Read the attached article and answer below:
 a. Did the authors appropriately describe the outcome measures, instruments, and data analysis? Why or why not?
b. Define and discuss the significance of independent and dependent variables. Provide an example related to your area of interest and provide details of what data would be used as your
§ Dependent variable.
§ Independent variable.
c. Cite references in APA format to substantiate your response when appropriate
Fully addressed the discussion topic posted
All responses were organized and written at a graduate level
Correct spelling and grammar
Correct APA format (text and references, if applicable)V O L U M E 3 4 , N U M B E R 4 , F A L L 2 0 1 6 187








Nurse Practitioner Perceptions of a Diabetes
Risk Assessment Tool in the Retail Clinic Setting
Kristen L. Marjama, JoAnn S. Oliver, and Jennifer Hayes

Diabetes is the seventh leading
cause of death in the United
States, burdening society with

high costs for treatment and placing
increased demand on the health care
system (1). According to the 2014
National Diabetes Statistics Report,
an estimated 29.1 million people in
the United States have diabetes, and
8.1 million of them are undiagnosed
(2). The lack of screening for early
identification of patients at risk for
type 2 diabetes is a significant clin-
ical problem. Health care providers
(HCPs) need to be aware of the in-
creasing diabetes burden and to pri-
oritize the screening of patients who
may be at risk. Screening for risk
can aid in both efforts to prevent the
development of diabetes and early
management of the disease to reduce
complications. Clinical trials have
demonstrated that type 2 diabetes can
be delayed or prevented through life-
style modification or pharmacother-
apy for people at increased risk (3).

In order to reduce risk for those
at risk of developing diabetes, screen-
ing is a priority that will raise patient

awareness. Many patients are not
aware of their risk for type 2 dia-
betes until they receive a confirmed
diagnosis from their HCP. There
are numerous health care settings
in which screenings can be imple-
mented, including but not limited to
primary care practices, urgent care
centers, hospital emergency depart-
ments, and retail health clinics.

Retail clinics are located in retail
supermarket and pharmacy chains to
provide high-quality, affordable, and
easily accessible health care services
for communities. A true measure of
quality in retail clinics is their degree
of adherence to several measures iden-
tified in the Healthcare Effectiveness
Data and Information Set (4).
Services in this type of setting may
include treatment of acute episodic
conditions, physical examinations,
vaccinations, health screenings,
and prevention and management of
chronic conditions (5). Retail clinics
provide services to patients with or
without insurance or a primary care
“home.” Patients’ visits to a retail
clinic afford the opportunity to assess

■ IN BRIEF This article describes a study to gain insight into the utility and
perceived feasibility of the American Diabetes Association’s Diabetes Risk
Test (DRT) implemented by nurse practitioners (NPs) in the retail clinic setting.
The DRT is intended for those without a known risk for diabetes. Researchers
invited 1,097 NPs working in the retail clinics of a nationwide company to
participate voluntarily in an online questionnaire. Of the 248 NPs who sent
in complete responses, 114 (46%) indicated that they used the DRT in the
clinic. Overall mean responses from these NPs indicated t

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