Dr. Sorkin's long term goal is to become an independent investigator in an academic medical center, working within an interdisciplinary team and developing and testing interventions and programs designed to improve diabetes quality of care and the self-management of diabetes. Despite a dramatic increase in efforts to improve the quality of diabetes care, no amount of technically competent and humanely delivered medical care will lead to the effective management of diabetes unless patients actively implement treatment regimens in the circumstances of their daily lives. Efforts to increase patients'self-management must focus on the micro-environment of the patient-provider interaction where the treatment decisions are made, as well as the macro-environment of the family and community where a healthy lifestyle must be implemented and maintained. The goal of this 5-year Mentored Research Scientist Development award is to enable the applicant to obtain the necessary skills and training to become an independent health services investigator in improving diabetes self-management by focusing on the interaction between the patient-provider relationship and the patient's informal support network. This career development award will consist of coursework, mentorship, and supervised investigations focusing on 1) describing the social environment of a sample of ethnically/ racially diverse patients with type 2 diabetes, 2) investigating the affect of patients'social environment on a high quality clinical intervention designed to improve treatment adherence and outcomes in diabetes, and modified to be effective among limited-English proficient minority patients;and 3) examining the marital relationship as a unique source of influence and support of patients'self-management. This career development award will allow Dr. Sorkin to aquire additional research skills and experience under the mentorship of nationally and internationally known researchers in a supportive academic environment. Completing these three objectives will enhance her ability to conduct patient-centered research and to achieve her goal of becoming an independent patient-oriented researcher in diabetes.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
5K01DK078939-03
Application #
7902175
Study Section
Diabetes, Endocrinology and Metabolic Diseases B Subcommittee (DDK)
Program Officer
Hyde, James F
Project Start
2008-09-15
Project End
2012-08-31
Budget Start
2010-09-01
Budget End
2011-08-31
Support Year
3
Fiscal Year
2010
Total Cost
$145,588
Indirect Cost
Name
University of California Irvine
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
046705849
City
Irvine
State
CA
Country
United States
Zip Code
92697
August, Kristin J; Dowell, Alexandra; Sorkin, Dara H (2017) Disease factors associated with spousal influence on diabetic diet: An exploratory comparison of Vietnamese American and White older adults. Health Psychol Open 4:2055102917738658
Choi, Sarah E; Ngo-Metzger, Quyen; Billimek, John et al. (2016) Contributors to Patients' Ratings of Quality of Care Among Ethnically Diverse Patients with Type 2 Diabetes. J Immigr Minor Health 18:382-9
Sorkin, Dara H; Biegler, Kelly A; Billimek, John (2015) Differences in Self-Reported Physical Activity and Body Mass Index Among Older Hispanic and Non-Hispanic White Men and Women: Findings from the 2009 California Health Interview Survey. J Am Geriatr Soc 63:2158-63
Sorkin, Dara H; Billimek, John; August, Kristin J et al. (2015) Mental health symptoms and patient-reported diabetes symptom burden: implications for medication regimen changes. Fam Pract 32:317-22
Billimek, John; Malik, Shaista; Sorkin, Dara H et al. (2015) Understanding disparities in lipid management among patients with type 2 diabetes: gender differences in medication nonadherence after treatment intensification. Womens Health Issues 25:6-12
Nguyen, Hannah; Sorkin, Dara H; Billimek, John et al. (2014) Complementary and alternative medicine (CAM) use among non-Hispanic white, Mexican American, and Vietnamese American patients with type 2 diabetes. J Health Care Poor Underserved 25:1941-55
Sorkin, Dara H; Biegler, Kelly A; Peyreda, Margarita et al. (2013) Unidas por la Vida (United for Life): implementing a culturally-tailored, community-based, family-oriented lifestyle intervention. J Health Care Poor Underserved 24:116-38
Malik, Shaista; Billimek, John; Greenfield, Sheldon et al. (2013) Patient complexity and risk factor control among multimorbid patients with type 2 diabetes: results from the R2D2C2 study. Med Care 51:180-5
Kaplan, Sherrie H; Billimek, John; Sorkin, Dara H et al. (2013) Reducing racial/ethnic disparities in diabetes: the Coached Care (R2D2C2) project. J Gen Intern Med 28:1340-9
Jacobson, Jill A; Ji, Li-Jun; Ditto, Peter H et al. (2012) The effects of culture and self-construal on responses to threatening health information. Psychol Health 27:1194-210

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