Mentored Research to Improve Care for Complex Patients with Diabetes

 描述(申请人提供)：这项申请的总体目标是开发创新的方法，以改善复杂的2型糖尿病患者的护理，包括越来越多的患有糖尿病的拉丁裔患者。我是NIDDK R01的首席研究员，该项目正在实施和评估一种工具，帮助复杂的糖尿病患者识别和优先考虑他们最关心的问题，为与他们的初级保健提供者进行预定的访问做准备 (PCP)。这个R01将帮助形成为这个K24奖建议的新的指导性研究的基础。K24的具体目标包括：目标1：检查患者就诊优先顺序与PCP护理计划之间的关系；目标2：针对英语水平较低的拉丁裔患者调整就诊前优先顺序；目标3：了解如何有效实施替代医疗IT平台，如智能手机、交互式语音应答和其他用于就诊前优先顺序的新模式。我是Kaiser Permanente研究交付科学奖学金项目的主任，也是加州大学旧金山分校翻译科学研究所K学者项目的核心教师，该项目面向获得职业发展奖的初级教师。我有成功指导研究实习生的记录，包括住院医师、临床研究员、医学博士和博士后实习生以及初级教员。与拟议的K24职业发展培训活动相结合，拟议的导师研究将增强我的职业目标，以建立拉美文化健康和健康IT设计领域的研究技能，产生新颖的初步数据，以支持后续R01水平的应用，以推进以患者为导向的研究领域，并为对以患者为导向的研究感兴趣和热情的非常有前途的导师提供丰富的导师研究机会，以改善对2型糖尿病患者的护理。

 DESCRIPTION (provided by applicant): The overarching goal of this application is to develop innovative approaches to improving the care of complex patients with type 2 diabetes, including the growing number of Latinos with diabetes. I am the principal investigator for an NIDDK R01 that is implementing and evaluating a tool to help complex patients with diabetes identify and prioritize their top concerns in preparation for a scheduled visit with their primary care provider (PCP). This R01 will help form the foundation for the new mentored research proposed for this K24 award. Specific aims for the K24 include to: Aim 1: Examine the relationship between patient visit priorities and PCP care plans; Aim 2: Adapt pre-visit prioritization for Low-English-Proficiency and Spanish-speaking Latinos; Aim 3: Learn how to effectively implement alternative health IT platforms such as smart phones, interactive voice response, and other novel modalities for pre-visit prioritization. I am the Director of the Kaiser Permanente Division of Research Delivery Science Fellowship Program and I am a core faculty member for the UCSF Translational Sciences Institute K Scholars Program for junior faculty with career development awards. I have a track record of successfully mentoring research trainees, including medical residents, clinical fellows, MD and PhD post-doctoral trainees, and junior faculty. Coupled with the proposed K24 Career Development training activities, the proposed mentored research will enhance my career goals to build research skills in the areas of Latino cultural health and health IT design, generate novel preliminary data to support subsequent R01- level applications to advance the field of diabetes patient-oriented research, and provide abundant mentored research opportunities for highly promising mentees with an interest and passion for patient-oriented research to improve the care of patients with type 2 diabetes.