,糖尿病的发病率继续增加。在美国, 2010年,新诊断出2型糖尿病的人。VA MOVE!并不是专门针对那些 糖尿病前期和大多数退伍军人提到VA移动!他们还没有被诊断出 糖尿病患者不知道自己是否是糖尿病前期。除了少数例外,生活方式的改变 针对糖尿病前期患者并遵循糖尿病预防计划的干预措施 课程不适用于退伍军人事务部的糖尿病前期退伍军人。该项目将建立在两个预- 现有的项目,VA糖尿病预防临床示范项目由我们的合作伙伴资助, VA国家健康促进和疾病预防中心(NCP)和QUERI资助的RRP VA糖尿病预防:糖尿病前期流行病学和实施试点。 研究方法: 本SDP应用中提出的评估组件代表混合型3混合方法 执行情况评价。为了实现这一目标,我们的研究团队进行了合作, 与NCP确定三个具体的实施为重点的研究问题,答案, 将为弗吉尼亚州DPP的国家实施提供信息。有三个不同的研究组成部分 与本研究计划的三个具体目标相对应:实施评估, VA MOVE!和VA DPP,以及成本- 效益/预算影响分析。退伍军人谁是指VA移动!在三个VA之一 医疗中心将进行糖尿病前期筛查。符合入选标准的受试者将被分配 使用系统抽样对VA DPP或VA MOVE!参与者将被跟踪1年 评估减肥效果和出勤率。还将邀请与会者 完成两项调查,一项在基线时,另一项在12个月随访时。试者亚组imp 将接受访谈,以获得定性数据,支持定量结果,并为实施提供信息 分析.将使用CFIR和RE-AIM实施对其他员工访谈进行编码 指导未来实施战略的框架。 目的 1.测试实施战略并确定VA实施的障碍和促进因素 三个VA医疗中心的DPP使用混合方法,该方法由CFIR和RE告知, AIM实施框架。 2.通过不同处理的结构检验干预对体重减轻的中介作用, VA MOVE!VA DPP包括群体凝聚力、干预强度、结果期望、目标 意识和承诺,以及自我调节技能。 3.对在弗吉尼亚州广泛实施弗吉尼亚州生产产品计划进行成本效益和预算影响分析 从卫生系统的角度来看。

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

CAROLINE R. RICHARDSON其他文献

CAROLINE R. RICHARDSON的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('CAROLINE R. RICHARDSON', 18)}}的其他基金

Stay Strong: A physical activity program for Afghanistan and Iraq Veterans
保持坚强:阿富汗和伊拉克退伍军人的体育活动计划
  • 批准号:
    8486713
  • 财政年份:
    2015
  • 资助金额:
    --
  • 项目类别:
VA Diabetes Prevention: Epidemiology of Pre-Diabetes and Implementation Pilot
VA 糖尿病预防:糖尿病前期的流行病学和实施试点
  • 批准号:
    8466615
  • 财政年份:
    2012
  • 资助金额:
    --
  • 项目类别:
Effectiveness of an Automated Walking Program Targeting Veterans with COPD
针对慢性阻塞性肺病退伍军人的自动步行计划的有效性
  • 批准号:
    8600186
  • 财政年份:
    2010
  • 资助金额:
    --
  • 项目类别:
Effectiveness of an Automated Walking Program Targeting Veterans with COPD
针对慢性阻塞性肺病退伍军人的自动步行计划的有效性
  • 批准号:
    8182127
  • 财政年份:
    2010
  • 资助金额:
    --
  • 项目类别:
Effectiveness of an Automated Walking Program Targeting Veterans with COPD
针对慢性阻塞性肺病退伍军人的自动步行计划的有效性
  • 批准号:
    7870166
  • 财政年份:
    2010
  • 资助金额:
    --
  • 项目类别:
Motivational Feedback to Increase Walking Adherence
提高步行依从性的激励反馈
  • 批准号:
    6953742
  • 财政年份:
    2004
  • 资助金额:
    --
  • 项目类别:
Motivational Feedback to Increase Walking Adherence
提高步行依从性的激励反馈
  • 批准号:
    7113663
  • 财政年份:
    2004
  • 资助金额:
    --
  • 项目类别:
Motivational Feedback to Increase Walking Adherence
提高步行依从性的激励反馈
  • 批准号:
    7479125
  • 财政年份:
    2004
  • 资助金额:
    --
  • 项目类别:
Motivational Feedback to Increase Walking Adherence
提高步行依从性的激励反馈
  • 批准号:
    6809709
  • 财政年份:
    2004
  • 资助金额:
    --
  • 项目类别:
Motivational Feedback to Increase Walking Adherence
提高步行依从性的激励反馈
  • 批准号:
    7270367
  • 财政年份:
    2004
  • 资助金额:
    --
  • 项目类别:

相似海外基金

Cultivating Diversity Awareness in Japanese Med Schools with a foreign Standardized Patient program
通过外国标准化患者计划培养日本医学院的多样性意识
  • 批准号:
    24K13361
  • 财政年份:
    2024
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
Multi-dimensional quantum-enabled sub-THz Space-Borne ISAR sensing for space domain awareness and critical infrastructure monitoring - SBISAR
用于空间域感知和关键基础设施监测的多维量子亚太赫兹星载 ISAR 传感 - SBISAR
  • 批准号:
    EP/Y022092/1
  • 财政年份:
    2024
  • 资助金额:
    --
  • 项目类别:
    Research Grant
Postdoctoral Fellowship: STEMEdIPRF: Examining how faculty awareness of systemic barriers and growth mindset influences students' belonging, self-efficacy, and success in STEM
博士后奖学金:STEMEdIPRF:研究教师对系统性障碍和成长心态的认识如何影响学生的归属感、自我效能和 STEM 成功
  • 批准号:
    2327319
  • 财政年份:
    2024
  • 资助金额:
    --
  • 项目类别:
    Standard Grant
I-Corps: Virtual Reality Training Platform for Increasing Awareness of Unconscious Bias in Industry Decision-Making
I-Corps:虚拟现实培训平台,用于提高行业决策中无意识偏见的意识
  • 批准号:
    2402141
  • 财政年份:
    2024
  • 资助金额:
    --
  • 项目类别:
    Standard Grant
CAREER: Digital Twins of Surgical Environments for Situational Awareness and Immersive Simulation
职业:用于态势感知和沉浸式模拟的手术环境数字孪生
  • 批准号:
    2239077
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Continuing Grant
Development of Informatics Materials with an Awareness of the High School-University connection and a Learning Support Environment for Data-Driven Instruction
开发具有高中与大学联系意识的信息学材料和数据驱动教学的学习支持环境
  • 批准号:
    23H01019
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Scientific Research (B)
STTR Phase I: Space Debris Awareness Spectrum
STTR 第一阶段:空间碎片意识频谱
  • 批准号:
    2227213
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Standard Grant
A smartphone rip-detection tool to improve rip current awareness
智能手机撕裂检测工具,可提高撕裂电流感知能力
  • 批准号:
    LP220200780
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Linkage Projects
The 'Long COVID Education and Awareness Hub': A digitally integrated resource for patients, caregivers, and health care providers
“长期新冠病毒教育和意识中心”:为患者、护理人员和医疗保健提供者提供的数字集成资源
  • 批准号:
    495218
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
Evidence-Based Dialogue to Promote Sun Protection, Foster a Community of Concern and Increase Awareness for Skin Cancers in Canada.
在加拿大开展基于证据的对话,以促进防晒、培养关注社区并提高对皮肤癌的认识。
  • 批准号:
    485622
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Miscellaneous Programs
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了