Diabetes Treatment in Primary Care Settings 

Title: Comparing Patient‐Centered Outcomes of Standardized vs Patient‐Driven Diabetes Shared Medical Appointments
Summary: In this proposed study, we will compare the effec veness of patient‐driven diabetes shared medical appointments (SMAs) to standardized diabetes SMAs. The curriculum to be used is Targeted Training for Illness Management (TTIM), a 12‐session modular group interven on for chronic illness self‐management, and has been tested in diabetes. The standardized group visit model will consist of diabetes SMAs with the full TTIM 12‐session curriculum, led by a health educator. For the patient‐driven SMAs, patients choose the topics and the order of sessions from TTIM the curriculum, which is delivered collaboratively by the multidisciplinary care team consisting of several professional providers (health educator, medical provider, and behavioral health provider) and a lay worker (diabetes peer mentor). The primary patient‐centered outcome, selected by patient stakeholders, is diabetes distress. Secondary outcomes include autonomy support, quality of life, and diabetes self‐management behaviors, clinical outcomes (hemoglobin A1c, blood pressure, and body mass index), patient reach and engagement, and practice‐level value and sustainability.  
Funder: PCORI
Project Period: 08/01/2017-10/31/2021​​​​

Title: The New Frontier: Using Health Care Data to Improve Population Health - CHORDS
Summary: The programs goal is to increase the number of public health agencies using the Colorado Health Observation Regional Data Service (CHORDS) and health care and mental health providers who contribute data. Partners will use CHORDS data to address obesity, mental health, cardiovascular disease and diabetes in their communities.
Funder: Multiple Funders
Project Period: 04/15/2016-04/15/2018​​