Grantees
DREAMS-CDTR grantees are promising early-stage investigators supported by the Center’s Pilot and Feasibility Program, which funds pilot projects in areas diabetes translational research.
Lauren Au PhD, RDN
UC Davis
Project: Understanding the impact of GROWell: Goals for Reaching Optimal Wellness on improving offspring health and reducing risk of type 2 diabetes mellitus.
Project Description: Excess gestational weight gain is a significant public health problem and is associated with an increasing incidence of obesity and type 2 diabetes mellitus (T2DM) risk in offspring. The proposed study seeks to examine the relationship between prenatal dietary exposures and infant feeding practices with child growth from an existing randomized controlled trial designed to evaluate whether a digital dietary intervention administered to pregnant women reduces excessive gestational weight gain and postpartum weight retention. This research will identify the degree to which pre- and post-natal maternal interventions influence infant feeding decisions and related health outcomes related to childhood T2DM. Findings will help to inform the optimal timepoints and intervention strategies to reduce risk of T2DM among historically marginalized populations and provide preliminary evidence for a NIH R01 proposal aimed at understanding how to leverage maternal dietary practices – and changes in these practices – to improve breastfeeding and infant complementary feeding practices to prevent T2DM.
Chi Chu, MD MAS
University of California San Francisco
Project: Patient perspectives on data use for population health interventions
Project Description: Diabetes mellitus (DM) and its associated comorbidities are a major public health concern and a leading contributor to morbidity and mortality worldwide. Population health interventions have been recognized as important tools for improving diabetes care delivery and often involve secondary use of patient health information. Patient acceptance of these interventions is key for success, however, patient perspectives on the secondary use of their health data for these purposes are understudied, especially in the context of historically marginalized populations. This proposal aims to conduct qualitative studies with patients from diverse and marginalized backgrounds to explore perspectives on health systems' secondary use of individual patient data for population health interventions. In the subsequent aim, we will conduct focus groups to define patient-driven best practices for a specific type of intervention (proactive econsults) for improving care delivery and equity.
Andrea Pedroza Tobias, MSc, PhD
Stanford University
Project: Designing Sustainable and Effective Interventions to Reduce Ultra-Processed Foods in School-Age Children.
Project Description: School meal programs provide 30 million low-income children with 2/3 of the calories needed per day, providing a powerful tool to reduce racial/ethnic and socioeconomic disparities in food insecurity and obesity-related disease, including diabetes.. Although school meals have nutrition standards that limit the amount of sodium, calories, and saturated fat, in our team’s prior studies, parents have expressed concern about the high amount of ultra-processed foods provided in school meals. This proposal aims to build the evidence for interventions and policies to reduce children’s consumption of ultra-processed foods (UPF, foods made using industrial processing methods with added ingredients such as sugar, salt, fat, and food additives) to impact their health and development. First, we will conduct focus groups with parents of schoolaged children from low-income and minority backgrounds to understand knowledge and perceptions of UPF, their associated health and behavioral impacts, and contributors to UPF availability and consumption in children, both in and out-of-school. Second, we will interview food service directors to better understand the barriers and facilitators of providing less UPF and more fresh and unprocessed food in school meals. We will meet with an advisory group of policy advocates, school and food service directors, community organizations, USDA officials, and parents to guide us in interpreting the results and identifying and designing school-based interventions and policies to reduce ultra-processed food consumption.
Wagahta Semere, MD, MHS
University of California San Francisco
Project: Examining Clinical Decision-Making in Secure Messaging Communication among a Cohort of Racially/Ethnically Diverse Patients with Type 2 Diabetes and their Primary Care Physicians
Project Description: Over the past decade and accelerated by the COVID-19 pandemic, engagement with online patient portals—systems that allow patients secure remote access to their health information and the ability to exchange secure messages (SMs) with providers—has surged across health systems. For patients with chronic diseases such as diabetes, that require significant self-management and iterative adjustment of care plans, SM can provide an important means of inter-visit decision-making and has been associated with improved disease outcomes. Yet, little remains know about how communication via SM impacts clinical decision-making and might lead to improved outcomes. Additionally, disparities persist in SM access and engagement for racial and ethnic minoritized populations. Understanding SM communication processes is key to promoting effective engagement and mitigating disparities in use as well as access to potential benefits of this emerging health technology. The project will leverage a longitudinal dataset of SM exchanges involving patients with type 2 diabetes and their primary care physicians (PCPs) to develop a reliable qualitative methodology for characterizing clinical decision-making and to explore characteristics of decision-making by patient race and ethnicity.
