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2012 HSR&D/QUERI National Conference Abstract

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2012 National Meeting

2021 — Implementing Diabetes Prevention in VA – Expanding the Reach

Richardson CR, and Damschroder L, Ann Arbor HSR&D, Diabetes QUERI;

Workshop Objectives:
Diabetes QUERI has historically focused its research efforts on optimizing treatment for Veterans who have type 2 diabetes. Recently, the QUERI has expanded its mission to include research related to the prevention of type 2 diabetes. In this workshop, we will bring together VA implementation researchers interested in obesity, healthy lifestyle interventions, and type 2 diabetes prevention to discuss the current state of research in translation of diabetes prevention, to identify gaps in knowledge, and to plan a series of research proposals to address these gaps. The ultimate goal is to support VA progress in diabetes prevention through research on cost-effective diabetes prevention strategies that could yield a population-level impact on diabetes incidence and on costs and prevalence of other obesity-related chronic diseases in Veterans.

1) Briefly review the evidence for efficacy of lifestyle interventions in diabetes prevention. 2) Describe the design space of translational efforts to implement diabetes prevention interventions on a broad scale. 3) Brainstorm in small groups to identify important gaps in knowledge related to a) Identification, screening, and prevalence of Veterans at risk for developing type 2 diabetes - building on MOVE! and existing EMR data; b) Implementation issues and cost-effectiveness of various diet, exercise, and medication strategies for preventing diabetes; c) Incentives to encourage participation and adherence in lifestyle programs; and d) Implementation strategies for optimizing the impact of large-scale type 2 diabetes prevention programs in VA. 4) Propose a series of specific projects to address identified gaps and organize teams to move these projects forward with the support of the Diabetes QUERI Prevention Group. 5) Plan for future follow-up as a consortium of investigators committed to advancing implementation of diabetes prevention interventions in VA.

Target Audience:
Investigators, research staff, and students with an interest in advancing implementation research related to obesity, healthy lifestyle, and diabetes prevention in VA.

Assumed Audience Familiarity with Topic:
Audience should be aware of the results of the Diabetes Prevention Program Study (Knowler 2002, NEJM) but results will be briefly summarized at the beginning of the presentation.

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