Primary prevention:

• YMCA
• RWJF

The Translating Research into Action for Diabetes (TRIAD) study. TRIAD is a multi-center cohort study of diabetes care in managed care settings. The objectives of TRIAD are to describe quality of care, patient health status, quality of life, and health service use and health-related costs; evaluate effectiveness of diabetes management strategies by plans/provider groups, characteristics of plans/provider groups, & patients that impact the quality of diabetes care and/or the health status of members with diabetes, and to design and implement in collaboration with health plans, new interventions for improving the care and health status for persons with diabetes.

• CVD risk communication project: A prospective randomized controlled parallel group trial comparing a risk communication intervention using a multimedia computer-based education program with usual clinical care.
• Improving medication adherence: Prospective controlled study conducted at the IU Diabetes Center and IU Health Diabetes Center at IU Health Methodist Hospital to identify potential barriers perceived by patients to utilizing their medications as prescribed by their providers and implementing interventions to reduce these barriers. The assessment of barriers utilizes a validated instrument that can be obtained in the Survey Instruments section.
• Insulin Starts Project. The goal of this project is to identify important clinician and patient barriers to treatment change in response to chronic elevations of HbA1c (>8%). This project is being conducted at two sites: IU and Kaiser Permanente in Northern California.
• Evaluation of Open Access scheduling system. This project is investigating the impact of an open patient access scheduling system on the quality of diabetes care and outcomes.
• Primary prevention of Type 2 diabetes. This study is Comparing 2 implementation models for the primary prevention of type 2 diabetes in persons with increased risk. Both models assist practices to choose local approaches to identify Pre diabetes and offer diabetes prevention services. Only intervention sites include a community liaison from YMCA on local practice implementation team.

Diabetes Prevention Program Outcomes Study. The DTRC was a study site for the Diabetes Prevention Program (DPP) which was a study of interventions to prevent development of type 2 diabetes in overweight adults with IGT. The DPPOS is the continuation of this study investigating.

Role of technology in diabetes care delivery. DTRC investigators are investigating the feasibility of using a combined cell phone - glucose monitoring system as a component of a management program for adolescents with diabetes. A study funded by the American Diabetes Association is studying if use of the cell phone glucose monitoring system will improve a) parent-child communication, b) patient quality of life and competence in diabetes management, and d) patient metabolic control.

DTRC investigators are also conducting a retrospective cohort study that examines the impact of a telehealth or telephone-based intervention components integrated into a nurse practitioner (NP) managed diabetes care coordination program at the Indianapolis Roudebush VA Medical Center (VAMC).