|The Diabetes Research and Training Center (DRTC)
program was established in 1977 by the Diabetes Research and Education Act
(Public Law 91-354) in response to a recommendation by the National
Commission on Diabetes. Currently, six DRTCs are supported by the National
Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The
DRTCs, which carry out basic and clinical research, are located at major
Each DRTC includes a Demonstration and Education Division that focuses on issues related to diabetes translation, including diabetes education, professional training, and community outreach. The researchers at the Demonstration and Education Divisions develop and demonstrate innovative approaches to providing quality diabetes care. Several of the centers carry out their programs onsite in model demonstration units, while other centers conduct their programs in community settings. The Demonstration and Education Divisions have developed links with major diabetes professional and voluntary organizations as well as with groups in the communities served by the centers.
The Demonstration and Education Divisions offer continuing education seminars, workshops in state-of-the-art diabetes management for professionals, an array of tested evaluation and assessment instruments, and professional expertise in developing and implementing diabetes programs in a variety of settings.
Each center offers a range of educational materials, including videotapes, curricula, and program guides for health professionals. The following briefly describes the current activities at each DRTC Demonstration and Education Division.
Albert Einstein College of Medicine's DRTC Demonstration and Education Division
|Dr. Judith Wylie-Rosett directs the
Demonstration and Education Division of the Albert Einstein College of
Medicine in the Bronx. The multidisciplinary clinical and education team
develops and assesses models for preventive diabetes care services,
focusing on the needs of underserved and high-risk populations. The
division also offers continuing education on diabetes management for
health care professionals.
Current research and development projects include
Health professional education programs include
A description of the educational and research activities of the Albert Einstein DRTC can be found on the internet at http://medicine.aecom.yu.edu/diabetes/DEC.htm.
Specific programs available for downloading include
University of Chicago's DRTC Demonstration and Education Division
|Dr. Wylie L. McNabb directs the Demonstration
and Education Division of the Chicago DRTC, based at the University of
Chicago. Many of the programs focus on minority health issues. Special
programs include Pathways, a weight-loss program for
African-American women at risk for diabetes. This weight-loss program is
conducted by lay volunteers in inner city black churches. Por Su Salud
(For Your Health) also makes use of lay volunteers to deliver a
lifestyle intervention (nutrition and exercise) to Hispanic women. The
sessions are conducted in Spanish in a home setting in Chicago's Hispanic
A new project currently under way is a collaborative effort between the DRTC and the Chicago Department of Public Health (CDPH) to improve the quality of diabetes care provided to patients in all CDPH neighborhood clinics. DRTC faculty and staff are providing in-service programs to all clinic personnel--physicians, nurses, dietitians, certified medical assistants, and clerical personnel--to assist them in implementing the American Diabetes Association's clinical practice recommendations for diabetes management. A chart audit system is being implemented to provide feedback to clinics on diabetes outcome variables and to determine the effectiveness of the in-service program.
Other programs developed by the DRTC include
Indiana University's DRTC Demonstration and Education Division
|Dr. David G. Marrero directs the Demonstration
and Education Division of the Indiana University DRTC in Indianapolis.
This DRTC division develops model clinical and educational programs
relating to low income and minority programs. Many of the programs
incorporate computer and telecommunications technology to assist in
patient care and professional education.
The Indiana University DRTC has conducted several surveys of primary-care physicians within the State to assess their standards of diabetes care. The results have guided the development of several postgraduate education courses on implementing more intensive diabetes management, detecting and treating secondary complications associated with type 1 and type 2 diabetes, and applying nutrition and exercise in type 2 diabetes.
Materials produced in support of these activities include
The center is developing a program designed to improve the standard of diabetes care in rural, low-income communities.
University of Michigan's DRTC Demonstration and Education Division
|Dr. Roland G. Hiss directs the Demonstration and
Education Division of the DRTC at the University of Michigan in Ann Arbor.
