Using the Translating Research into Practice framework to develop a diabetes prevention intervention in primary care:...

Area of Science:

• Public Health
• Health Services Research
• Clinical Interventions

Background:

• Pre-diabetes affects one-third of US adults, increasing type 2 diabetes risk.
• Effective interventions like the Diabetes Prevention Program exist but face implementation gaps.
• Translating research into routine care for pre-diabetes prevention remains a challenge.

Purpose of the Study:

• To apply the Translating Research into Practice (TRiP) framework to develop an intervention for pre-diabetes prevention.
• To identify barriers and facilitators to implementing diabetes prevention strategies in primary care.
• To create an actionable plan and performance measures to increase intervention uptake.

Main Methods:

• Utilized the TRiP framework across three phases: evidence summary, barrier identification, and performance measurement.
• Conducted retrospective analysis of electronic health records for pre-diabetes management practices.
• Performed in-depth interviews with primary care physicians, payor leaders, and patients.

Main Results:

• Retrospective analysis showed low uptake of diabetes prevention interventions for pre-diabetic patients.
• Stakeholder interviews revealed knowledge gaps among patients and clinicians regarding pre-diabetes and prevention programs.
• Developed the START Diabetes Prevention Clinical Pathway, a change package with performance measures and resources.

Conclusions:

• The TRiP framework facilitated the development of a tailored intervention to increase pre-diabetes treatment uptake.
• The START Diabetes Prevention Clinical Pathway offers an adaptable model for primary care settings.
• This intervention strategy can be applied to prevent other chronic conditions.