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Project Information

PARTICIPATORY DESIGN OF PATIENT-CENTERED DEPRESSION AND DIABETES CARE.

Agency:
AHRQ

HHS/Agency for Healthcare Research and Quality

Project Number:
1K18HS023445-01
Contact PI / Project Leader:
BOGNER, HILLARY R
Awardee Organization:
UNIVERSITY OF PENNSYLVANIA

Description

Abstract Text:
DESCRIPTION (provided by applicant): There is a pressing need to improve outcomes for patients with diabetes, especially patients from underserved communities. Patients with diabetes have high levels of depressive symptoms that lead to poor engagement in care and worse overall health function. Integrated care for depression and diabetes has been shown to help improve clinical outcomes. However, many patients with depressive symptoms and diabetes, especially traditionally underserved groups, have other priorities such as financial, social and emotional concerns that affect their care. This K18 career enhancement award in Patient Centered Outcomes Research (PCOR) proposes, through a program of mentoring, formal coursework, and a linked research project, to build skills in PCOR methods and utilize a participatory approach to inspire a new services delivery model for diabetes care. The basis of this model would be to include patient's nonbiomedical needs as part of primary care treatment discussions and decisions. Partnering with patients, physicians, and licensed practical nurses (LPNs) as stakeholders, our first phase will use mixed-methods to determine the range of biomedical (physical symptoms, diet and exercise) and nonbiomedical (financial, social and emotional) needs patients with depressive symptoms and Type 2 DM may wish to address in the context of their health. These needs will be used to populate a prioritization card-sort task that will be used to create a personalized management plan that empowers patients to prioritize their own needs within an integrated care intervention. The second phase will prepare for a pragmatic comparative effectiveness trial by pilot testing an integrated depression and Type 2 diabetes mellitus (DM) intervention plus patient prioritized planning in primary care patients with depressive symptoms and Type 2 DM and a hemoglobin A1c (HbA1c) > 8% from urban clinics serving primarily older low income minority populations. Function will be our primary patient-centered outcome because of the importance patients place on being able to manage one's life circumstances. The intervention is carried out by health care staff already on site thus facilitatig its implementation in real world practices with limited resources and competing demands. Our goal is to close the health disparities gap in diabetes care among traditionally underserved groups including older adults, those in inner city areas, and members of minority groups.
Project Terms:
Address; Affect; Area; Award; base; career; Caring; Clinic; Clinical; Communities; comparative effectiveness; depressive symptoms; design; Diabetes Mellitus; diet and exercise; effectiveness trial; Elderly; Emotional; empowered; Glycosylated hemoglobin A; Goals; Health; health disparity; Healthcare; improved; inner city; Intervention; K-18 conjugate; Lead; Licensed Practical Nurse; Life; Link; Low income; member; Mental Depression; Mentors; Methods; Minority; Minority Groups; Modeling; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Outcomes Research; patient oriented; Patient-Focused Outcomes; Patients; Phase; Physicians; Population; Primary Health Care; programs; Research Methodology; Research Project Grants; Resources; Services; Site; skills; social; Sorting - Cell Movement; Symptoms; Testing

Details

Contact PI / Project Leader Information:
Name:  BOGNER, HILLARY R
Other PI Information:
Not Applicable
Awardee Organization:
Name:  UNIVERSITY OF PENNSYLVANIA
City:  PHILADELPHIA    
Country:  UNITED STATES
Congressional District:
State Code:  PA
District:  02
Other Information:
Fiscal Year: 2014
Award Notice Date: 12-Aug-2014
DUNS Number: 042250712
Project Start Date: 30-Sep-2014
Budget Start Date: 30-Sep-2014
CFDA Code: 226
Project End Date: 29-Sep-2016
Budget End Date: 29-Sep-2015
Agency: ?

Agency: The entity responsible for the administering of a research grant, project, or contract. This may represent a federal department, agency, or sub-agency (institute or center). Details on agencies in Federal RePORTER can be found in the FAQ page.

HHS/Agency for Healthcare Research and Quality
Project Funding Information for 2014:
Year Agency

Agency: The entity responsible for the administering of a research grant, project, or contract. This may represent a federal department, agency, or sub-agency (institute or center). Details on agencies in Federal RePORTER can be found in the FAQ page.

FY Total Cost
2014 AHRQ

HHS/Agency for Healthcare Research and Quality

$179,166

Results

i

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