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| EXCEED Pilot Project 2 |
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| A Pilot Program to Provide AHRQ Guidelines Concordant
Care to African Americans with Type 2 Diabetes Mellitus and Depression |
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Despite improved rates of depression recognition in
primary care settings, outcomes following treatment of depression in
this setting are generally poor. AHRQ guidelines describe the elements
of effective depression treatment. Unfortunately, the fast paced nature
of primary care interactions makes it difficult for primary care providers
to meet these expectations.
The Diabetes Nurse Educator (DNE) model of
diabetes care was designed to address similar problems in the provision
of American Diabetes Association minimum levels of diabetes care. We
propose to train the DNE to collaborate with primary care providers to
provide AHRQ guidelines concordant depression treatment for African-Americans
(AA) with both diabetes and depression.
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