The Translating Research Into Action for Diabetes (TRIAD) Study

,

doi:10.2337/diacare.25.2.386

Cited by 92 publications

(44 citation statements)

References 21 publications

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“…[15, 35] Participants were asked “thinking about where you live, how much of a problem are each of the following issues: (1) Crime in area; (2) Access to exercise facilities; (3) Trash and liter; (4) Lighting at night; (5) Access to public transportation; and (6) Access to supermarkets. Response options for each item were: very serious, somewhat serious, minor, or not a problem .” Responses to this set of items (Cronbach’s alpha = 0.86) were summed to calculate a summary score (range: 1–24, mean 21, best = 24).…”

Section: Methodsmentioning

confidence: 99%

Neighborhood Perceptions and Health-Related Outcomes Among Latinos with Diabetes from a Rural Agricultural Community

Moreno¹,

Morales

Jaimes

et al. 2014

J Community Health

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Little is known about how neighborhood perceptions are related to diabetes outcomes among Latinos living in rural agricultural communities. Our objective was to examine the association between perceived neighborhood problems and diabetes outcomes. This is a cross-sectional survey study with medical record reviews of a random sample of 250 adult Latinos with type 2 diabetes. The predictor was a rating of patient ratings of neighborhood problems (crime, trash and litter, lighting at night, and access to exercise facilities, transportation, and supermarkets). The primary outcomes were the control of three intermediate outcomes (LDL-c <100 mg/dl, AlC < 9.0%, and blood pressure (BP) < 140/80 mmHg), and body mass index (BMI) < 30 kg/m2. Secondary outcomes were participation in self-care activities (physical activity, healthy eating, medication adherence, foot checks, and glucose checks). We used regression analysis and adjusted for age, gender, education, income, years with diabetes, insulin use, depressive symptoms, and co-morbidities. Forty-eight percent of patients perceived at least one neighborhood problem and out of the six problem areas, crime was most commonly perceived as a problem. Perception of neighborhood problems was independently associated with not having a BP < 140/80 (Adjusted odds ratio [AOR]= 0.45; 95% CI: 0.22, 0.92), and BMI < 30 (AOR=0.43; 95% CI: 0.24, 0.77), after controlling for covariates. Receipt of recommended processes of care was not associated with perception of neighborhood. Perception of neighborhood problems among low-income rural Latinos with diabetes was independently associated with a higher BMI and BP.

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Section: Methodsmentioning

confidence: 99%

Neighborhood Perceptions and Health-Related Outcomes Among Latinos with Diabetes from a Rural Agricultural Community

Moreno¹,

Morales

Jaimes

et al. 2014

J Community Health

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“…The TRIAD study design, key hypotheses and sampling frame have been described elsewhere [30]. Six centers (Pacific Health Research Institute, Hawaii; University of California, Los Angeles; Kaiser Permanente Northern California; University of Michigan; Indiana University; and the University of Medicine and Dentistry of New Jersey) partnered with ten managed care plans in seven states for this study.…”

Section: Methodsmentioning

confidence: 99%

Correlates of depression among people with diabetes: The Translating Research Into Action for Diabetes (TRIAD) study

Waitzfelder

Gerzoff²,

Karter

et al. 2010

Primary Care Diabetes

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Aim The broad objective of this study was to examine multiple dimensions of depression in a large, diverse population of adults with diabetes. Specific aims were to measure the association of depression with: (1) patient characteristics; (2) outcomes; and (3) diabetes-related quality of care. Methods Cross-sectional analyses were performed using survey and chart data from the Translating Research Into Action for Diabetes (TRIAD) study, including 8790 adults with diabetes, enrolled in 10 managed care health plans in 7 states. Depression was measured using the Patient Health Questionnaire (PHQ-8). Patient characteristics, outcomes and quality of care were measured using validated survey items and chart data. Results Nearly 18% of patients had major depression, with prevalence 2-3 times higher among patients with low socioeconomic status. Pain and limited mobility were strongly associated with depression, controlling for other patient characteristics. Depression was associated with slightly worse glycemic control, but not other intermediate clinical outcomes. Depressed patients received slightly fewer recommended diabetes-related processes of care. Conclusions In a large, diverse cohort of patients with diabetes, depression was most prevalent among patients with low socioeconomic status and those with pain, and was associated with slightly worse glycemic control and quality of care.

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“…We also recognize that our measure of intent may not fully capture the complex nature of intention. In addition, given the constraints of the already established TRIAD study design, 14 we could not randomize our scenarios to account for the possible influence of order effect on participants’ responses. Future studies should account for this potential bias.…”

Section: Discussionmentioning

confidence: 99%

“…TRIAD study methods have been described previously. 14 The initial survey (conducted in 2006) provided baseline demographic data for this analysis. Questions for this survey were completed in the second survey wave conducted in 2008 (overall survey response rate 80%) and were limited to those TRIAD participants from the Michigan TRIAD site.…”

Section: Methodsmentioning

confidence: 99%

Effects of Hypothetical Type 2 Diabetes Genetic Testing on Parents’ Efforts to Prevent Diabetes in Children

Tarini

Herman

Lee

2013

Clin Pediatr (Phila)

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Objective To examine the effect of hypothetical genetic susceptibility test results on diabetic parents’ intention to prevent type 2 diabetes (T2D) in their children. Methods Parents with T2D indicated their intention to prevent T2D in their youngest child at baseline and after a hypothetical positive and negative T2D genetic test result. We calculated mean/median “preventive intention scores” for each scenario and examined the association between parents’ score change and parent/child characteristics. Results A total of 63% of parents reported that their child had “almost no risk” or “slight risk” of developing T2D. Parents’ median baseline preventive intention score was 8. It increased to 10 after a positive test result and decreased to 5 after a negative test result. Conclusions Negative T2D genetic susceptibility test results may decrease diabetic parents’ intentions to prevent T2D for their children. Future research studies in a real-life clinical context should examine this phenomenon.

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The Translating Research Into Action for Diabetes (TRIAD) Study

Abstract: R e v i e w s / C o m m e n t a r i e s / P o s i t i o n S t a t e m e n t s C O M M E N T A R Y

Cited by 92 publications

References 21 publications

Neighborhood Perceptions and Health-Related Outcomes Among Latinos with Diabetes from a Rural Agricultural Community

Neighborhood Perceptions and Health-Related Outcomes Among Latinos with Diabetes from a Rural Agricultural Community

Correlates of depression among people with diabetes: The Translating Research Into Action for Diabetes (TRIAD) study

Effects of Hypothetical Type 2 Diabetes Genetic Testing on Parents’ Efforts to Prevent Diabetes in Children

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