Diabetes is a serious problem for American Indians, who suffer from some of the highest rates of diabetes in the world. Our preliminary work suggests that diabetes education is the strongest predictor of completion of recommended examinations, laboratory tests, and immunizations in the care of patients with diabetes. The Indian Health Service (IHS) has developed criteria to classify diabetes education programs into differing levels based on the extent of the organization and delivery of these services. There have been no published studies comparing the quality of diabetes care in Indian health facilities with differing levels of diabetes education programs. The purpose of this study is to determine whether there are significant differences in the quality of diabetes care among Indian health programs with differing levels of diabetes education programs. Our hypothesis is that patients who receive care in Indian health facilities with more comprehensive diabetes education programs will have higher rates of completion on indicators on diabetes care, and that facilities that become more comprehensive over time will also demonstrate higher levels of care. The study will address the following specific aims: 1. Determine if there are significant differences among Indian health facilities with differing levels of diabetes education programs in their performance on selected process and outcome indicators care using the IHC Diabetes Audit. 2. Determine which diabetes education program and facility characteristics are associated with better performance on indicators of diabetes care. This study will help determine if there are differences in the quality of care that patients receive in Indian health facilities with differing levels of diabetes education programs and services. The results of this study could be a first step in providing data on whether the IHS criteria and develop diabetes education programs are evidence-based, and on what program and facility characteristics are associated with improved quality diabetes care in the Indian health system.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Research Program Projects (P01)
Project #
5P01HS010854-02
Application #
6501136
Study Section
Special Emphasis Panel (ZHS1)
Project Start
2001-09-30
Project End
2002-09-29
Budget Start
Budget End
Support Year
2
Fiscal Year
2001
Total Cost
Indirect Cost
Name
University of Colorado Denver
Department
Type
DUNS #
065391526
City
Aurora
State
CO
Country
United States
Zip Code
80045
Sawchuk, Craig N; Roy-Byrne, Peter; Noonan, Carolyn et al. (2017) Panic attacks and panic disorder in the American Indian community. J Anxiety Disord 48:6-12
Sawchuk, Craig N; Roy-Byrne, Peter; Noonan, Carolyn et al. (2016) The Association of Panic Disorder, Posttraumatic Stress Disorder, and Major Depression With Smoking in American Indians. Nicotine Tob Res 18:259-66
Jiang, Luohua; Manson, Spero M; Beals, Janette et al. (2014) Comment on knowler et Al. Preventing diabetes in american Indian communities. Diabetes care 2013;36:1820-1822. Diabetes Care 37:e35-6
Gonzales, Angela A; Garroutte, Eva; Ton, Thanh G N et al. (2012) Effect of tribal language use on colorectal cancer screening among American Indians. J Immigr Minor Health 14:975-82
Sawchuk, Craig N; Roy-Byrne, Peter; Noonan, Carolyn et al. (2012) Smokeless tobacco use and its relation to panic disorder, major depression, and posttraumatic stress disorder in American Indians. Nicotine Tob Res 14:1048-56
Garroutte, Eva Marie; Sarkisian, Natalia; Karamnov, Sergey (2012) Affective interactions in medical visits: ethnic differences among American Indian older adults. J Aging Health 24:1223-51
Sawchuk, Craig N; Russo, Joan E; Charles, Steve et al. (2011) Does pedometer goal setting improve physical activity among Native elders? Results from a randomized pilot study. Am Indian Alsk Native Ment Health Res 18:23-41
Sawchuk, Craig N; Russo, Joan E; Bogart, Andy et al. (2011) Barriers and facilitators to walking and physical activity among American Indian elders. Prev Chronic Dis 8:A63
Doorenbos, Ardith Z; Jacobsen, Clemma; Corpuz, Rebecca et al. (2011) A randomized controlled calendar mail-out to increase cancer screening among urban American Indian and Alaska Native patients. J Cancer Educ 26:549-54
Gonzales, Angela A; Ton, Thanh G N; Garroutte, Eva Marie et al. (2010) Perceived cancer risk among American Indians: implications for intervention research. Ethn Dis 20:458-62

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