TNDMS - The National Diabetes Management Strategy
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Research Studies ...

FORGE AHEAD Program Description

TransFORmation of IndiGEnous PrimAry HEAlthcare Delivery (FORGE AHEAD): Community-driven Innovations and Strategic Scale-up Toolkits

FORGE AHEAD is a five-year research program (2013-2017) that will develop and evaluate community-driven, culturally relevant, primary healthcare models that enhance chronic disease management and appropriate access to available services in First Nations communities across Canada. The program uses a participatory research approach that simultaneously ensures culturally appropriate implementation and integrates knowledge translation by involving relevant stakeholders throughout the entire program.

The activities in FORGE AHEAD revolve around five key research objectives:
  1. Assess the current healthcare delivery, funding models and best practices used in First Nations communities in Canada
  2. Assess community and clinical readiness to address and adopt chronic disease care
  3. Enhance patient access to available community resources for chronic disease care
  4. Implement, evaluate, and cost community and clinic quality improvement initiatives to improve chronic disease management, including community diabetes registries, a web-based surveillance system, and a community-driven quality improvement intervention
  5. Develop sustainment strategies and scale-up toolkits for improved chronic disease management in First Nations communities

<Résumé français>

The FORGE AHEAD Research Program was highlighted in a short video shown on ADA TV at the American Diabetes Association 75th Scientific Symposium in Boston (USA) (June 5 - 9).




FORGE AHEAD is composed of a strong multi-disciplinary and cross-jurisdictional team from 8 provinces

  • 11 Partnering First Nations communities
  • Indigenous and non-Indigenous healthcare providers and community members
  • 21 Co-Investigators (clinician scientists, academic researchers reflecting a wide variety of disciplines from across Canada) (include a summary of disciplines)
  • Canadian Diabetes Association (CDA)
  • Heart and Stroke Foundation
  • Assembly of First Nations (AFN)
  • First Nations and Inuit Health Branch (FNIHB) of Health Canada


FORGE AHEAD Program Overview

The FORGE AHEAD research program incorporates a series of 10 inter-related and progressive projects designed to foster community-driven initiatives with type 2 diabetes mellitus as the action disease. Projects include both community & clinical readiness consultations, development of a diabetes registry & surveillance system, quality improvement activities, cost-analysis, and development of scale-up tool-kits. The schematic highlights all the activities which are broken into 3 phases: 1) preparatory activities, 2) intervention activities, and 3) wrap-up activities.

See a more detailed program timeline


FORGE AHEAD Funding Partners
This research program has been generously supported by the following: The Canadian Institutes of Health Research, The Lawson Foundation and AstraZeneca Canada Inc.


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