Sara Haynes, PhD, MPH
UC Davis
Project: Testing a novel intervention to improve pediatric to adult transitions of care for adolescents and young adults with type 1 diabetes from low-income families
Project Description: This will be a pilot study of a low-resource, telehealth-based group intervention designed to support adolescents and young adults (AYAs) with type 1 diabetes mellitus (T1DM) in transitioning from pediatric to adult care. We will recruit 20 patients from low-income families receiving care at UC Davis Pediatric Endocrinology to receive the 4-session transition intervention, which was developed based on previous evidence and extensive stakeholder input. We will use a mixed methods approach, collecting detailed data on feasibility and implementation outcomes that will allow us to optimize our intervention to meet patient needs.
Pilot Investigator | Project Period | Project Title |
Jenise Wong |
2022-2023 |
Perspectives on virtual peer groups for diabetes technology use by Latinx youth with type 1 diabetes |
Rana Chehab |
2022-2023 |
Associations between Glycemic Control Trajectories among Individuals with Gestational Diabetes and Risk of Obesity and Growth Trajectories in the Offspring |
Luis Rodriguez |
2021-2022 |
Added Sugar Intake and Cardiometabolic Abnormality Among US Hispanic/Latino Adults |
Jennifer Falbe |
2021-2022 |
Impact of Sugar-sweetened Beverage (SSB) Warning Labels Among Low-income Hispanic Populations |
Elaine Khoong (UCSF) Sarah Nouri (UCSF) |
2020-2021 |
Evaluating Changes to Primary Care Management and Control of Type 2 Diabetes Mellitus Among Diverse Populations After Wide-scale Telehealth Implementation |
Stephanie Hooker (HealthPartners Institute) |
2020-2021 |
Improving Type 2 Diabetes Care Provided Through Telehealth Modalities: Understanding Needs of Patients and Primary Care Providers |
Tainayah Thomas (KPNC) |
2020-2021 |
Engagement, Preferences and Perceptions Related to Diabetes Prevention Among Adults with Prediabetes |
Alexander Lee (UCSF) | 2020-2021 |
Investigating Alternative Glycemic Metrics to Predict Hypoglycemia and Hyperglycemia in Nursing Home Residents with Type 2 Diabetes |
Estibaliz Iturralde (KPNC) | 2019-2020 |
Perceptions and Preferences Related to Diabetes Prevention Among Individuals with Severe Mental Illness and Metabolic Risk Factors |
Yeyi Zhu (KPNC) | 2018-2019 |
Investigation of Prevalence of and Barriers to Achieving Optimal Glycemic Control among Women with Gestational Diabetes |
Ilya Golovaty ( University of Washington, formerly UCSF) |
2018-2019 |
Implementation and Effectiveness of Community Diabetes Prevention Programs in the United States |
Veronica Yank (UCSF) |
2017-2019 |
Pilot Study of eHealth Medication Messages for Latino Patients and Their Families |
Courtney Lyles (UCSF) |
2017-2019 |
Tablet Research to Improve Understanding of Medications for People’s Health (TRIUMPH) |
Leah Zallman (Harvard Medical School) |
2016-2017 |
Interactive Community Program Guide for Diabetes Prevention in Primary Care |
Susan Brown (UC Davis) |
2016-2018 |
A Self-Affirmation Intervention to Enhance Patient Outreach for Health System-based Lifestyle Programs for Diabetes Prevention |
Christina Mangurian (UCSF) | 2015-2016 |
Cost-effectiveness of Expanding the Scope of Community Psychiatrists to Include Initial Treatment of Diabetes and Pre-diabetes |
Laura Garabedian (HPHC) | 2014-2015 |
Addressing Gaps in Research on Pay Performance to Improve Quality of Diabetes Care: Provider Perspectives |
Amy Beck (UCSF) Sarah Kim (UCSF) |
2014-2016 |
Group Parent Education, Reinforcing Text Messages and 1:1 Provider Visits for the Treatment of Overweight/obese, Low Income Latino Children |
Samantha Ehrlich (University of Tennessee Knoxville, formerly KPNC) |
2013-2014 |
Physical Activity in Pregnancy for Intergenerational Obesity Prevention |
Neda Ratanawongsa (UCSF) |
2012-2013 |
Medication Non- Adherence and Clinical Inertia Among Diverse Persons with Diabetes in a Government- Managed Care Plan for Medicaid andUninsured Populations |
Emma Eggleston (West Virginia University formerly HPHC) |
2011-2012 |
GDM and Progression to Type 2 Diabetes by BMI and Antepartum Testing |