This survey is in response to Senate Bill 97, which requires the Department of Health Care Services to establish the Diabetes Prevention Program (DPP) within the Medi-Cal Fee-for-Service and managed care delivery systems. The DPP is an evidence-based, lifestyle change program designed to assist Medi-Cal beneficiaries in preventing or delaying the onset of type 2 diabetes.

The purpose of this survey is to collect information about how Medi-Cal providers discuss prediabetes with their patients, and if they refer them to treatment or DPPs in their area.

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* 1. Contact Information

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* 2. Please choose your speciality, or specialities, below.

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* 3. Which of the following individuals in your provider network and community clinics discuss the risk of prediabetes with Medi-Cal beneficiaries? Please select all that apply.

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* 4. Which of the following describes other opportunities within your community for screening and referring members to a DPP? Please select all that apply.

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* 5. Please indicate if each of the following presents a patient barrier to diabetes prevention in your practice.

  Not a barrier at all Somewhat of a barrier Neutral A barrier An extreme barrier
Knowledge of treatment options for prediabetes
Sustaining patient motivation
Time needed to educate patient on diet and lifestyle change
Medication compliance
Patient understanding of prediabetes diagnosis
Patient acceptance of prediabetes diagnosis
Economic resources of patients
Time for patient follow-up
Insurance coverage of education for patient
Patient ability to modify lifestyle

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* 6. Please indicate if you agree with each of the following statements. 

  Strongly disagree Disagree Neutral Agree Strongly agree
Most patients cannot successfully comply with lifestyle changes needed for diabetes prevention.
I recommend metformin to most patients with prediabetes.
Most family physicians do not consider screening for prediabetes to be a high priority in diabetes prevention.
I give general lifestyle advice targeted toward reducing cardiovascular disease instead of advice specific to diabetes to patients with abnormal blood glucose.

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* 7. What lifestyle change do you primarily stress to your patients who have been diagnosed with prediabetes?

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* 8. What is your primary method of identifying someone at risk of developing diabetes?

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* 9. Do you follow national guidelines or screening recommendations?

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* 10. What is the primary guideline that you follow?

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* 11. Please indicate if each of the following presents a systems barrier to diabetes prevention in your practice.

  Not a barrier at all Somewhat of a barrier Neutral A barrier An extreme barrier
Inadequate time to counsel patients on lifestyle modification
Limited resources for dietary and physical activity counseling
Limited documentation of diabetes-related risk factors

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