# Design and Implementation of An Intervention to Improve Prediabetes Management in Primary Care

> **NIH NIH K23** · JOHNS HOPKINS UNIVERSITY · 2021 · $198,720

## Abstract

PROJECT SUMMARY/ABSTRACT
Diabetes prevention is crucial for reducing the public health burden of diabetes in the United States. 84 million
U.S. adults have prediabetes but 90% are undiagnosed. The NIH has prioritized finding efficient ways to translate
outcomes achieved in diabetes prevention trials into routine healthcare practice. The National Diabetes
Prevention Program recognizes lifestyle change programs meeting specific metrics that help prevent or delay
diabetes. However, an effective model for engaging health systems and primary care providers in facilitating
screening, testing and referral to these programs is lacking. There is currently no systematic approach to
prediabetes management in the primary care setting, but it is essential for addressing the burden of diabetes.
To address this need, we propose the following interrelated Specific Aims: 1) To conduct a retrospective cohort
study to describe longitudinal primary care provider practices around the diagnosis and treatment of prediabetes
using a linked claims and electronic medical record (EMR) dataset, 2) To conduct key informant interviews with
stakeholders relevant to diabetes prevention, including leadership from health care system/clinics, insurance
plan leaders, providers and patients, to identify barriers and facilitators to implementation, 3) To design and pilot
test the diabetes prevention clinical pathway within a primary care clinic in Baltimore, MD, and evaluate its
effectiveness on provider screening and intervention, and patient engagement in diabetes prevention over a
period of 12 months.
Dr. Eva Tseng is an Assistant Professor in the Division of General Internal Medicine and a clinical researcher at
The Johns Hopkins University School of Medicine. Her long-term career goal is to become an independent
clinician-investigator conducting pragmatic intervention studies with a focus on improving the prevention of
diabetes in primary care.
The proposed career development plan includes didactic and research training activities that will substantially
build her skills in developing and implementing an intervention. These will include training in implementation
science, clinical trial methods, quantitative data analytic methods for large claims/EMR databases, as well as
qualitative data collection and analytic methods. This training will occur in the rich training environment of the
Johns Hopkins Medical Institutions, including the Bloomberg School of Public Health and the Welch Center for
Prevention, Epidemiology, and Clinical Research. She will receive guidance from her outstanding team of
mentors and advisors with expertise in the methodologies needed for conducting the planned research, and a
track record of mentoring and funding. The award and protected time will allow Dr. Tseng to build an
independent NIH-funded research career and become a leader in pragmatic approaches to improve the
prevention of diabetes in primary care with potential applications to other chronic di...

## Key facts

- **NIH application ID:** 10085632
- **Project number:** 5K23DK118205-03
- **Recipient organization:** JOHNS HOPKINS UNIVERSITY
- **Principal Investigator:** Eva Tseng
- **Activity code:** K23 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $198,720
- **Award type:** 5
- **Project period:** 2019-04-10 → 2024-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10085632

## Citation

> US National Institutes of Health, RePORTER application 10085632, Design and Implementation of An Intervention to Improve Prediabetes Management in Primary Care (5K23DK118205-03). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10085632. Licensed CC0.

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