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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.

Activities:
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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