This division has developed model clinical and educational programs, as
well as educational programs and materials for health-care professionals
and people with diabetes. Many of the center's programs for diabetes
education and empowerment focus on communities and community
Along with clinical and educational programs, the University of Michigan DRTC also facilitates disease, cost-of-disease, and quality-of-life modeling to assess the relative effectiveness, cost-effectiveness, and cost utility of alternative strategies for the prevention, detection, and management of type 2 diabetes. In addition, this DRTC supports and coordinates studies that evaluate interventions directed at improving health outcomes of people with diabetes and studies that evaluate barriers that prevent adoption and dissemination of state-of-the-art diabetes care. Specific projects have been developed to evaluate culture-specific diabetes education programs, diabetes care for the underinsured, and people with diabetes in managed care systems.
The University of Michigan DRTC Demonstration and Education Division also develops instructional materials and standardized instruments to measure knowledge (Diabetes Knowledge Test), patient self-care skills and practices (Diabetes Care Profile), attitudes of patients and health professionals (Diabetes Attitude Scale), and patient empowerment (Diabetes Empowerment Scale). The center offers an undergraduate course for students at the University of Michigan, other training opportunities for health professionals, and patient education materials. These materials and instruments are available from the center.
Vanderbilt University's DRTC Demonstration and Education Division
|Dr. Rodney Lorenz directs the Demonstration and
Education component of the Vanderbilt University DRTC in Nashvillle. This
division has assumed a leading role in improving the teaching skills of
health professionals involved in diabetes education and management.
The center's widely attended Effective Patient Teaching (EPT) course emphasizes teaching, promoting adherence, and imparting problem-solving skills. By special arrangement with the Vanderbilt University DRTC, professionals can be trained to present the EPT program to colleagues in their own institutions.
The center also offers the program Sugar is Not a Poison: The Dietitian's New Role in Diabetes Management to prepare dietitians for their expanded role in diabetes management. The program has been presented throughout the United States. Although the curriculum emphasizes skills needed for intensive diabetes management, the course is useful for all dietitians who work with people with diabetes.
Other training materials available from the Vanderbilt University DRTC include manuals on interviewing, teaching, and problem-solving and brief videotapes for problem-based patient learning. DRTC staff have also developed
Washington University's DRTC Demonstration and Education Division
|Dr. Edwin B. Fisher, Jr. directs the
Demonstration and Education Division of the Washington University DRTC in
St. Louis. The Washington University DRTC division is currently involved
in many projects designed to improve care for people with diabetes.
Current projects at the Washington University DRTC include
A masters program in health care services is affiliated with this DRTC. This program for nurses, dietitians, physical and occupational therapists, and other professionals offers interdisciplinary training in health promotion, disease prevention, chronic disease care, patient education and counseling, and program development and evaluation. The curriculum covers programs serving diverse audiences in a variety of settings.
Diabetes Research and Training Centers Demonstration and Education Divisions
|Albert Einstein College of Medicine
Judith Wylie-Rosett, Ed.D., R.D.
Albert Einstein College of Medicine
Belfer Bldg. 1308
1300 Morris Park Avenue
Bronx, NY 10461
Tel: (718) 430-3345
Fax: (718) 430-8634
University of Chicago DRTC
Indiana University DRTC
University of Michigan DRTC
Vanderbilt University DRTC
Washington University DRTC
National Diabetes Information Clearinghouse
1 Information Way
The National Diabetes Information Clearinghouse (NDIC) is a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health under the U.S. Public Health Service. Established in 1978, the clearinghouse provides information about diabetes to people with diabetes and their families, health care professionals, and the public. NDIC answers inquiries; develops, reviews, and distributes publications; and works closely with professional and patient organizations and government agencies to coordinate resources about diabetes.
Publications produced by the clearinghouse are reviewed carefully for scientific accuracy, content, and readability.
This e-text is not copyrighted. The clearinghouse encourages users of this e-pub to duplicate and distribute as many copies as desired.
|NIH Publication No. 95-3267|
e-text posted: 1 August 1998