PCORI Answers Critical Questions
Although many care options are available to prevent and manage diabetes, questions remain about what options work best for whom, and about the most effective ways to deliver care. PCORI is funding comparative clinical effectiveness research that will provide answers to such questions as:
Caregiver: The treatment plan recommended for my son's type 1 diabetes isn’t something we can easily work into our schedules. Can my son safely monitor his diabetes and stay healthy if we tailor the plan to better fit our lifestyle?
Clinician: Have doctors serving diverse populations with high rates of diabetes seen better results when they use prevention programs that are culturally tailored?
Patient: I was diagnosed with type 2 diabetes, and taking care of myself has been challenging. I want to change that. Should I get a health coach, read more about diabetes care, or go to the doctor more often?
Diabetes Study Spotlights
A PCORI-funded project led by David Kent, MD, MS, of Tufts Medical Center, shows that data from large clinical studies can provide not just the average effect of a treatment, as most studies now do, but indicate which patients are likely to benefit—or not. Kent’s team is now working with the American Medical Group Association to spread the risk model to 50 clinics in two major health systems.
Native Americans have disproportionately high rates of diabetes. Two PCORI-funded studies are searching for answers in the Navajo Nation and its health data. Challenges abound—including far-flung geography, low health resources, and language barriers—but together, Navajo researchers and community health workers are meeting them.
This project evaluates whether utilizing a system of text message reminders alone, support from a community health worker alone, or a strategy that employs both, is most successful in improving healthy behaviors among Medicaid recipients with diabetes.