PMID- 32842020 OWN - NLM STAT- MEDLINE DCOM- 20210819 LR - 20230818 IS - 1945-1474 (Electronic) IS - 1062-2551 (Print) IS - 1062-2551 (Linking) VI - 43 IP - 2 DP - 2021 Mar-Apr 01 TI - Measuring Adherence to U.S. Preventive Services Task Force Diabetes Prevention Guidelines Within Two Healthcare Systems. PG - 119-125 LID - 10.1097/JHQ.0000000000000281 [doi] AB - Measuring adherence to the 2015 U.S. Preventive Services Task Force (USPSTF) diabetes prevention guidelines can inform implementation efforts to prevent or delay Type 2 diabetes. A retrospective cohort was used to study patients without a diagnosis of diabetes attributed to primary care clinics within two large healthcare systems in our state to study adherence to the following: (1) screening at-risk patients and (2) referring individuals with confirmed prediabetes to participate in an intensive behavioral counseling intervention, defined as a Center for Disease Control and Prevention (CDC)-recognized Diabetes Prevention Program (DPP). Among 461,866 adults attributed to 79 primary care clinics, 45.7% of patients were screened, yet variability at the level of the clinic ranged from 14.5% to 83.2%. Very few patients participated in a CDC-recognized DPP (0.52%; range 0%-3.53%). These findings support the importance of a systematic implementation strategy to specifically target barriers to diabetes prevention screening and referral to treatment. CI - Copyright (c) 2020 National Association for Healthcare Quality. FAU - Brunisholz, Kimberly D AU - Brunisholz KD FAU - Conroy, Molly B AU - Conroy MB FAU - Belnap, Thomas AU - Belnap T FAU - Joy, Elizabeth A AU - Joy EA FAU - Srivastava, Raj AU - Srivastava R LA - eng GR - KL2 TR002539/TR/NCATS NIH HHS/United States GR - UL1 TR002538/TR/NCATS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - J Healthc Qual JT - Journal for healthcare quality : official publication of the National Association for Healthcare Quality JID - 9202994 MH - Adult MH - Delivery of Health Care MH - *Diabetes Mellitus, Type 2/prevention & control MH - Humans MH - *Prediabetic State MH - Preventive Health Services MH - Retrospective Studies PMC - PMC7878570 MID - NIHMS1652933 COIS- K. D. Brunisholz received funding support for this research study through support by the Intermountain Healthcare and the National Center for Advancing Translational Sciences for the National Institutes of Health under Award Numbers 5UL1TR002538 and KL2TR002539. The remaining authors declare no conflicts of interest. The study sponsor did not have any role in the study design, collection, analysis and interpretation of data, writing the report, and/or the decision to submit the report for publication. EDAT- 2020/08/26 06:00 MHDA- 2021/08/20 06:00 PMCR- 2022/01/01 CRDT- 2020/08/26 06:00 PHST- 2020/08/26 06:00 [pubmed] PHST- 2021/08/20 06:00 [medline] PHST- 2020/08/26 06:00 [entrez] PHST- 2022/01/01 00:00 [pmc-release] AID - 01445442-202104000-00007 [pii] AID - 10.1097/JHQ.0000000000000281 [doi] PST - ppublish SO - J Healthc Qual. 2021 Mar-Apr 01;43(2):119-125. doi: 10.1097/JHQ.0000000000000281.