Final Research Report
This project's final research report is expected to be available by July 2023.
Related Journal Citations
Peer review of PCORI-funded research helps make sure the report presents complete, balanced, and useful information about the research. It also assesses how the project addressed PCORI’s Methodology Standards. During peer review, experts read a draft report of the research and provide comments about the report. These experts may include a scientist focused on the research topic, a specialist in research methods, a patient or caregiver, and a healthcare professional. These reviewers cannot have conflicts of interest with the study.
The peer reviewers point out where the draft report may need revision. For example, they may suggest ways to improve descriptions of the conduct of the study or to clarify the connection between results and conclusions. Sometimes, awardees revise their draft reports twice or more to address all of the reviewers’ comments.
Peer reviewers commented and the researchers made changes or provided responses. Those comments and responses included the following:
- The reviewers felt that the report’s assertion regarding the superiority of the Chronic Care Model (CCM) was too strong and asked the research to take a more cautious approach given the limited positive results. The researchers revised the report to more clearly acknowledge the limited statistically significant differences in the primary and secondary outcomes.
- The reviewers also noted that the report did not adequately consider the post-hoc nature of the association between the CCM arm and greater A1c reduction for participants with poor glycemic control. The reviewers asked the researchers to present this result with caution and clearly acknowledging that the results should be considered exploratory. The researchers revised their abstract and conclusions by describing these results as being based on an exploratory subgroup analysis.
- The reviewers asked the researchers to provide more detail on the self-management interventions, indicating that the descriptions were not sufficient for replication and did not address any measures of adherence or intervention fidelity. The researchers added more detail about the interventions to the report.
- The reviewers questioned the study’s inclusion of participants with pre-diabetes, given that interventions such as those presented in this study are usually only covered by insurance for people with diabetes. The researchers explained that their stakeholder partners requested the inclusion given the apparent acceleration in people with pre-diabetes being diagnosed with diabetes. The stakeholders believed that it would be important to know what kinds of interventions would work best for people at risk of developing diabetes. Further, the researchers explained that both programs offered free services to patients with pre-diabetes.
- The reviewers asked the researchers to discuss in greater detail the generalizability of the results given the limited availability of the CCM program in US medical practices. The researchers revised their discussion to note the alignment of their findings with the broader literature but also acknowledged that the CCM model is a high-intensity intervention that may be challenging for many communities to implement.
Conflict of Interest Disclosures
Patient / Caregiver Partners
- Esperanza Perez, Patient Advisory Board Member and Patient Research Team Liaison
- Guadalupe Fuentes, Patient Advisory Board Member
- Sofia Hernandez, Patient Advisory Board Member
- Maria Gonzalez, Patient Advisory Board Member
- Hector Capistran, Patient Advisory Board Member
- Pablo Muniz, Patient Advisory Board Member
- Blanca Pedigo, Patient Advisory Board Member and Research Team Member
- Virginia Sandova, Research Team Member
- Lidia Regino, Co-PI, Patient
- One Hope Centro de Vida Health Center
Other Stakeholder Partners
- Maria Tellez, One Hope Centro de Vida Health Center
- Karla Castaneda, One Hope Centro de Vida Health Center
- Mary Lynn Johnston, University of New Mexico Diabetes Education Program
- Sara Nelson, Soda Creek Consulting Media Specialist
- Will Kaufman, First Choice Community Health Care
- Janet Page-Reeves, University of New Mexico (PI)
- Mark Burge, University of New Mexico
- Shiraz Mishra, University of New Mexico
- Elaine Bearer, University of New Mexico
- Cristina Murray-Krezan, University of New Mexico
- Erik Erhardt, University of New Mexico
- Molly Bleecker, University of New Mexico
- Courtney FitzGerald, University of New Mexico
- Has Results