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Diabetes Projects
Translation Research Project (TRIAD)
Overview
Translating
Research Into Action for Diabetes (TRIAD) is a 5-year, 6-center prospective
study of managed care and diabetes quality of care, costs, and outcomes
in the United States. In its third year, TRIAD is an important study because
it is the first and largest multicenter study of diabetes quality of care,
quality of life, and factors affecting them. TRIAD is currently developing
plans to carry out a detailed assessment of socioeconomic status and how
it relates to quality of care and health status with diabetes.
Study
goals
TRIAD's overall
goal is to examine the influence of managed care structure on processes
and outcomes of diabetes care. This study will
- describe
quality of care and life among people with diabetes
- evaluate
eight modifiable structural factors at the health plan and provider
group levels with the quality of care and patient level outcomes
- evaluate
clinical processes of diabetes care and health outcomes after accounting
for possible confounding factors
- use a
common protocol to assess health plans and provider groups in a community-dwelling
(non-institutionalized) and diverse population of patients with diabetes
Study
sites
The study
is being conducted at the following sites:
- Pacific
Health Research Institute — Hawaii
- University
of California, LA
- University
of Medicine and Dentistry of New Jersey
- Kaiser
Foundation Research Institute, Oakland, CA
- Indiana
University School of Medicine
- Regents
of the University of Michigan.
The project's
technical and administrative coordination are conducted across five of
the sites (New Jersey, Kaiser, Michigan, UCLA, Indiana) with assistance
from the Centers for Disease Control and Prevention (CDC).
Methods
TRIAD will
use a prospective survey design consisting of a baseline survey and follow-up
after 24 months of 10 health plans and 45 provider groups, and up to 9,500
members with diabetes, including many from racial and ethnic minority
groups. Information will be obtained from patient surveys using a computer-assisted
telephone interview (CATI), medical record review, and compilation of
administrative data. The structure and organization of diabetes care will
be assessed using standardized interviews of health plan and provider
group representatives. These sources will provide descriptive data about
structural and health system factors relevant to diabetes care in managed
care organizations (MCO) settings, quality of care, patient satisfaction,
and health status outcomes.
Follow-up
survey
The follow-up
survey will be conducted among the same cohort of members, health plans,
and provider groups beginning in fiscal year 2003. It is designed to
- assess
changes in quality of care, health status, satisfaction, and health
service use over a 24-month period
- identify
characteristics of patients and health care provider systems and practices
that can impede or enhance diabetes care, health status, health-related
quality of life, and satisfaction with care.
VA's
parallel study
The Veterans
Administration (VA) is conducting a parallel study with the use of the
TRIAD research protocol. The VA Study will survey 2,500 people from six
VA facilities and carry out a provider group/plan survey throughout the
VA system. The VA has established a system that would ensure communication
and coordination between the VA Study and the TRIAD Study, and VA officials
are on the TRIAD Steering Committee.
Translational
Research Center Locations
The project's
technical and administrative coordination are conducted at the sites in
New Jersey, Kaiser, Michigan, and CDC. The study is being conducted at
Pacific Health Research Institute — Hawaii; University of California
— LA; University of Medicine and Dentistry of New Jersey; Kaiser
Foundation Research Institute, Oakland, CA; Indiana University School
of Medicine; and Regents of the University of Michigan.
For
more information
For more
information, call toll-free 1-800-CDC-INFO
1-888-232-6348 TTY , E-mail cdcinfo@cdc.gov ,
or visit the related CDC press
release dated January 27, 1999, on the Web or visit the TRIAD
Study Web site*.
* Links to non-Federal organizations found at this site are provided solely
as a service to our users. These links do not constitute an endorsement
of these organizations or their programs by CDC or the Federal Government,
and none should be inferred. The CDC is not responsible for the content
of the individual organization Web pages found at these links.
Page last reviewed: September 30, 2008
Page last modified: December 12, 2005
Content Source: National Center for Chronic Disease Prevention and Health Promotion
Division of Diabetes Translation
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Diabetes & Me