The overarching goal of this application is to develop innovative approaches to improving the care of complex patients with type 2 diabetes, including the growing number of Latinos with diabetes. I am the principal investigator for an NIDDK R01 that is implementing and evaluating a tool to help complex patients with diabetes identify and prioritize their top concerns in preparation for a scheduled visit with their primary care provider (PCP). This R01 will help form the foundation for the new mentored research proposed for this K24 award.
Specific aims for the K24 include to:
Aim 1 : Examine the relationship between patient visit priorities and PCP care plans;
Aim 2 : Adapt pre-visit prioritization for Low-English-Proficiency and Spanish-speaking Latinos;
Aim 3 : Learn how to effectively implement alternative health IT platforms such as smart phones, interactive voice response, and other novel modalities for pre-visit prioritization. I am the Director of the Kaiser Permanente Division of Research Delivery Science Fellowship Program and I am a core faculty member for the UCSF Translational Sciences Institute K Scholars Program for junior faculty with career development awards. I have a track record of successfully mentoring research trainees, including medical residents, clinical fellows, MD and PhD post-doctoral trainees, and junior faculty. Coupled with the proposed K24 Career Development training activities, the proposed mentored research will enhance my career goals to build research skills in the areas of Latino cultural health and health IT design, generate novel preliminary data to support subsequent R01- level applications to advance the field of diabetes patient-oriented research, and provide abundant mentored research opportunities for highly promising mentees with an interest and passion for patient-oriented research to improve the care of patients with type 2 diabetes.

Public Health Relevance

This application seeks to develop more effective communication tools to help complex patients with type 2 diabetes and their primary care providers identify, discuss, and set care priorities. This application enhances Dr. Grant's career development while allowing him to develop a rich training environment for junior investigators interested in conducting patient-oriented research for patients with diabetes

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24DK109114-02
Application #
9249042
Study Section
Kidney, Urologic and Hematologic Diseases D Subcommittee (DDK)
Program Officer
Spain, Lisa M
Project Start
2016-09-01
Project End
2021-07-31
Budget Start
2017-08-01
Budget End
2018-07-31
Support Year
2
Fiscal Year
2017
Total Cost
Indirect Cost
Name
Kaiser Foundation Research Institute
Department
Type
DUNS #
150829349
City
Oakland
State
CA
Country
United States
Zip Code
94612
Reed, Mary E; Huang, Jie; Brand, Richard et al. (2018) Communicating Through a Patient Portal to Engage Family Care Partners. JAMA Intern Med 178:142-144
Schmittdiel, Julie A; Grant, Richard W (2018) Crossing the Research to Quality Chasm: A Checklist for Researchers and Clinical Leadership Partners. J Gen Intern Med 33:9-10
Gopalan, A; Mishra, P; Alexeeff, S E et al. (2018) Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. Diabet Med 35:1655-1662
Garcia, Maria E; Uratsu, Connie S; Sandoval-Perry, Julie et al. (2018) Which Complex Patients Should Be Referred for Intensive Care Management? A Mixed-Methods Analysis. J Gen Intern Med 33:1454-1460
Vassy, Jason L; He, Wei; Florez, Jose C et al. (2018) Six-Year Diabetes Incidence After Genetic Risk Testing and Counseling: A Randomized Clinical Trial. Diabetes Care 41:e25-e26
Kowalski, Christine P; McQuillan, Deanna B; Chawla, Neetu et al. (2018) 'The Hand on the Doorknob': Visit Agenda Setting by Complex Patients and Their Primary Care Physicians. J Am Board Fam Med 31:29-37
Baker, Jennifer M; Grant, Richard W; Gopalan, Anjali (2018) A systematic review of care management interventions targeting multimorbidity and high care utilization. BMC Health Serv Res 18:65
Zamudio, Cindy D; Sanchez, Gabriela; Altschuler, Andrea et al. (2017) Influence of Language and Culture in the Primary Care of Spanish-Speaking Latino Adults with Poorly Controlled Diabetes: A Qualitative Study. Ethn Dis 27:379-386