Design and Evaluation for Equity Core

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CORE B: PROGRAM SUMMARY / ABSTRACT While there has been much progress in building the evidence to prevent diabetes and its complications, and notable improvements in quality of care and incidence of vascular complications among people with diagnosed diabetes over the past 30 years, there is a large unfinished agenda. Identification of people at risk for and with diabetes, and uptake of prevention programs are suboptimal; and more can be done to achieve recommended care goals and reduce morbidity, especially among minorities and vulnerable subpopulations. Translation research, especially health and preventive services research, design, and evaluation can help close gaps equitably by helping identify how to tailor implementation efforts to better suit target populations and by generating policy-, program-, and practice-oriented data to inform investments in diabetes. Though there is plentiful demand in the Southeastern U.S., availability of relevant expertise is limited and fragmented, which is a barrier for aspiring junior and underrepresented minority (URM) investigators. Core B (Design and Evaluation for Equity) of the Georgia Center for Diabetes Translation Research (GCDTR) is poised to fill this void by facilitating access to local, regional, and national datasets (Aim 1); offering accessible, cohesive, and multi-disciplinary methodological, analytical, and strategic expertise in diabetes translation research (Aim 2); and helping link research with opportunities for translation and implementation (Aim 3). Core B's collective expertise, networks and partnerships, and access to key databases that are in high demand make it well-suited for stimulating high-quality diabetes translation research and uptake among a wide array of stakeholders (academics, health care, non- and for-profit organizations, and local and federal government). In its first 4 years, Core B has developed a strong culture of multi-disciplinarity, collegiality, continuous learning, and leverage. Building on these successes, Core B will continue its focus on prioritizing support for junior and URM investigators. The Core is well-integrated with other GCDTR Cores and Programs and embodies the same ethos of promoting equity at our institutions, our membership, and in our research. Core Experts will continue to engage in the GCDTR's catalyst and dissemination activities (Pilot and Feasibility and Enrichment Programs) and complement the other Cores. Core B Experts will be accessible and active with simple operating and reporting structures that facilitate more effective and cost-effective science. Core B has expertise in health services and disparities research, clinical medicine (primary care, geriatrics, endocrinology, preventive cardiology), nursing, systems design, statistics, analytics, epidemiology, engineering, management, and economics. Continuing to leverage Core B's collective expertise and resources offers an expedient and efficient opportunity to advance the field, promoting equity for the increasingly diverse population in the Southeastern U.S., and informing local initiatives to improve metabolic health in the region.