Table 2

Statements with above average importance rating* by cluster

Statements by clusterAverage ratingPriority quadrant†
1.Community and partner engagement (n=11)4.083.76
 Conduct more community-engaged research addressing social context of diabetes prevention4.173.82I
 Engage members of communities with high disease burden in the design and implementation of prevention and treatment solutions4.283.73I
 Engage community stakeholders and residents using a community-engaged research process to identify critical areas4.183.90I
 Partner with the community to raise awareness of both the health implications of diabetes and the simplicity of treatment4.003.91I
 Include the patient population so they are equal partners in research, clinical care, outreach and long-term care4.003.77I
 Be available to tribes when studies are done in their communities4.263.83I
 Incorporate pre-existing community programs that have had success4.384.04I
 Work with local communities and tribes to understand and restore/develop local and indigenous food systems that are responsive to climate change3.942.86II
2.Enrichment and capacity building (n=12)3.873.80
 Engage clinics and the social service sector4.063.86I
 Develop provider and researcher capacity for conducting community-engaged research and addressing social determinants4.003.65I
 Ensure clear action steps to allow individuals and communities to benefit from research3.943.68I
 Disseminate research findings to make leaders and members of society more aware of the societal costs of poor health access4.063.86I
 Recruit and retain diverse physicians and researchers with experience working with communities impacted by diabetes4.383.60II
3.Interventions for specific populations (n=8)4.083.74
 Understand and implement strategies that are adapted to or tailored for communities that experience health disparities4.573.84I
 Understand the diversity of individuals at risk for diabetes and their experiences and perspectives4.104.14I
 Create programs tailored to individual tribal communities4.173.64II
 Build capacity and increase resources within communities of color4.293.38II
 Focus on rural populations to build strategies that are sustainable/accessible in those settings4.003.59II
 Focus on reservation communities to build strategies that are sustainable and accessible in those settings4.003.50II
4.Contextspecific interventions (n=7)3.963.78
 Address diabetes prevention among young adults who are disproportionately at risk4.003.88I
 Develop interventions and implementation strategies with vulnerable populations in mind4.224.15I
 Assess whether commonly accepted treatments are having a positive effect on underrepresented populations3.943.82I
 Address comorbidity with behavioral and mental health, especially in the context of low resources and limited access to care4.123.33II
 Focus more on the unique social determinants in diverse communities4.223.48II
5.Dissemination and implementation principles (n=9)3.963.79
 Make sure data are reported by subgroups so comparisons can be made across research projects3.944.00I
 Focus on dissemination and implementation of culturally tailored diabetes prevention programs4.174.14I
 Adopt a multidisciplinary approach4.524.24I
 Focus on providing preventative healthcare4.253.75I
 Address meaningful access to diabetes education, nutritionists, and so on (ie, more than just a referral once at diagnosis from a physician)4.063.55II
6.Nontraditional settings and strategies (n=11)3.623.62
 Examine strategies to support patients between clinic appointments to achieve treatment goals4.004.05I
7.Cost and health economics (n=6)3.863.65
 Emphasize dissemination and implementation of evidence-based treatments and programs4.184.18I
 Study and measure the costs required to continue an effective intervention for longer than 24 months4.003.48II
8.Innovative methods and metrics (n=9)3.713.93
 Design studies to include implementation outcomes4.004.36I
 Include outcome measures around disparities4.054.60I
9.Policy approaches (n=11)4.033.10
 Disseminate research findings to influence health policy4.424.13I
 Have direct implications on practice, research, and policy4.173.43II
 Focus on societal/policy changes that can impact diabetes risk4.223.19II
 Inform an overhaul of the US healthcare system to provide affordable, transparent, trustworthy, and high quality access to all people4.242.05II
 Map the policy context that perpetuate disparities and incorporate into planning for interventions3.943.52II
 Find a way to reduce costs, especially for medication4.002.60II
 Fund more research that budgets for implementation that is in line with real-world costs for future implementation4.173.36II
10.Next generation interventions (n=11)3.943.42
 Take into account comorbidity and overall care of individuals with multiple, complex diagnoses, conditions3.944.00I
 Incorporate the broader contributors to unhealthy behaviors and lifestyles and work to address these in unison with clinical approaches4.063.62II
 Address root causes at patient and provider levels4.062.71II
 Study the effectiveness of simple, inexpensive, scalable interventions to influence health behaviors, particularly among medically underserved or populations with low socioeconomic status4.223.63II
 Identify affordable healthy living strategies for the poor and working population4.113.29II
 Find ways to address the social determinants of diabetes and related health disparities4.243.43II
 Understand better the pathways by which socioeconomic status disparities drive diabetes4.063.50II
  • Bold values indicate cluster-level average ratings.

  • *Mean importance rating=3.91.

  • †Priority quadrant I characterized by importance≥3.91, feasibility≥3.65, quadrant II characterized by importance≥3.91, feasibility ≤3.65.